2-step instructions at 3.3 (DS2, 3.3, receptive speech delay). Any ideas SALTs?

[lingle]

DS2 is now 3.3. Totalchaos posted this useful link

http//speech-language-therapy.com/devel2.htm

the other day. He does everything in the "2-3" age group (at home - nursery is different though progressing) for both receptive and expressive speech except for following two-stage commands.

So yesterday I said "get your shoes and sit down on your stool". He sweetly sat down on his stool without having got his shoes!

Moondog or other lovely SALTS - can I help him achieve this next milestone and if so how? How about if I said "First get your shoes next sit on your stool"? I feel he's "in the zone" for this one as he's so tuned-in to language now and finds instructions useful even when engaged on a task like getting dressed (so if struggling to find the sleeve I can say "put doggy down" and he drops doggy to free up his hand then continues the struggle - seems very encouraging as a month or two ago I would have needed to give the instruction when he wasn't doing anything else).

In other lingle news, we have a paediatrician's appointment on Monday. Cue choking emoticon. Some of you know that I'm in the "cheerful denial" camp because DS2's elder brother completely outgrew similar difficulties without professional input. Or should I rename it the "Dad camp" as I identify so much with other language-delay mumsnetters' reports about their partners' optimistic attitudes? "Dad camp" it is then. DH doesn't want us to go. But I'm reminding myself that some of you would be bloody glad to have the appointment for your own child so I have a responsibility to make the most of it. [chastising myself emoticon]

I'm thinking I might not make any attempt to prepare for this appointment as I probably overprepare usually. Otherwise I'll just irritate the doctor by presenting a "case" to her.
It's a community paediatricial - odd as I thought it would be developmental. Never mind - will be too stressed about Christmas to analyse this one to death.

the Hanen course SALT told me once that she was inadvertently "Hanening" her cat - apparently he did seem to be more responsive as a result .

tee hee. yep, we will need rehabilitation. DS1 gets cross when I talk to him "like I talk to DS2".
My mother was an ESL (English as a second language) teacher and talked to everyone as though they were foreign.

"Lingle re the muddling of "pour the pasta in the to colander" as "pour the colander into the pasta" I found with my DS that by actually going along with what he said (trying to pour the colander) it gave him a visual representation of what he had said."

Notfromaroundhere, not only did your idea work brilliantly but it made my mumsnetting feel justified in the interests of my child!

Excellent, that's really put the icing on the cake for my day. It's really comforting to me that someone else other there meets the same challenges and I'm glad I found mumset when I did. I've certainly pinched read some ideas on here that have helped.

I will confess I pinched read the calendar idea that was on one of your threads. In fact I will search out that thread as I have a question....

bringing this thread back to life as want to report that DS2 can now do two-step instructions..... so long as they are within a game of "Simon Says"...... He really enjoys doing it. He cannot simultaneously discriminate between more complex elements of the 2-step instructions - ie when I said "Simon says walk forward then walk backwards" he leaned forwards then leaned backwards (because he's more used to leaning than walking as a Simon Says command) then turned to me for approval. But if it's "simon says touch the curtain then kiss mummy" he's fine.

I guess it has to be within a game so that there's no discipline element to it? (too many attempts at "first do X, then you get Y" backfiring I suspect?).

I am very pleased. It has cheered me up despite the fact that we have a paed's appointment tomorrow (cue usual choking emoticon).

Simon says three cheers for linglelet!! I think the action of walking forward and then backwards is a bit difficult, no? You are putting so much thought and effort into it, I'm glad it's paying off.
And all fingers crossed about the appointment - we have assessment for DS a week from now, so I hear what you're saying re. choking emotion.

Yay fab news . Just what I needed having taken my 2 for feet measuring and shoe shopping today. (may take a few more good news posts to complete shake off the experience and/or vodka)

Hope the paed appointment goes better than anticipated.

That is great news, I need to get going with the Simon says game. Wish ds2 was a bit older so he could participate as I think that would help ds1.

Good luck tomorrow Lingle, let us know how it goes.

Had to take ds to the dentist yesterday on my own - was dreading it but he was so good other than clamping his mouth firmly shut with the dentist's mirror still inside.. He keeps talking about the "teeth man"

good luck with the paed appointment lingle.

I think after 2 years of denial I am slowly moving into the acceptance [that ds has more than a delay] phase,

Thanks very much.

It occurs to me also that when I was doing the "no first do X then Y" when he wanted Y, that was adding an extra level of difficulty because as a visual learner he's going to be focussed on Y isn't he? And it will probably be quite a long time before the verbal instructions to do X first can overcome the visual focus on Y.

Notfromaround here and everyone, I think we ought to have an audio emoticon, possibly that sound of wild stallions neighing from (I think) Hammer Horror films and then we could invoke it when faced with the prospect of things like shoe shop visits. [neighing sound]. And everyone would understand.

Aefondkiss, sorry you're a bit . What's making you feel this? Have you stalled a bit on language progress?

Kettle, as your DS is more engaged than mine at nursery, might they be prepared to teach Simon Says there? They could then borrow a couple of Sept.-born girls to model the responses for him.

I think I am at the 'Aefondkiss' stage too - although I think this is mainly when I compare DS1 with DS2 who although much younger (2.5) is lightyears ahead with what he can say do and understand. I was not in denial about the ASD but I suppose I had hoped DS1's language would improve - it has but not enough and it's hard to see it ever being at the level DS2 is at now. Still haircuts and shoe measurings are fine now so [keep positive even if it's mad emoticon]

Good luck with the appointment.

Good idea Lingle! Will suggest that to his brilliant one to one. She has seen a big improvement in him over the Easter hols so I'm really pleased. Yesterday at the park he said to me "Mummy, come and play on the see saw" which I was thrilled with as a functional and spontaneous sentence from him.

Cyber, it is hard when your two are so different, I have similar with ds2 who is now 20 months and has been word combining and understanding 2 step instructions for what feels like ages. While you really enjoy it being comparatively easy with the second, it makes you worry more for the first. It's a double edged sword.

Thinking of you today Lingle, will check back later so please let us know how you get on. Is it a routine appointment, or are they looking to start the dx process?

He can understand

Get Foil from Cupboard
Put Foil on Grill
Get Fishfingers from Freezer

but with delay for processing so suppose is 3 '1 step' instructions not 1 '3 step' instructions

Cyber, 3 steps or 1 step, I'm mighty impressed that your DS can practically cook by himself! You should start him on some soufflè recipes I haven't even tried 2-step instructions on DS yet - I think it's the 'instruction' he has a problem with, rather than the number of steps...

crikey, if he can make souffle, send him my way. Twice baked cheese souffle, yum... (can you tell I'm on a diet)

oh my god. Where do I even start describing the paed's appointment?

might have to go and put my fish pie in the oven before coming back to tell you all about it.

It's a very very yummy-looking one from Booths that I was saving for a special occasion (the pie, that is, not the appointment).

'Make Souffle with a set of PECS cards' - could be a winner. Only I'm not very visual and I'm not convinced DS1 is either.

Lingle, how did it go??

It's got it's own thread sc13. I am nothing if not detailed.........

bump for sphil