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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Yes, that can be very normal with a speech delay, especially receptive. Are you sure its apraxia?  Its often overdiagnosed and at that age hard to tell until they talk.  With speech delays it is normal they do things like bikes later.  Get him a good scooter like the micro or Y brand.[/quote]

OP here. We are almost positive it’s apraxia. He’s been evaluated now 4-5 times privately, through strong start and early stages. They all have shown his receptive language is fine. But with his peers and interactions he’s been almost always 6-9 months behind. He just started imaginary play. I can’t put my finger on exactly what I’m seeing, which is so frustrating. I just don’t know what I should do other than wait and see?[/quote]

MY kid with MERLD (diagnosed around 4) really never engaged in imaginative play.  he simply didn't have the language skills to tell a story - he couldn't generate plot elements or details or organize a story line.  In MS now it's still hard. He also has slow processing issues, which make it hard to engage in conversational exchanges because by the time he has processed and formulated what he wants to say, the conversation has moved on and it's to longer appropriate to say what he wanted to say.  He also hated loud noises.

FWIW, as he grew older he was diagnosed with dysgraphia, developmental coordination disorder, ADD-Inattentive w/ executive dysfunction and slow processing along with reading disorder NOS at times.  We sent him to a SN school for a couple of years specializing in reading.  And yet, despite all the diagnoses he is a very smart kid who is mainstreamed and doing well in school, with some help and structure at home and an IEP at school which mainly provides the accommodations he needs (special instruction provided by the school is worthless, YMMV).

I fully expect him to graduate HS and to go to college.

Receptive and expressive language can be at different levels.  Being behind in expressive levels can make it difficult to interact with peers.  Also being behind in social praatic communication can make groups or pairs difficult. [/quote]

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