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Reply To: Limited progress – speech disorder – HELP!!

Kathryn Murrell

It sounds as if you have tried everything, Sophie. I wonder if it might be worth reassessing him to be absolutely sure that it’s a consistent phonological disorder rather than more of an articulation disorder or DVD. I have been going through my caseload of children who have been making limited progress over time and re-examining whether my initial diagnosis was correct. This was after doing a couple of excellent courses (Core Vocabulary for inconsistent phonological disorder and Dynamic Temporal and tactile Cueing for DVD/CAS). I have since realised that one of my children who I thought had consistent phonological disorder actually has totally ok phonology and he has more of an articulation disorder. Another one was backing due to a tongue tie which I had thought wasn’t affecting her artic at all but is actually causing her to back. 
Does your child hold his tongue in an appropriate position at rest in his mouth? I find that children who hold their tongue very low in their mouths at rest (often with lips apart and mouth breathing) can find the alveolar position tricky.
I worked with another child with DVD who didn’t get t or d until after 3 years of therapy but it finally came after we changed to working on ‘n’ instead and as this was a new alveolar sound he didn’t mind too much. I called it our ‘new place to make a sound’ because the term ‘t’ or ‘d’ made him clam up. 
Just a few thoughts.
Good luck!!