Reply to Need advice on how best to proceed on suspected apraxia in my 21-22 mo old son

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Reply to "Need advice on how best to proceed on suspected apraxia in my 21-22 mo old son"

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[quote=Anonymous]My son has a very limited and inconsistent vocabulary. He has said mama, dada, up, mamao (papaya in portuguese), and george (for Curious george). He babbles the rest of the time, or grunts, points, etc. His receptive language is really good in both English and Portuguese. We live in Brazil right now due to my husband's job, but our homebase is DC.

After a speech eval at about 20 mos, we started him in ST (so we're about 6 weeks in). He attend 2x/wk for 30 min. They have recently told us that they suspect apraxia. Because we do live abroad, our options are somewhat limited in terms of English-speaking SLPs (we speak English at home, but we have a nanny who speaks only Portuguese with him).

We will be in the States in October and plan to try to schedule an EI evaluation as well as a private evaluation with a ST that is certified in PROMPT therapy because I'd like to get the opinion of someone who works quite a bit with apraxic children.

I know we have have to take one step at a time, but I'm just trying to think ahead. Say the U.S.-based SLP agrees that he might be apraxic, I'd appreciate your thoughts on what we should do. The SLP that he's been working with seems to have a good connection with our son, and they believe that he's already made some progress. I don't know--it's too soon for me to say. But they do not really agree with the PROMPT approach. They think it's too aggressive for a young toddler. They rely on a multisensory approach with touch cues. But I've read that PROMPT techniques can be really effective for apraxic children.

I want to make sure that we make the most of this year between ages 2-3 because I know it's a critical time. We would consider moving back to DC earlier than next summer, when we're scheduled to return, if it would mean better treatment for him. I'm wondering whether we should continue to see how he progresses here given that he seems to have a good connection (so far) with his SLP or consider finding an SLP in DC that uses some PROMPT. I also haven't fully developed the confidence in the SLP practice here, but some of that may be because I just generally have this idea that we would be in better hands in the States. The downside is that I will definitely have to work (prob full-time) when we return, whereas here I'm able to stay at home with him (and sometimes work part-time from home, hence the nanny). I feel this is also important--for me to be with him in these early years and could be just as helpful?

I'm reeling from all of this quite a bit so I apologize for the long post. If you made it this far, thank you!

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