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Please look at 3.5yo DS's SLT report and tell me what you think

64 replies

WaveorCheer · 15/03/2014 10:02

I'm going to split it up cos it's enormous...apologies in advance.

Attention and listening

X’s attention and listening skills are reduced and variable, he appears to be more engaged at home than at Nursery, possibly due to the busy, stimulating environment at Nursery which is naturally more distracting. X is able to sit and play with toys such as wooden building blocks for a considerable length of time, however he requires adult support in order to remain engaged.

X often flits from one activity to another and can find it difficult to settle at a task even if he usually enjoys it, he can often appear to be in his own world. X sometimes appears to really want to concentrate but may find an activity too difficult or intense, he usually removes himself briefly from the activity, engages in self-stimulating behaviour such as hand flapping and then re-engages in the activity with adult support.

X is able to remain focused and motivated for short periods on activities that he does not enjoy (such as the language assessment) when it is broken down into small sections and he knows he can have a small immediate reward such as a chocolate button after each small section.

X displays some repetitive and self-stimulating behaviours, he often engages in hand flapping and makes repetitive noises, he usually does this in response to stress, change, under or over sensory stimulation. X also engages in stereotypical play such as acting out television programmes or trips on the underground, when he is engaged in these repetitive behaviours it can be difficult to gain X’s attention, although he will sometimes respond to his name. X is more likely to respond to very familiar adults such as his parents but may not respond to others’ attempts to gain his attention.

OP posts:
TheLightPassenger · 16/03/2014 08:04

technically the only difference between Aspergers and High Functioning Autism was that with Aspergers there was no significant language delay at three. The diagnostic criteria (DSM V) has changed fairly recently, and I don't think that Aspergers is being used much as a diagnosis. Btw I under stand references to "speech" to be to speech sound production, rather than the content of expressive language.

As parent to a child who was similarish at the same age - the real real biggie in all this was the receptive language delay, which I just hadn't cottoned on to (?denial) and nursery hadn't - one senior member of staff actually wailed to me "I don't know if he doesn't understand what I am saying or choosing to not obey me". Once I knew about the understanding of language issue, I could strip my language right back, and give lots of visual clues, to help get back on track with day to day communication.

TheLightPassenger · 16/03/2014 08:09

In terms of what to do right now re:schooling - the only thing that needs looking into immediately, is whether there is a specialist state nursery for kids with language delay in your area. If so, you might want to consider moving him there (and finding out what hoops you would need to jump through first), as he may get more NHS SALT that way. Otherwise you may as well wait till next month and first paed/salt appointments before looking at schooling in any more detail. I would look on the internet for info then phone up the school with the language unit for info.

One thing I would suggest when you have first SALT appointment is ask about whether they run any Hanen or similar courses (these are salt courses to help you help your child develop their language and communication). I did one with my DS and it was great.

TheLightPassenger · 16/03/2014 08:10

Last post - honest! The two things that leap out at me from your posts are:-

  1. so SLT has given you a baseline, but what is she advising to improve his language etc
  1. can you be absolutely sure he is avoiding demands, rather than not understanding what is being asked of him?
PolterGoose · 16/03/2014 08:38

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TheLightPassenger · 16/03/2014 08:39

Thanks Polter, so they are still diagnosing Aspergers here in UK then?

youarewinning · 16/03/2014 08:47

I believe they may still be diagnosing aspergers ATM. DS is on waiting list for ICD-10 assessment and aspergers has been mentioned along with ASD or SCD.

PolterGoose · 16/03/2014 08:51

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TheLightPassenger · 16/03/2014 08:57

sorry you have had crappy comments about Aspergers Polter. I didn't mean to touch a raw nerve Flowers. btw my DS's MDA years back was in hindsight so shoddy noone bothered to tell me what criteria they were using for diagnosis.Hmm, they just bunged him back under SALT.

WaveorCheer · 16/03/2014 09:13

Interesting stuff about Asperger's diagnosis changes, but I hadn't realised that the criteria was around language delay at age 3, which he very obviously has.

Forgive me, I'm going through the very special SN grief cycle Wink of:

  1. he'll catch up very soon
  2. I'm sure it's the bilingualism/fact that he's a boy
  3. let it be glue ear, please
  4. there are lots of quirky people in our family and they're fine, we just need to help him find his path
  5. there's obviously a problem, let it be aspergers please (idiotic notion that this is less stigmatising and somehow less serious, probably because of the number of people who say things like, "I knew this kid with aspergers and now he has a law degree/works for google/wrote a book". Scope then for being a 'quirky' genius? Wink. Oh, and as DH and I both have advanced qualifications, how could any child of ours have a developmental problem?)
  6. shit. Time to start looking at the reality of the situation and maybe check the definition of hubris.
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WaveorCheer · 16/03/2014 09:16

TheLightPassenger, I left off the Salt's recommendations, I will post them later, thanks for the prompt.

I would he definitely avoids demands -sometimes I am sure he understands but doesn't comply- sometimes I'm sure he doesn't understand and therefore doesn't engage. I guess they're two slightly different things.

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youarewinning · 16/03/2014 09:40

Wave of cheer - been through that very list!

  1. just thought he was happy and easily entertained himself.
  2. yep, was bilingual - or at least had 2 languages in his life, and yep a boy so back to no 1! Thought he was just happier bouncing around!
  3. DS actually had fluid in his ears it was discovered at 4yo so I hoped that was why the lack of interaction and response - until it drained spontaneously request lay and ENT said no hearing loss. 4)went through looking for quirks in all mine and his fathers family! His dad's half brother has AS!
  4. decided I was imagining AS as thought no one else saw it. Until I mentioned to mum I was pursuing support for DS as I felt there was some asd type behaviours and her and my dad (both teachers!) said "oh yeah, we think think DS has AS, he's so like all the pupils with AS we've ever taught' Hmm

So what I'm saying is I recommend following the path you've started as I wish I'd done it sooner. Well, in fact I tried but the HV very un useful advice was to cut out sodium benzoate as his obvious hyperactivity and lack of attention on people was probably due to E numbers!
Like polter we kind of 'knew' from a young age but left it whilst we questioned ourselves and allowed others (in my case) question me.

In fact my DS seems to find certain parts of his 'disability' actually enabling for him!

veryconfused2 · 16/03/2014 10:18

Reads very like my DS's SLT assessment at that age and he has ASD. He also has ADHD although that was not diagnosed until 6

adrianna1 · 16/03/2014 11:16

Oh sorry. I mean that attention skills can effect kids who have speech delays to.

But yes I it's true what you said and it effects kids who also have adhd/add

zzzzz · 16/03/2014 12:35

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zzzzz · 16/03/2014 12:48

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WaveorCheer · 16/03/2014 14:00

Yes I totally appreciate that aspergers isn't autism lite now, though I was definitely guilty of thinking that way in the past.

My poor little boy. I just want to protect him and keep him safe from everything, always

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HugAndRoll · 16/03/2014 18:07

My ds1's official diagnosis (written) is aspergers but he has (still does) a language delay. He's 6 next month and doesn't get pronouns etc.

Have you been given any exercises? Your ds' profile looks very similar to mine, I'd be happy to post you some SALT games to help with sequencing, pronouns, blanks questioning etc. pm me if you want me to.

adrianna1 · 16/03/2014 18:12

@zzzzz

Your right, I misunderstood and cleared that with the OP. I thought earlier ( and someone else) that you were disagreeing that kids with speech delays have limited attention skills.

But yes, I already knew that children with communication disorders don't follow the typical development.

But even kids who have speech impairments tend to have limited attention skills. But again, I was just talking about speech.

WaveorCheer · 16/03/2014 19:38

He has, but I'll PM you, thanks hug. (Can you PM on the mobile site?)

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HugAndRoll · 16/03/2014 20:22

I'm sure you can. Click on your inbox then compose and type in my nn.

HugAndRoll · 16/03/2014 20:25

Not compose, new message :).

WaveorCheer · 16/03/2014 21:43

Thanks hug

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zzzzz · 16/03/2014 21:59

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zzzzz · 16/03/2014 22:02

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adrianna1 · 17/03/2014 01:05

@zzzz.. well, just from my experience and what I see in kids who have speech delays, SOME have difficulties in their attention skills.

Speech effects a lot of things.

But we would agree to disagree. Smile