Duke is trying to say more words but isn't always accurate. Sounds heard include: /t/, /s/ interdentalized, /b/, t/ch, /g/, /d/, /k/, /t/, /n/. /p/, 0/l, /m/, /h/, /wow/
Bath = "bah", pool = "puh", pie = "Bye". Bike = "bah", March = "mah", make = "mah", book = "boh", down= :duh", shirt = ". Momma = "mama", pop = "pop", boat = "bow", mail = mah", paint = "puh", pool = "puh", moo = "moo" milk = "muh",
Long vowels - /a/, /e/, /o/, /u/, /i/
Daddy = "dada", and open = "o". He is not matching # off syllables.
Duke is attempting more and more, but isn't always able to be accurate. We talked about Childhood Apraxia of Speech and the inability to motor play accurately. Duke's receptive language skills appear intact and he appears to understand everything we are asking of him. Expressively he is still pretty trapped. We started the Easy Does it Apraxia of Speech for preschoolers and he is able to imitate most age appropriate sound in isolation and the long vowel sounds as well. He struggles with blending the long vowel with the consonant sound - Today we introduced the Kauffman cards and I left with mom the Level 1 cards kit 1 CVCV with same consonants and vowels as in the words (bye bye - or Moo moo). I also left the CVCV with different vowels and same consonants - as in the words (mommy, daddy, turtle). I also left the VC pictures as in the words (up, on in off). To get his attention when he is distracted I say, "eyes Duke", then Duke looks at me and I am able to try to give him cue to imitate the sound accurately.
This was our last therapy session before we leave for Vegas for a month. We will work on sounds, the new cards and just trying to work more words into his routine.
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