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A 37 month old male was referred for speech and language therapy in April 2012 due to concerns with his production of speech sounds and intelligibility when speaking.

The patient was shy and was unable to produce 15 consonant speech sounds correctly that are typically produced by 3 years of age. His intelligibility was very limited (approximately 40-50%) with an unknown listener.

Treatment: Traditional Articulation Approach; Minimal Pairs Contrast Approach; Child-Directed Approach; Treatment techniques to carry over at home.

Progress: After 10 months of therapy, this patient has mastered producing 8 of the 15 consonant speech sounds that he previously was unable to produce correctly. His confidence when meeting new people has also increased and he enjoys conversing with peers and adults. His intelligibility is now approximately 80%


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