logo
episode-header-image
Dec 2024
13m 35s

Case Study 2: 27 Months and Minimally Ve...

Megan Peveto M.S. CCC-SLP
About this episode

Today, we're diving into new case study, where we turn early intervention speech and language evaluations and observations into goals and strategies you can use in speech therapy for toddlers.

If you've ever found yourself staring at an evaluation report or sitting in a session thinking, Okay, now what?, this series is for you. This week, we are walking through the case of a minimally verbal 27-month-old child with some emerging communication skills, sensory-seeking behaviors, and a few indicators of autism spectrum disorder. Let's get started!

Okay, here's what we know about this little friend:

  • He's 27 months old and very active
  • Exhibits some sensory seeking behaviors: mouthing objects and spinning wheels, toys, or self
  • Parent reports the following words: milk, mama, go - these words have not been observed in therapy sessions
  • Engages in play: rolling ball back and forth, scribbling on paper, lining up toys, spinning objects/self
  • Recently emerged gestures: clapping and pointing (both imitation and spontaneous)
  • Primary form of communication: behaviors, a few gestures, and a few reported words
  • Enjoys being hugged, snuggled, and will sit in mom's lap during therapy activities
  • Parent reports the following indicators of Autism: sensory differences, difficulties with joint attention, and often more engaged with objects versus people - no formal diagnosis [yet]

As of now, the focus in speech therapy has been addressing his functional communication skills; improving gestures and building on the words parent reports he has imitated or expressed. The parent really wants to engage with him.

This little guy has some great skills in place already when it comes to functional communication. His use of gestures is definitely something we can build from and if he has a few verbal expressions, we can work with that as well.

Check out this episode, where we talk about determining speech therapy goals, strategies to increase communication, and ways to encourage parent involvement. 

Here is the series of episodes with Tara from Autism Little Learners, where we talk about signs of Autism in toddlers, strategies for speech therapy, and more ways to encourage communication in little learners.

If you have a tricky case on your caseload, let me know—I'd love to feature it in a future episode. Send me an email megan@theslpnextdoor.com

 

Don't forget to subscribe, share this episode with your friends, and check out the Communicate & Connect handbook for even more resources.

Up next
Jul 2025
Medicaid Cuts, Red Tape, and What You Can Do About It
What Medicaid changes mean for providers—and how to support families without the drama. In this episode, Megan is unpacking the real story behind the recent Medicaid changes—without the noise, drama, or clickbait. There's a good chance you've heard about Trump's "Big Beautiful Bi ... Show More
9m 24s
Jun 2025
Hey Friends- Just Checking In!
Just wanted to shout out THANK YOU- thank you my friends for your continued support as I walk this post partum anxiety journey. I see you, I appreciate you, and I am thankful for each and every one of you. 
4m 40s
Apr 2025
Empathy and Anxiety
In this episode, I'm sharing my journey through the first 2 months post-partum and how it relates to parent involvement in speech therapy for toddlers. I pride myself on being an empathic person. Life has thrown a ton of curveballs my way. With each curveball, I've been left with ... Show More
14m 49s
Recommended Episodes
Mar 2025
Your unhealed trauma affects every part of your life... it's not your fault, but healing is your responsibility
You’re listening to elephants in the room, where we open up about the things we usually keep quiet — the conversations we need, even when they feel uncomfortable. Here, vulnerability is our way forward, and honesty is what sets us free. For ad inquiries please email: ⁠nicole@5 ... Show More
1 h
Sep 17
Looking for the right things in the wrong places, reseting from the constant cycle of burnout from dealing with the pain of life
You’re listening to elephants in the room, where we open up about the things we usually keep quiet — the conversations we need, even when they feel uncomfortable. Here, vulnerability is our way forward, and honesty is what sets us free. For ad inquiries please email: ⁠nicole@5 ... Show More
46m 34s
Jul 2025
You're not a problem to fix, you're a person with problems... when we become too obsessed with healing, fixing, solving & being the "best versions of ourselves"
You’re listening to elephants in the room, where we open up about the things we usually keep quiet — the conversations we need, even when they feel uncomfortable. Here, vulnerability is our way forward, and honesty is what sets us free. For ad inquiries please email: ⁠nicole@5 ... Show More
1h 1m
Jun 2025
Hey everyone! How's it going?
I wanted to hop back on here since it's been a while! I hope you are all doing amazing :) 
5m 51s
Sep 3
😭 OMG - I promised I would share my process of becoming with you....
This is a super raw AF real moment I recorded as I had to pull over as I couldn't contain it anymore. I was having what I call a "gratitude attack" Like the opposite of a panic attack howver just as full on. I vowed when I started my business that I would take you on the journey, ... Show More
16m 9s
Sep 2024
250: LETS GET OUR LIFE BACK TOGETHER: Quick News!
Hello! Wanted to drop in and share some news with you guys that I am providing services for all of you to reset and get your lives back together. Thank you all so much for your constant love and support, you all mean the world to me and I love the community we have built. <br> <b ... Show More
4m 28s
Nov 2021
Don't Worry, Be Happy
Hello and welcome to a thanksgiving special! Today I am here with another friend, Kolton, telling and sharing his happiness to all of you. Enjoy! 
15m 49s
Jul 2024
uncaused joy
<p>thank you for listening! this one felt really good while making it and I hope you get some value from it. </p> <p>connect with me and join the community on IG: <a href="https://www.instagram.com/presenceofbeing/" target="_blank" rel="noopener noreferer">https://www.instagram.c ... Show More
19m 20s
Mar 2025
Walking on eggshells... stuck in a toxic cycle that steals your voice
You’re listening to elephants in the room, where we open up about the things we usually keep quiet — the conversations we need, even when they feel uncomfortable. Here, vulnerability is our way forward, and honesty is what sets us free. For ad inquiries please email: ⁠nicole@5 ... Show More
54m 29s
Apr 2025
20 things I'd tell my younger self, the truths that set me free
You’re listening to elephants in the room, where we open up about the things we usually keep quiet — the conversations we need, even when they feel uncomfortable. Here, vulnerability is our way forward, and honesty is what sets us free. For ad inquiries please email: ⁠nicole@5 ... Show More
1h 7m