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[quote=Anonymous]DC is in middle school. She has ADHD, social anxiety, and pragmatic language deficits. The pragmatic language deficits were confirmed through a speech language evaluation about four years ago. It's very difficult to communicate with DD. If you try to explain something to her, especially about rules or some social aspect, the response goes something like "Stop mom, I know all all that. I don't want to talk about it." When she has struggles at school with a friend or with a teacher, it's close to impossible to find out what happened or why she is stressed out about a particular situation. If she's having a difficult time with a particular subject, it's difficult to figure out the details. Counseling has been difficult. She refuses to get out of the car. When we manage to get into the counselor's office, she won't say anything. We've tried three different counselors and all of them indicated it's difficult to engage with her in a conversation. Yesterday, she was with me when we picked up her sister and her sister's friend. As soon as they entered the car, she told her sister's friend, I heard you did X,Y, and Z. Something that's embarrassing and that you keep private. Her sister was furious and friend looked upset. When we got home, I explained that saying something like that to her sister's friend is hurtful and the friend  will feel that she cannot trust her sister. DD expression towards me was just flat/blank, absolutely no response or reaction. I have no idea if she understood what I was trying to explain. DD makes friends but then cannot keep friends because of these issues.

Did speech therapy help your child with pragmatic language deficits? What types of skills or tips do they teach in speech therapy for this situation? If there a speech language therapist in Northern VA that you can recommend?[/quote]

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