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[quote=Anonymous]OP I just want to share my story.

2.5 year old DD has a rare genetic dx (a gene mutation) which was discovered at around 20 months through a WES test. I would recommend getting one. The result gave us the 'why' for her delays but even without it the course is the same - intensive therapies to help her in gross motor, speech, attention and fine motor. I don't think there is any reason to do an MRI.

At 18 months she was not walking (walked 22 months), had very few words (mama, more, milk, dog) and didn't interact with toys with much interest. Even as a baby it was hard to motivate her using toys no matter how much they lit up or played music or anything. We really focused on therapy - doing speech, OT and PT for a mix of 8 sessions a week. Some was through EI (we are in NY) and some was private. DH and I both work full-time and we made it work.

Now at 2.5 she is still behind on gross motor and needs support - but walks and runs and climbs and jumps and can ride a scooter. She is still behind on speech - but puts together strings of words to say things like 'more oatmeal please' asks questions, can respond to ones like 'what's your name' 'how old are you' etc.

She is in a preschool with therapy support and does PT, OT, speech and special instruction each 2x a week. Her progress is slow but steady. We're still in the gray area not sure if it's intellectual disability or learning disability but either way our course forward would be the same. You're doing the right thing for your child by getting them help, stick with it and enjoy your child. Try to stay in the moment and help and appreciate them where they are today.

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