Nate still has six sessions of therapy a week. Twice a week at Truesdail, twice a week in our school district and twice a week at his Montessori school. The SLP at his school goes into his classroom to work on functional and academic speech. She also works on helping some of the students in his class use the signs and cues to help remind him of the words he needs to say.
We've been working a lot on the same words since the fall: up, out, in, no, apple, mom, dad, moo, baby, dad, happy. Some more functional than others. A few words are getting more clear and he can do them on his own, other words are still very difficult and you can see in the video, he sometimes will imitate the way a word sounds (like baby). He often still gets /b/ and /p/ mixed up, although the only difference between the two sounds is one is voiced and the other isn't.
Some days are better than others and he still need continual reminders to use the words that he knows or can approximate well. It just doesn't come "naturally".
