Speech therapy, I waited for this?

With every question I had after every pre-therapy hoop, I was told I’d have to ask the speech therapist. Almost two full months after Sophia’s qualifying evaluation for speech therapy I finally got an appointment and then the day before it was to happen I received a cancellation call. The therapist was sick, but I didn’t care. I was pissed as hell all day. All the hoops, all the forms, prior evaluations, first time consultations with occupational therapists, meetings over expectations, all we really wanted was this one therapy.

We are sure that if we could just get Sophia talking many of our other frustrations would be minimized. It took two months to get the appointment despite having good, nay awesome insurance. They couldn’t just assign a different speech therapist to come to our home or have me go to the office though they say it’s not as effective. I don’t care. Just get me into the final phase of the system!

I received a call the following Monday, the day before we were to leave for a week for Christmas in Michigan, and was asked if we could meet in two hours. Absolutely! Every first time meeting is just a head-nod getting-to-know-you session and this one was no different. I wasn’t impressed and I don’t think she likes me much either.

I got the feeling that she didn’t see Sophia as a valid case since I was beaming over new words she picked up over the week in Hawaii. She seemed to forget that I signed up for this shit two months prior and at the time Sophia had less than twenty words. All through the therapy session, the tips and pointers she gave to helping Sophia to speak were pissing me off. “Use short, simple phrases,” “Add descriptive words to the words she says.” “Ask her questions.” “Give her choices.” I’m sure there are some people that completely ignore their child all day and then wonder why the child doesn’t speak. I’m not one of those. I didn’t give any acknowledgment to the therapists suggestions. Her tone wasn’t at all condescending but the fact that those were her main tips made it sound like anyone with a two year old who doesn’t speak must be an inept parent and fucking idiot. Either that or this therapy is a joke. Seriously, if better tricks don’t come out of the bag next time I’m going to forget about the speech part of Sophia’s therapy.

The therapist began to give examples of questions I should ask Sophia as if I couldn’t come up with them on my own. Actually, she was trying to explain how to make talking fun for Sophia. “Is this blue?” She asked Sophia holding up a red Tyco Super Block (big Legos for toddlers). I had just explained to her that Sophia was using signs from her Signing Time video that she didn’t seem to understand. Red, was one of the signs. I waited to give Sophia a chance to answer. Sophia moved on with whatever was going through her toddler head without any acknowledgment that a question was even asked of her.

That form of questioning really makes my ass twitch. I have no idea what I was really like at the age of two. I do have memories from that age, but I don’t know if I was talking or how much. I told the therapist that Sophia isn’t just a lot like me, she is mini-me. Several friends have commented that her attitudes are mine exactly. I know that Sophia is only two and may not actually know the answer to the question, but in continuing to give some background in how Sophia I think, I told the therapist that when I was little I always thought people that asked that type of question were stupid. With a touch of contempt in her voice she said, “Well some kids think it’s fun.” Clearly, I hit a nerve. She continued to tell me that she wouldn’t use that sort of question with say, a seven year old. In the specific memory I have of being asked such a question I wasn’t seven. I was four. I was just trying to give her some insight into our attitude, so bite me.

Sophia started throwing a ball around the room and the therapist said the word “ball” to her. Sophia then said ball for the first time. “Wow,” I said, “I guess I’ll be adding that one to the list.” I was informed by the therapist that, “the tend pick up words spontaneously like that after they’ve reached fifty words”. Indicating that my count must me off. Including the new word of the day, she only had 37 words at the time. I’m not counting the signs she picked up from her video because she really doesn’t seem to know what they mean. For her they all are ways to tell me she wants to watch the video again and that’s it.

Sophia got to be a bit of a pest with her ball. She kept saying, “ball” and started throwing a ball AT me. I asked her not to do that and she said, “dahp et” The therapist and I both laughed, “yes,” I said, “you need to stop it.”

I told the therapist of my attempts at getting Sophia to talk including the four months (between the ages of 18 and 22 months) I didn’t give her anything (aside from scheduled meals) unless she signed or asked for it. I wasn’t responding to finger pointing or grunts anymore if I knew she had a word or a sign for a particular want. In an almost snotty tone she asked, “and how did that go for you?” I really wanted to be a smart ass and ask her if it wasn’t obvious since there is a speech therapist standing in my house, but I refrained. I’m such a big girl…sometimes. I told her it resulted in a lot of tantrums and joked, “but I can be stubborn too.”

“Well you reap what you sow.” She told me. Seriously, what a bitch! I didn’t ask what she meant by that and she didn’t offer any explanation, but I didn’t take it as anything positive. I have another appointment with her next week. I’m fuckin’ overjoyed.

Related posts:

Classes, starting with a full load

The results of Sophia’s evaluation have come in. The only delay she shows is with her speech, which is 40% behind her peers. Everything else was marked as zero delay. They’re recommending Speech therapy intervention and an in house referral to nutrition and feeding.

The day of the evaluation I was told about some classes offered there, some are free, some have a small free, and others have a fee but would be free to us because Sophia qualifies for therapy. I signed up for three classes. I may not stick with all three, but I’m trying them out. One class is a preschool/play group. We’ve gone to that class twice so far. The first time didn’t go so well, but she improved a lot the second time.

The next class can very loosely qualify as a gymnastics class. Sophia definitely doesn’t need help with her gross motor skills, but I signed up to give her yet another opportunity to play with other kids her age since there is some free play incorporated in it. She was leery of the class in general, but she really latched onto the teacher. That was completely unexpected. I liked that she wasn’t hanging onto me for dear life, but it was odd.

I took her to the playground nearly everyday during the summer to help socialize her, and she does well in an environment where children outnumber adults. She’ll take off without me and play around and sometimes with the other kids. One time she found an older girl (about six or seven years old) on the playground to adopt as her big sister by taking the girl’s hand and just shadowing for the entire time we’re there. The girl was a part of a summer camp or YMCA group or something and one of the adults later told me that the girl had a sister Sophia’s age. Sophia must have just known. ;-)

At friend/family gatherings Sophia is very clingy and will cry if adults try to engage her. I generally have to take her to a quieter corner so that she can observe things. After a while she’ll usually get comfortable enough to take off and play with/beside the other kids, and when it’s time to go I can get her to wave bye-bye and high-five everyone.

I’ve had Sophia enrolled in swimming consistently since she was ten months old and she just recently started lean towards the instructor indicating that she wants to swim with her. It’s a very nice change of pace and it shows me she’ll be ready for the next swimming level when that time comes. I was a little worried, so when we started this new class and she tried to monopolize the attention of the teacher it was bizarre! In her case, I think that class might be more about learning to take turns.

The last class I thought was kooky. I chalked it up to being about as useful as alternative medicine type things like magnets for improving blood flow. I was wrong. Of the three classes, this one is definitely a keeper.

 November, 30 posts in 30 days nablopomo.com

Related posts:

Speech Evaluation: Fear of Labels

I’m not in the mood to write a post but I want to stay in the NaBloPoMo game for this month. On Tuesday, I went for Sophia’s speech evaluation and it went well. Sophia participated and showed the woman evaluating that she does understand things and can point to the appropriate picture when asked to identify which kids are hugging. She also impressed the evaluator when I corrected Sophia, “I don’t think that’s a toy,” I told her, “put it back please.” And Sophia pushed the box she was playing with back to where it was on a table and left it alone without being asked a second time.

Most of the evaluation was answering questions about Sophia. I listed most of the signs and words that Sophia does and says, I couldn’t remember them all even though there are only about twenty. The woman administering the evaluation then asked me about Sophia’s eating habits. I couldn’t figure out why. I didn’t really want to ask either. I’m worried about what the woman might be thinking. I’m afraid of the label Sophia might receive. On one hand, it’s nice to have a label in order to help understand, on the other hand it could be like a self fulfilling prophecy as we adjust her to fit in those parameters more perfectly. My answer about Sophia’s eating habits, “it would be easier to list what she will eat” lead to further questioning about her reactions to various stimuli and a request to fill out a more detailed questionnaire.

I’m so relieved to be getting help for her and at such a young age. But I’m worried because well, that’s what I do best. I’ve been near tears since the evaluation. I’m watching me grow up again, and at times it feels just as painful the second time around.

Sophia of course needs speech therapy because she only speaks at the level of a 12 to 15 month old child, and because she’ll be receiving speech therapy we get to sign up for some of their classes for free. We may also get some help with her food issues.

Today I took her to her first preschool/play group and it went really well until the end. It was snack time the facilitator went around the table of sitting toddlers and asked each one, “which do you want?” It was a choice of fish crackers or animal crackers. Sophia chose the animal crackers, but didn’t touch anything on her plate the entire time. All the other kids finished theirs and then it was time to clean up and go home. We put Sophia’s cookies in a bag to take home and she threw a fit. Huge melt down, red face, screaming, the whole nine yards. She didn’t want to be held or comforted but didn’t want her cookies either. All I could do is stand there and wait for her to calm down.

 November, 30 posts in 30 days nablopomo.com

Related posts: