- need advice
- nowimnowhere wrote in speechpathology
- March 3rd, 2013
I have a student who I see for language therapy (15 minute sessions 3x/week). Her Core Language,Receptive, and Expressive standard scores are all significantly low 60's range. Autism has been ruled out by the ADOS team - saying that she needs therapy to address requesting/initiating and starting conversations, etc in the pragmatics area... however, this student is highly defiant when it comes to participating in anything (in the classroom, EC room, everywhere). I've tried bringing in interesting/stimulating activity materials for therapy... to very low stimulating materials.. and half of the time I try to see her she doesn't want to participate. She's seen behavioral coach after behavioral coach and the classroom situation still hasn't progressed... everyone at this point is pointing to some sort of emotional disorder possibly. She has a one-on-one, and is restrained at least 5x/week by staff... just to give you an idea. I've heard teachers talking to themselves about how 'if you could just help her communicate better then she would behave and wouldn't lash out". ?? I'm sure her low language abilities play a part in her everyday interaction with others (even though she has friends in the classroom), but am I completely wrong when I think that she may be just a student who is highly defiant/the product of a bad home environment and inappropriate discipline? I mean.. how much progress can even be made when you have a student who won't participate in anything you have to offer? I'm afraid increasing her time will just make things worse, and no progress will be made.. having the blame being placed on me. Sorry, but this is something is stressing me out. What should I communicate to the teachers? Am I missing something?