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[quote=Anonymous]I am at a bit of a cross-roads in terms of therapy for DS, a 4 yr-old, who has been receiving MoCo speech therapy, 1x a week for speech issues that mainly concern articulation.  He was late speaker, with only a couple words at 2 yrs.  He went on to progress well in terms of vocab and speech acquisition (and is at least average in those areas), but his articulation was always greatly delayed and he was frequently unintelligible, even to us, until about 3 yrs.  I probably should have looked into private therapy earlier, but he has been progressing quickly and there are no cognitive concerns--beyond the wacky articulation. Even today he does not only have atypical consonant substitutions, but also vowel distortions in words he finds difficult to pronounce.

So would you supplement with private?  And if so, what type of therapy?  Sometimes there almost seems an apraxia-like quality to his issues and I wonder about PROMPT or some more specialized therapy.  Obviously his issues are not so severe, but he often seems to be searching for a sound, to the point that he has a bit of a "stutter" before any complicated sentence.  And he also had low-tone issues as a baby, though they resolved quickly and we only did physical therapy for a couple months.

Hoping someone may have some insight dealing with similar issues. Thanks! [/quote]

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