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[quote=Anonymous]
OP- You do want to deal with any speech issue with your son at all possible in the early years because it can have a lifelong impact. I have the nicest nephew who was a preemie of about 3 weeks early with no diagnosis of any deficits at birth. However, he has had a stuttering issue in speech since a child.  They did the best therapy intervention, but at a certain point he just decided to stop. He also had some mild LDs but with a lot of support from his parents he did well in a boys parochial high school and went onto graduate from a smaller college away, but close enough to get some support as needed at times.  The speech deficits definitely have had a social impact on him and now in the work world, he definitely is behind peers in terms of the kinds of job he could hold and where he is working in seeking a management training spot.  What struck me in your post is that beside the stuttering which can occur, it does appear to take him a slight amount of time to phrase what he wants to say which I realize in part is due to strategies to control the stuttering, but I would also say in framing what he wants to say,too.

Since our youngest daughter has a disability and continuing articulation issues in speech, I am more attune to what you are raising.  With our daughter, when she is focused she can frame what she wants to say, too  quickly, and come out with a stream of information that at times we can't decipher.  With her, you have to sort of accept a certain level of unintelligibility.  However, I can also see in single words that if the pronounciation is not caught clearly at first the initial incorrect pattern can linger as in a word such as "avocado."  I think it is important to get a very detailed speech evaluation done based on recommendations from those whose children have similar needs of your son.  You want to look at all the aspects of correct letter sound production as this will have an impact in reading, articulation and stuttering.  A good SLP ca help you prioritize what goals would be worked on first.  I also second private therapy as school based is most often small group now and in private you have the consistency AND you can be told what skills in the home to reenforce,too.  We did private twice a week, year-round in the early years and then dropped to once a week.   In our daughter's case, appropriate speech was key to demonstrating what she knew and to helping her do well in a job setting, too.
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