Speech Sample - Suspected Childhood Apraxia of Speech - 22 months

This is an audio clip from a video we took on 1-15-2011. Ava is 22 months old. At this point she had been evaluated by early intervention and had begun seeing a private SLP twice a week for 30 minutes. I was not yet working with her in any structured way and we had not begun receiving services from early intervention yet.

Ava was laying on a blanket and I put my head beside her. She was quite offended that I was trying to share her blanket and was trying to persuade me to move off. She keeps pointing to a spot off of the blanket and telling me to move "there" while I keep pointing to a spot on the blanket and insisting that I stay. After quite a bit of back and forth I tell her I'll get off if she says "please" (we had taught her the sign for please and I'm actually asking her to use the sign). She uses the sign and I move.

During this interaction I am focusing on getting as many conversational turns in as possible without frustrating her. I've made the situation into a game where she is vocalizing over and over for me. In this one minute interaction I get 10 utterances and a sign. There -may- have even been one two-word utterance of "No, there!", but I can't swear that she really intended two words of if her Daddy and I were reading too much into that one.





As you can see she had made significant progress in a month. In the first video and audio sample Ava was mostly saying "there" over and over. In this audio clip you hear "there"(deh) "no"(oh) "yeah"(eh-uh) and "uh-oh". That's three vowels and one consonant. Still, it is four distinct utterances.

Speech Sample - Suspected Childhood Apraxia of Speech - 21 months

I decided to go back into the family video archive and try to pull some audio files that are representative of Ava's speech at different points in time. I've already posted something recent and a video from November of 2010 when Ava was 21 months old.

Here's something from about three weeks later (12-19-2010). Ava has found something interesting on the floor. It looks like a sticker of an eye that has fallen off of something and she is pointing to it and "talking" to her Daddy about it.

This was taken about two weeks before she was evaluated by early intervention, about four weeks before a private SLP and I began speech therapy, and about six weeks before she began receiving speech services through early intervention.

It was however, after I had accepted that there was a significant delay and that I needed to schedule evaluations. I began to consciously try to encourage more vocalizations and one method of doing that is to "echo" back what you hear from your child. You hear my husband doing that with Ava during this clip.

Keep in mind that she is almost two years old here.

They Called

Our diagnostic evaluation is officially scheduled. December 15. I spoke with the coordinator of the diagnostic team that will be evaluating Ava. They'll be sending someone out to her school the week before her evaluation to observe her and then we are supposed to allocate all morning starting at 9am for the actual evaluation.

I was nervous as soon as the person on the other end of the line identified herself, so my initial impressions probably aren't super accurate, but I didn't get a great vibe. I can't even quite pinpoint why exactly. I just got the feeling somehow that she already didn't think Ava will qualify.

My thoughts scatter in so many different directions when I think about the evaluation and they're all contradictory. First, I feel I'm embarrassed because I might be wasting their time - Ava probably isn't severe enough any more to continue to qualify for services. The next moment, I'm scared that I'll get that same terrible feeling I've gotten after her initial evaluation and after her formal articulation test. The one that sinks down to the pit of my stomach when I realize how far behind her peers she still is. I worry that she'll do too well and then I feel guilty that I can possibly want her to do poorly. What kind of thought is that for a mother?

I need to just relax. The evaluation is almost three months away. It doesn't do anyone any good to spend those three months obsessing over what may or may not happen. And ultimately, whatever happens, it will be fine. Everything will work out.

It is so easy to dispense such advice, even in my own mind. Now to just follow that good advice...