Micah's Speech Evaluation

Micah had a speech evaluation Friday with the Children's Developmental Services Agency at ECU. They came out to our house and evaluated him for about 90 minutes. Micah was very cooperative, and I felt like the evaluators got an accurate picture of his capabilities. His skills are age-appropriate or just slightly behind in every area except for speech, which is what I suspected. Although a definite diagnosis can't be made yet, the speech therapist who came thinks he has childhood apraxia of speech (CAS). This is a motor speech disorder, and the best way I know to describe it is that when Micah's brain sends a message to his mouth to form words, there's interference. Speech therapy was recommended, so we are in the process right now of selecting a provider.

I've had a whole range of emotions about his diagnosis, which I'm still learning about. On one hand, it was very affirming. I've always suspected that he had a speech problem, even when most people didn't notice it or felt like we should just wait to see what happens. Even the Ear, Nose and Throat specialist who put in Micah's tubes thought his speech delays were directly related to the fluid in his ears. To all the parents reading this, I would say trust your intuition. I'm also grateful that we got him evaluated early and that he'll begin therapy before he turns 2. His chances for progress are very good.

On the other hand, CAS is more than just your average speech delay. If we did nothing, Micah would never outgrow this and just one day begin speaking clearly. Although therapy is very effective - our evaluator said Micah's case was not severe and that she fully expects him to be a talker, start school on time, etc. - there are some kids who struggle with this throughout their life.

There are also moments when I get mad at God for allowing this. Didn't I pray so often for Micah's health while I was pregnant? I have visions of Micah starting school, and because he may not pronounce all his sounds exactly right at that point, being bullied. I just want to put him in a glass bubble and protect him from all of that.

So that's where we stand now. I have been so impressed with the ECU agency and everyone we have worked with so far. I am praying now that we choose the right therapist for him and that the therapy works.