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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Agree to see a developmental pediatrician, and if he hasn't had a thorough speech evaluation (preferably by a private provider, not the county) that would be my next step.

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We did do private speech for a while but it did not seem to help.  His private speech therapist said that there is no point in giving a full diagnose as it doesn't change the treatment.  He also seems to drool a lot and his lower jaw always hangs open.[/quote]

I"m not a doctor, and no one can diagnose your kid over the internet. But your child sounds a lot like mine did at that age although mine didn't have receptive speech issues.

When a child has significant delays in receptive and expressive speech, and motor issues --you need to find out if they have developmental coordination disorder (DCD), also called dyspraxia. It's a neurologically based disorder. Many children with DCD can also have apraxia of speech.

Kids can overcome these conditions, but it takes YEARS of treatment -- with an OT or PT for the gross motor issues, and with an SLP experienced in treating motor disorders.

I would 1) try another SLP -- the one you had was correct that it can take a few months with a very young child to land on a firm diagnosis. But the progress in gaining verbal speech may be very slow, it doesn't mean it isn't working. In the meantime your child could be learning to use an augmentative method of communication (sometimes and Ipad or a more paper driven method) to reduce frustration and work on language.

2) Get an appointment iwth a developmental pediatrician at the Kennedy Krieger Institute in Baltimore and get comprehensive recommendations for moving forward.
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NP here. My child was recently diagnosed Dyspraxia and he sounds similar to yours, minus the behavior issues you mentioned. Speech and OT are the main things we are doing, in addition to accommodations in the school setting via IEP.  I of course am not diagnosing your child, just sharing my experience with a child who seems somewhat similar. I think there is probably a lot of overlap though with diagnoses' that include motor issues and language delays, so I would say to get some good/thorough up to date evaluations done, get feedback from the preschool teacher and present it all to a developmental pediatrician at KK, so he/she can take it from there and lead you in the right direction.[/quote]

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