Sierra and her speech therapist

I asked to observe speech therapy with her school therapist Rachel.  We decided a video would be best since Sierra won't work when I'm there! :)

This is the short clip I got back. 

This is the email from the speech therapist Rachel.

"Here is a video of Sierra doing a speech drill. We were working on "CV" words (consonant + vowel) using "bilabial" consonants. These consonants are /p, b, m/ which require lip closure and are some of the earlier developing consonants. You will see that once I know she can do them separately, I start mixing up the three consonants (going across the chart rather than down). As you know for a diagnosis of childhood apraxia of speech, it is essential to continue practicing previously mastered skills. You will see me have Sierra repeat the word if it is wrong or if I didn't think it was her best try. I think it is important to use pictures to retain her interest, but also to demonstrate that changing a single sound changes the meaning of a word. This approach is called "minimal pairs." I think her intonation is great - she is copying my tone/rhythm quite well. You will also hear that I use the phrase "good language" as praise. It is important to give specific feedback for each trial whenever possible."

It is good to hear what she sees, since sometimess it seems so basic and plain; but when you think about it, it really is a huge amount of coordination with the mouth to make those sounds. :) 

Pray for her everytime you think of it.  Our girl needs a miracle and healing. Thank you!