posted May 19, 2015, 2:27 PM by San Jose Scottish Rite   [ updated May 19, 2015, 2:27 PM ]
Christian is an energetic, fun-loving seven-year-old boy who started speech and language treatment at the San Jose Childhood Language Disorders Clinic because his parents were concerned that he was not speaking clearly. Christian was diagnosed with having a severe phonological disorder.  A phonological process disorder occurs when there are consistent sound error patterns that persist beyond what we would expect for a child’s age. For example, substituting all sounds made in the back of the mouth such as “k” and “g” for sounds made with the front of the mouth like “t” and “d”, is a phonological process that we expect to diminish by three years of age.   Christian had difficulty with multiple sounds and had a very limited consonant repertoire.  Before treatment began Christian’s sound inventory included only sounds that were made with his lips, such as “m, b, p” and sounds that were made with the tip of his tongue, such as “n, d, t”. He could also make the early developing sounds “j, w, h” and sometimes the more difficult “r”.  In addition to limited consonants, Christian dropped syllables and omitted the ends of his words.  He was about 20% intelligible to an unfamiliar listener. He often became very frustrated and would shut down if you could not understand what he was saying.
Since treatment began at our clinic Christian’s parents and grandparents have reported that “He has improved so much. Conversations with him are much easier to understand and communication with him is much better.”  Christian has made steady progress toward his speech and language goals.  He is always a hard worker during his sessions.  A reward system was implemented to motivate Christian to complete his homework. He made a speech journal which helps his family keep track of his daily homework assignments. If he completes his speech homework each day during the month he gets to pick a prize from a special prize box.  Christian has done his homework without fail for the past four months!
Christian is now intelligible more than 60% of the time.  He has increased his sound repertoire to include the sounds “k, g, l, f, v, s, z, th” and “sh”.  He is even starting to use “k” and “g” sounds in his spontaneous speech intermittently and can include all syllables and the ending sounds of words in structured treatment tasks.  Christian is a pleasure to work with and we are so proud of his hard work.