K.B.
J.,
One of my sons also has verbal apraxia. He started speech therapy at 18-19 months (he's now 7). We're in Plano. Since your son is now 4, he could do speech therapy through your school system. If you are open to alternative treatments though, let me suggest Integrative Pediatric Therapy (www.integrativepediatric.com). My son was in speech therpy for a couple of years and by 3 1/2 only had a dozen words. One summer, I decided to enroll him at the Callier Center in Richardson for speach and to look for other help. I decided to give Sally Fryer's group a try for a few months. We had him tested there and did twice a week PT/OT and once a week craniosacral therapy. At the end of the summer, his entire speech was in and we were only working on articulation. When he returned to school (he was going to the PreK communication class at Beaty in PISD), his speech teachers couldn't believe it. It was truly amazing!!! He's now 7 and goes to speech twice a week at school for some articulation. His issues are mostly when he's in conversation. Family and friends are amazed at how well he speaks.
I wish you the best of luck. He will pull through this with patience and help. If you want to talk more, please feel free to email me at ____@____.com.
K.