Speech Therapy / Apraxia/ Public School
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  1. #1
    MamaTeacher22 is offline Junior Member
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    Default Speech Therapy / Apraxia/ Public School

    Hi everyone!

    My DS just turned 5 at the end of December, and he's been in Speech Therapy at the public school here for a little over a year now, though he is homeschooled. He goes twice a week, Monday and Wednesday, and he also has a private Speech Therapist that he sees on Tuesdays (about an hour's drive from my home).

    The public school speech therapist thinks that he's just "phonologically delayed." The private speech therapist thinks he has mild apraxia, which makes sense given the issues he has in regards to his speech. The public school speech therapist disagrees completely with that diagnosis. I'm not sure WHAT to think, except that they each work on completely seperate things with him and that he seems to be learning more from the private therapist.

    Problem is, I'm a little torn about what to do. One part of me thinks that it's good that he's getting 3 sessions of speech therapy a week (though the public school doesn't seem to be doing him much good), and the other part of me thinks that it might be better to just have the one private speech therapist who can work with him one-on-one in the areas that she deems appropriate for a child with apraxia. She has mentioned that if I want, we could move the sessions up to twice a week (which would mean a lot more driving, but I'd do anything it takes, of course), but I can't do that if he's also getting therapy through the school, because there just isn't enough time for 4 sessions a week, homeschooling him and my 7 year old daughter, and our other extracurricular activities (my daughter takes piano and dance). And then there are the other little things like housework, cooking meals, paying bills, etc. (I'm an oil field wife, so my husband works for 2 weeks at a time, which makes it all even harder on me.)

    I'm not sure if I just needed to vent/clear my head/voice my concerns or what, but any advice would be greatly appreciated!

  2. #2
    lovehmschlg's Avatar
    lovehmschlg is offline Forum Moderator
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    Hello, MamaTeacher22. Our daughter goes for speech therapy once a week. She could probably go twice a week, but it is quite a drive for us, and it would be too much. However, if for you it isn't a hardship and you wouldn't mind doing it twice a week, I would probably do it....especially if you are really noticing an improvement with that therapist. He goes once a week with a private therapist, and you're noticing a better result with her than the therapist at the school whom he sees twice a week. Can you switch it to once a week with the school and twice with the private therapist? But really, I would go just twice with the private therapist. For whatever it's worth, that's my opinion.

  3. #3
    Raise'Em2Ride is offline Junior Member Newbie
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    Default I understand...

    I just read your post and had to register to reply - My son is 6.5 and we have battled severe apraxia (which is now classified as mild) since we realized something was wrong at age 2.

    First thing I wanted to say is not all speech therapy is the same. Apraxic children need specific therapy... regular therapy does not work for them. If I were a betting woman I would put more emphasis on your private therapist... the main reason is there are VERY VERY few SLPs that are willing to even mention apraxia bc none of them are trained to diagnose it in school etc.... when one does mention apraxia it means they really do see it. Find a specialist in your area (SLP specialist) in apraxia.... I went to Apraxia Dallas... its online... she may know of someone close to you.

    The school never wants to see it because legally it means that they will need to give that child 4-5 ONE ON ONE sessions a week. Group is bad for apraxic children in most cases. There is proven peer reviewed research out there that states these things. they cant argue it.

    The one thing that made me go 'A-HA' was when it was explained to me on a spectrum... i didnt realize how extreme it was. There is a high end and a low end to any spectrum.... well phonological delays and articulation disorders are on the VERY low side of the speech spectrum. Apraxia is the HIGHEST... nothing worse on the speech spectrum than apraxia. It needs to be hit fast and hard with the proper therapy.... my son was completely nonverbal.... now at 6.5 he is talking at a 4.5/ 5 year old level.... we finally only go to speech twice a week...

    What we are battleing now is the reading - apraxia is again raising its ugly head.... we repeated kindergarten this year and will do first grade at home bc of his inability to read... but we are making progress!!!! Funny thing is the school was going to graduate him from the speech program altogether because he was only labled as articulation/phonological delay.... now is his labled as apraxic and they cant graduate him off of his IEP - it affects everything in learning not just his speech.

    Hope some of this helps you... my husband is also out of town weeks - months... with three kids and two with therapy needs it makes it very hard... sad but true... housework is the last thing that gets done feel free to contact whenever... i feel your pain.

  4. #4
    Brook Simmons's Avatar
    Brook Simmons is offline Senior Member
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    I think Raiseem2 ride is on to something because I had the opposite issue with my child and her speech issues. The therapists were asking to do what I already was doing which was tongue exercises (speechercize) and speech flooding. They told me they could not mention anything unless they were sure because they were not allowed to assume any diagnoses at all for fear of being sued at the assuming and treating on that assumption. Since my daughter began improving on her own and speech became nothing but a play date I stopped seeing the one that costs my state tons of money and had her go through the school to teachers that were already being paid for just having the position My situation is not the same as yours at all but thought I would share it so you could see the other side to make a good decision.

    Oh while I was researching trying to find out how to teach my child to make sentences She still has issues with that. I found this site and wanted to share it with you because I think its awesome and its always feels good when we feel like we can participate in helping our children.
    http://adventuresinspeechpathology.wordpress.com/
    Last edited by Brook Simmons; 03-05-2013 at 05:01 AM. Reason: adding without double posting

  5. #5
    pipercat is offline Junior Member Newbie
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    I am an SLP in the public school setting, and I would advise you to sign a release of information form and ask the two clinicians to contact each other and discuss this. Your child will have much greater benefits if they work together. Now, that would work in a perfect world, however I'm aware that it may get you nowhere. If you end up in a position where you truly feel that your daughter is getting more accomplished with the private SLP, then pursue services with only her. It doesn't necessarily matter if the apraxia diagnosis is "correct". Results matter most, whatever the label. Incidentally, there are no tests that diagnose apraxia conclusively. You often find disagreements such as this between clinicians, regardless of their work settings. Thus, my advise to go where you see results, regardless of the diagnosis.

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