Wednesday, March 11, 2009

How we got here

I guess, looking back, the first sign of apraxia may have been my sons' eating/food issues. My son did fine with baby food. But as he was nearing his first birthday, I kept trying to get him to eat finger foods. He wanted no part in it. Even things like bananas, that was his favorite to eat mashed up - he refused to eat whole. He would try, and spit it back out, sometimes even gagging on it. So I continued mashing up all of his food well up until he was 17 months old. Even at 3yrs old, there are plenty of things he will not eat - but it's not the usual picky preschooler, it's more than that. He literally cannot stand the texture of certain foods. As far as his speech, at a pediatrician visit when Ben was 15 months old, we were told to contact an early prevention facility to see if he would qualify for therapy. He was jargoning a lot, but no real words except for the occasional "mama" or "dada". After a phone interview with the facility, we were told he was not delayed enough to require intervention at that time.
My husband and I were not at all concerned either. We felt he would talk when he was ready. And we continued to feel that way until he was nearing 2.5yrs old. He had maybe 50 words, but only 4 or 5 that were clearly pronounced. He would make long sentences and tell long stories, none of which was even intelligible. I knew it was a bigger issue than "he'll talk when he's ready" or "he's just going to be a late talker." No, it was more than that. He needed some help.
Since he was so close to 3yrs old, they told us to go through the school district to have him evaluated. We first met with the school speech & language pathologist, school psychologist, and school developmental preschool teacher. They listened to him talk, they asked me questions, and decided that he had some needs and they would do a full evaluation on him. But we needed to wait until he was actually 3yrs old. So we waited a few months.
The testing process was annoying. Expecting a 3yr old to sit for up to an hour and answer questions, look at pictures, demand answers..it was all kind of frustrating. I was proud of my son sitting for 45minutes straight on one day. But then I was told he has a short attention span..go figure. I stated to them that a normal attention span for a 3yr old is 15min & he well exceeded that!
But the first time I heard "apraxia" was during that process from the SLP. I went home and searched for anything about it. After reading it was a neurological disorder, and the seriousness of it, I felt deeply sad. He did have a lot of the signs, including the food texture issue. I felt it was definitely a possibility, but I kept holding onto what the SLP said to me - that it's just a guess based upon his symptoms and by no means was a definitive diagnosis at that point.
We started speech therapy with the school , while also waiting for insurance authorization for private therapy. Our school therapist was very adamant he get private therapy. Ben's speech was considered only 10% intelligible. 10%!!
During the therapy sessions, as I listened to Ben, the signs of apraxia kept arising. For the most part, Ben only has the beginning sounds for every word. For instance, water is "wa", dog is "da" , milk is "ni" . He will also switch vowel sequencing. For instance if asked to say "puppy" he will usually say "pee puh." Our school therapist has since confirmed his apraxia diagnosis. We have been in therapy with her for about 6 weeks now. We are currently awaiting an opening for private therapy as well.

2 comments:

Anonymous said...

My son had really similar issues. Texture issues that were beyond frustrating. Anything mushy would gag him till he threw up. He refused to try new foods. Combined with multiple food allergies, it was SO hard getting proper nutrition in him.

I registered with a local child development centre, and he had food texture therapy for close to a year from the time he was 2.5 till around 3.5 years old. One of the most effective therapies they had us do was water play. They had us put different foods, like apples, potatoes, that kind of thing into water, and he would play with them. It was from that play that he started eating apples.

Another was their gradual intro of food program. First you sit down to have a meal together, and you put the food you want them to try on your plate, eat it, talk about it. Do that for a few days. Next you put it on the table, invite them to smell it, touch it, talk about it. Then it goes on their plate. Again, no pressure to eat it, just smell it, talk about it, etc... Then lick it. Smell it. Do that for awhile. Then take a bite. It take a long time (weeks), but the time to get him to try new things shortened the more often we intro'd foods this way.

Today at 5 he eats lots of variety, but still doesn't like mushy foods... My mom didn't like them either, so that doesn't bother me. LOL

They also said he was too young to have speech therapy when we first noticed some difficulty in his speech, and he had the same issues with not pronouncing words clearly. Apple was "bo", popcorn was "bo-bo". When he was around 3 they finally assessed him, and noticed some consistencies in his speech. He wasn't pronouncing the last consonant sound in most words, so they had us do physical touch while emphasizing the last sound in words. Like BaLL and touch his shoulder with firm pressure when we said the L sound. His daycare/preschool helped with this when they had him, and literally within days he was speaking 100% clearer! It was fantastic! Like a miracle.

Now at 5 he has some typical age appropriate mispronounciations for certain words, like girl is pronounced goy-el. For the most part he speaks extremely well. :)

Good for you getting him therapy! I'm sure you will be really pleased with his progress...

Hugs, organiquegal from GCM... :)

Three Peas In A Pod said...

Oh, I like the water play idea! I'm bummed that the early intervention place that I called when Ben was still 1yrs old, didn't recommend food therapy, even after I explained the food texture issue. If I would have known then, what I know now, I would have pressed it further.
I will try those ideas you gave!
I've noticed when I touch Ben's bottom lip in for the "t" sound, it helps him say it better. The speech therapist did this too, but he doesn't like her as much as he did me! :-)
But I see what you mean with the touching of the body for certain sounds that are hard to say!
Great stuff!