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Possible verbal dyspraxia - how to get a diagnosis

11 replies

loueytbg · 08/04/2010 15:01

My 3 yr old DS1 has been diagnosed with global developmental delay. His physical problems are that he is hypermobile, falls over a lot, bumps into things constantly, no sense of danger and was until very recently a nightmare on stairs. He also won't sit still for more than 30 seconds and has an obsession with doors and escaping.

The main problem is his communication which until 6 months ago was non-existent (verbal or non-verbal). He has been having weekly private speech therapy since last June and has come on a lot. He is now saying many single words and some 2 and 3 word combinations. However, his spontaneous speech is very limited and he doesn't often request things. When he does it is very difficult to understand. His SALT has been doing some exercises in the last 2 weeks to check which sounds he can actually make and it has become apparent that he can't say b or p which are quite easy to say. He can't blow or use a straw and he won't stick his tongue out when you ask him to. It sounds to me as though he may have dyspraxia and verbal dyspraxia.

His private SALT says DS1 doesn't say enough to diagnose at this stage and wants to keep an open mind. She has been great but I don't think she is an expert in verbal dyspraxia. I have been chasing the NHS because our NHS speech therapy provision is a joke. They want to keep him in an attention and listening class because he doesn't sit still rather than doing any 1-1 therapy even though he is clearly benefiting from private therapy. I am also waiting for a call back from his OT who we haven't seen since last year and I'm waiting for a multidisciplinary assessment which will probably be in May/June

We have been assigned a locum EP who didn't fill me or the portage worker with confidence. She is currently writing reports and he is going through the statementing process. We will be applying for schools in the winter.

Does these problems sound like dyspraxia or am I barking up the wrong tree? Who is the best professional to diagnose dyspraxia? Am I right to push for a diagnosis now or is it too early to diagnose? I would be very grateful for any advice, in particular how to get the NHS professionals to listen to me seriously about this. I don't want to get a statement which says he is fine to go into a mainstream school with a pitiful provision of SALT and then find out a few months later that he actually has verbal dyspraxia and needs more intensive therapy.

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roundthebend4 · 08/04/2010 17:22

i am guessing that there sitting on fence incase the multi disclaippnary assements show something else up

Ds got his dx at 3.4 and confirmed by ican at 4.5 ,

Does your ds want to communicate verbally or non verbally using gestures etc ?.ds got his dx as it was obvious he wanted to communicate but just could not verbalise .He is minmal verbal now mostly only nouns no constants

if you do a search on here for verbal dyspraxia theres some good advice plus excersises

geekgirl · 08/04/2010 17:32

hi louey (excuse the rushed post - am in the middle of making dinner! ). Dd2 (9) has Down's syndrome and verbal dyspraxia. She was formally diagnosed with it two years ago by a private SALT who specialises in children with DS (and lots of children with DS have dyspraxia, so she is experienced).
What really rang alarm bells for us was dd2's terribly unclear speech, there was (and still is) a lot of jumbling of sounds etc. It was also quite obvious that her lower jaw was unstable - we've got tons of photos of her saying 'cheese!' with her jaw veering off sideways.

Anyway - she has had a very intensive and good programme for a year and a half now and has made great progress. Her speech is still very unclear - but not as bad as it used to be. She is making clear progress now, which she didn't before. She goes to mainstream school and the speech therapy is administered twice a day by her teaching assistant, the SALT sees her once or twice a term (she's private and comes from far away - I am in N. Yorks. and she travels here from Derbyshire). It's sufficient though imo.

bubble2bubble · 08/04/2010 21:19

This is the best description of verbal dyspraxia that I have found - cetainly summed up DD1 for me

IME not all SLTs particluarly 'get' dyspraxia, (and after all some have maybe not actually encountered it?). Whether or not they want to diagnose, if your DC is missing speech sounds then this is what they have to work on if his speech is ever to become clearer. 2 and 3 words together already is great though - certainly agood sign

Whether is is dyspraxic or not, his motor skills will impact on his speech, so keep pushing the OT as well

loueytbg · 08/04/2010 21:24

roundthebend he does communicate non-verbally now but still not a lot. We've been using makaton signing for some time although it took him ages to pick it up and he can now point which is a great help. He is starting to get frustrated which I think is a good sign because it shows he wants to communicate but can't. So much of what he says sounds the same that we are having trouble working out what he wants so we are using signs and asking him questions to try and work it out. I've looked at ican and they won't see him until he turns 4. Who diagnosed your ds initially?

geekgirl its good to hear that your DD has made good progresss since her dx. I think that is my frustration that if he does have verbal dyspraxia, then the earlier we get the right exercises to do the better.

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bubble2bubble · 08/04/2010 22:40

sorry - link didn't post

loueytbg · 10/04/2010 20:10

Thanks bubble that link is really useful. It sounds a lot like him. I'm waiting for OT to call back - everyone is on holiday at the moment

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roundthebend4 · 10/04/2010 20:50

In lots of ways he sounds similar to ds but ds is a communicator will use everything he can so his dx was easier to make he got his when not really verbal he's still only one word level really .expresive he's 2.1

His is Dvd devlopmrntal verbal dyspraxia so no gurantee he can say make same word sound again

justaboutkeepingawake · 10/04/2010 20:51

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roundthebend4 · 10/04/2010 20:58

Ds still really only makes vowel sounds no constants but he is at extreme end and will more than likely use addtional means to communicate

loueytbg · 11/04/2010 11:37

I've just discovered another possible reason for his speech problems having read some more threads on here. He can't stick his tongue out at all and I think he may have a tongue tie. Of all the many professionals we've seen - no-one has looked in his mouth. Am slightly furious if this turns out to be part of the problem.

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justaboutkeepingawake · 12/04/2010 15:10

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