I started worrying about my daughter’s speech when she was around 14 months old. I kept holding out hope that the “speech explosion” was coming, but it never came. When she was 20 months old, she was evaluated by an SLP, but we were told that she was “borderline” at the time. The SLP did say that her receptive skills were carrying her overall score, but that she didn’t qualify for services anyway, at least not yet.
I had her reevaluated by a different SLP when she was 26 months old, and she qualified for services. She has been in speech therapy twice a week for 45 minute sessions since then, so for 4 months (she’s now 2.5). She’s more generally vocal at home, more babbling and labeling more frequently, but not really any new words or new pairings. She was basically mute at daycare, though, so they’ve seen a night and day difference there, and her speech is now equal in both places.
My daughter likes her SLP. She can see her easily and frequently because the SLP comes to see her at her daycare (she takes her to a different room). The SLP knows my daughter’s teachers and can give them pointers for how to help her in class. All great things!
However, the SLP has said that she isn’t doing any speciality interventions other than using Kaufman cards. I asked her if she felt specialized enough to treat apraxia (and she’s the one who gave her that diagnosis) and she didn’t give me a clear answer.
Basically, I’m wondering if typical speech therapy with a speech therapist that my daughter likes is enough? Or is it worth it to try to find someone who is specialized in treating apraxia, who she may not be able to see as frequently due to our work schedules? There are no concerns of autism or other co-occurring disorder, she is unbothered by change, and warms to others with relative ease, so this is purely just a question of frequency and specialty.