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We saw a speech therapist yesterday, because we figured we'd better get someone to help out our son sooner than later. Essentially, she was saying that his receptive communication is just fine (which we already knew), and even his expressive communication's not bad, because he does a fair bit of signing and other ways to communicate what he wants, although I think we need to teach him more signs (he's always asking what something is, and I think he means he wants to know the sign, so DH and I have to learn a lot more ourselves, so we can teach him!).
Anyways, his oral-motor communication is of course lacking. We had a breakthrough, though, because as she was trying to get him to make the "oh" sound of "open", by pulling on his mouth to try to show him how it's done, he grabbed his own face and said what was more like "ah", but at least he's trying!
She's just going to work on getting him to do a lot more open-mouthed sounds (his mouth is quite tight, and she said even when he did make that sound, his mouth was a bit lop-sided), and then as he learns to do that, to form them into words.
I guess they hesitate to make any "diagnosis" at his age, but then again, it doesn't really matter, because the therapy would be the same right now.
He seems to really like her - at the end, he even said "ba ba" for "bye bye", which is rare!
I are going through the same thing with my 2 year old DD. She just had a speech eval last month and her receptive is within normal range but her expressive is severely delayed. Her speech is at a 9 month level right now. She goes to speech therapy once a week right now. Her being so young it could be a while before we find out what is causing her delay and that is pretty frustrating. I hope the therapy helps your LO.