Quoting BlueJenn:" Well here is how the evaluation went... Haley is 3 yrs and 4 month today. Auditory Comprehension: 1 ... [snip!] ... only child. At least she gave me some recommendations to move forward, with OT, speech therapy, and special eduation preschool."
Well if it can be of any comfort or could give you hope,
When my son was evaluated at 3-4-5 yrs old I was freaking out he was so delayed. I spoke with a speech therapist...well more like ball my eyes out lol. She told me that yes the delay is significant but anything before 6 a delay will appear huge because children progress so quickly at that time. It is critical to do early intervention for sure! It does not make it less important but to remember that as the child grows older, if there is progress, the gap in age cognitive delay will be less significant. Say she gets to the level of a 5 yrs old and she is 7 yrs old. There is still a delay but the gap to fill is much less then say a 5 yrs old with a level of a 2 yrs old. So not to feel overwhelmed and think it's a lost cause.
Am I explaining myself properly? She's still young. Keep working at it. Even if there does not seem to be any progress. With my son we would have a flat line for months, not progress whatsoever then all of a sudden it's as though it clicks and he would show instant significant progress. Then flat line again for a few months etc.
It does seem concerning that her Receptive is more delayed then her Expressive. At the same time though it could be a good thing. If she is using sentences already, it means that she does understand some of it at some point.
She could be having some auditory memory problems. Jason has that. You say 4 words he only remembers the first and last. How we approach this is repeating all the time. Showed him how to ask can you repeat please? A regular child will need it to be repeated say 3 times, a child with auditory memory problems will need to hear it 10. Then next time same situation it's 10 times again because he/she will not remember...after a few times though it does finally stick.
She could be having ADD or ADHD. My son has severe ADD. At the age of 3-4 asking him to concentrate on a task for 5-10 minutes required a HUGE effort from him. The school kept telling me that Jason has ADD, medicate medicate medicate. We tried it, was not for him because it made his symptoms worse. Then my speech therapist and OT said to forget the medication for now. Yes Jason has ADD, we see it now because he has trouble concentrating with the non verbal as well. But lack of attention with verbal for a child that has aphasia/dysphasia has to be somewhat normal. I was given the example of sitting in a class where everything is thought in chinese. EVERYTHING. You can concentrate all you want at trying to understand but after a few minutes, how focused can you really be? However, if they add pictures and show examples as they say the words, it makes it much easier to start learning. That is why visual aid is crucial for kids suffering from this disability. We approach it with sitting next to him and work at keeping him focused. Kind of like exercising a muscle. Ok we've been doing 10 minutes for 2 months now...lets add 5. Then we go to 15 minutes for the next few months. We have to be careful at understanding that we have to push yes, but too much will just make him regress also. He will just shut down because it will be too exhausting. So we really look at his body language and feel what the limit is for now. If 15 for the next few days is just too much, we move back to 10 and try 15 later.
Also many kids with aphasia/dysphasia seem to have a limit as to how much or how long intellectual effort is available to be given. It's not a lack of concentration like ADD/ADHD. It's just a lack of energy and endurance available since learning or concentrating on one thing is 20 times harder for them versus a regular child. That is approached the same was as we approach the ADD. Work at it like a muscle. Keep pushing but don't strain.
Like your LO would abruptly walk away but would do well at first. She probably reached her limit for that time. It seems short, but there was something at first right? And I understand that she was doing well for that short time!
That is wonderful! When Jason started to show that, we say light at the end of the tunnel. There is something there, it's small, but it's there.
So our approach was, Repeat, Use short sentences that are to the point, Use lots and lots of visual support and work on those concentration muscles.
She's still young mama, it is a lot of work and it is scary but believe me when I say that from personal experience, I'm pretty sure it will get better as she grows. She's showing signs that progress is very much possible. Jason had those signs too but until I was explained what they were, I thought he would never be able to progress. The progress takes more time and more work but can happen! I'm here for you mama! You can totally do this with your awesomeness