Hello Victoria,
You have mentioned several very positive things about your daughter's development. She understands you well, she wants to communicate wants and needs, she plays creatively. What you have described about her difficulties expressing herself suggests to me that she may have a very significant speech production problem. It is possible that she wants to express herself but that she cannot form the sounds and put them together to form words. The words and expressions that you have heard may have just popped out automatically.
I would suggest that you take a look at the information for parents on the
www.Apraxia-kids.org Web site. If you think what you read there fits your daughter, I urge you to share the information with your health visitors as soon as your daughter is eligible for their service and request an evaluation by a speech-language pathologist. If your daughter has apraxia of speech, she cannot be expected simply to "outgrow" it. She will need specific therapy and practice. And, until she can say more words, she should have an alternative means of expressing her ideas, wants, and needs via sign language or use of pictures.
You mentioned that your daughter cries if you ask her what she wants. When I work with parents, I urge them
not to ask questions. Instead, offer a choice of items that your daughter may want. When she reaches toward the one she wants, put the other aside, and take a few seconds to provide this type of model: "You want a biscuit! OK--Mumma will give you a biscuit. Biscuit." Repeat the word biscuit up to 3 times, saying it slowly, and pausing each time to give your daughter an opportunity to try to say something. You are NOT withholding the item--you are providing her with an increased opportunity to hear the word and have the opportunity to imitate if she is able to at that moment. It can help if you hold the item up close to your mouth to draw her eyes up to your face and mouth. Make sure she knows you are going to give it to her (get the plate ready, etc.) This process is not intended to cause frustration. It is intended to be a teaching moment.
Best wishes to you and your daughter!
Mary Lou
Edited by user Saturday, June 30, 2012 6:47:06 AM(UTC)
| Reason: Not specified