Reply to How much improvement should I expect from speech therapy?

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Reply to "How much improvement should I expect from speech therapy?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]He is 6 - they have been working on expressive language. And apparently his receptive is not great. [b]It was not initially tested in the first evaluation because my main concern at the time was expressive[/b]. If receptive is bad, I'm assuming that will make anything and everything that much more difficult for him.[/quote]

Any speech therapist who just evaluates expressive language without evaluating receptive language for an initial evaluation is incompetent.  Knowing a child's receptive language is crucial! There is no excuse considering he was 5 or 6 years old during the initial evaluation.  Get another therapist ASAP. [/quote]

+1  If you wait till 6 for therapy, its helpful but a bit late in the game.  Get a new therapist if they did not do a good assessment.  Poor receptive is different than expressive.  Some kids have one, some both.  [/quote]

This doesn't sound like the therapist's fault--it sounds more like mom was being overly directive without a lot knowledge.[/quote]

Actually I did ask her why she didn't test for receptive at the time and she said we should focus on one aspect...or something like that. Please don't be mean, I'm trying the best I can. I didn't come here to get shit on.[/quote]

SLP here. This is truly bizarre. At the bare minimum she should have done a comprehensive language measure like the CASL, TOLD-P4, or CELF-5 for an initial intake. To avoid doing any test that gave her insight into receptive language is actually quite a feat! I'm not even sure how I'd go about that. I've done testing where I've almost exclusively assessed receptive language and not touched much on expressive, usually in kids who are non-verbal or almost completely unintelligible, but never the reverse.

And you should not have been expected to know this. Parents tell me what they think is wrong all the time, and that's valuable information that I certainly take into account (maybe it would trigger me to do some supplemental tests that I might not have otherwise based on their highlighted areas of concern), but ultimately I'm the one with the training who's supposed to do a comprehensive assessment and figure out what's going on with their child, not them.

I would try a new therapist, and maybe a new comprehensive assessment. Make sure you bring all the old ones with you so they don't accidentally repeat anything too soon and invalidate the results.[/quote]

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