It’s a really good question OP. DS did say the alphabet age 3, but no social language, no ‘mama’, no asking for anything and did not respond to his own name even.
Now age 11 he can talk, it’s still difficult for him, he takes a long time for words to come out and doesn’t really talk with his friends. But amazing really from when he started.
I found services frighteningly slow and ineffective. When we eventually did see a (private) speech therapist, she insisted on PECs which DS did not get on with at all. She had no other solutions. Neither did anyone else we saw. I tried signs / aacs - did not work. (Just to say some of my friends found a lot of success with PECs, and AACs and signing, just not us).
The only real information was from other parents. One said that my DS seemed to have ‘some echolalia’ which he said was a great sign. That one observation was probably the most helpful. DS did indeed sometimes repeat a sound (such as the alphabet). This was what I built on, I learnt the basics of speech therapy, well anything out there and I trialled which ones DS seemed to get on with and basically spent a good while every day just helping him with speech.
-
What is your child able to say or understand now?
That question is really, really vital. Your child is able to ‘make a good range of sounds’ - that is your first building block.
-
What engages your child, what motivates them? What do they like?
-
What non verbal communication do they like - peek a boo or copying, anything that is ‘back and forth’?
Take those 3 things above and work on them is my advice. Get down to your child’s level and let them lead. Do loads of non verbal communication, as much as you can. Build up physical activities that they love through OT, trampoline, laugh together. When he takes your hand to get something, wait a little bit (seconds not minutes!) as you hand over the object and say the ‘sound’ that you think your child can do. So if you child can sound ‘ka’ and you give them a cake, wait a little and say ‘Ka Ka ka’ in a fun way, never ‘teaching’, and associate those sounds with the objects all the time.
Let your child lead all the time and follow their activities and look interested. I think that is key, you need to enter their world. Bring in language in a very simple repetitive way.
You could do this as well as AAC experiemention and using signs also. For me, well for my DS it’s like he needed loads and loads of repetition, but always in a fun playful way that followed his lead. For a while I just joined in the alphabet, which he loved.
Also songs are great! Fill in songs. I did a lot of ‘abcd’ song where I’d leave out a letter.