With the motor-planning problem, often repeated "drilling" in the form of
play can help establish a motor "memory". The suggestion I gave you for
auditory
discrimination (having him hear the difference between correct and incorrect
production would be premature at this phase). If I'm understanding you
correctly, he can say f + a vowel but not vowel + f--is that right? If he can
produce f in isolation and the vowel in isolation, try having him imitate both
with
the space between and decreasing that gap overtime. This works in therapy,
but not always at home where children with apraxia often feel a bit more
emotionally pressured--not by their parents, but in themselves.

I'm sorry if I missed this, but did you say if your son is currently enrolled
in speech therapy? If so, what does his therapist suggest for you to try at
home? Is the word fifteen and example of what he cannot say? Individual
words, at his age and with his diagnosis, might not be as critical as overall
sound production.

Karyn--slp


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