Oral motor guru found that DD's tongue was *very* tied but in a way that was almost impossible to find and sent her on to an ENT for surgery. Local highly respected SLP wrote a detailed report outlining all of DD's non oral motor issues. Her in school speech program now includes 2 hours a week of work on articulation issues and 5 minute sessions twice a day doing the oral motor excercises. Old - not very good - school SLP who insisted DD's issues were purely the result of high rate and low volume - totally dismissing any and all concerns I had about vowel sounds and minimizing issues with /R/, /s/sh/th/, /th/f/, etc went on maternity leave and was replaced (permanently) by very good SLP who DD loves working with... Oh and those rate and volume issues seem to be related to breath support issues - ie, she appaarently tries to get her speech out before running out of air. This is something that needs to actually be addressed by the SLP not just by telling DD to slow down and speak up.
Did you get the surgery for the tongue tie. Had to get my DD's tounge-tie cut when she was 4. Made a HUGE difference in her speech and it was really a very simple and painless procedure. (She was having other surgery when they did it.) In our case since DD was born with a cleft & there was a physical disability from birth, she was already under care of an ENT so we had little difficult with insurance for both speech & the surgery.
For the original OP. I would suggest you see if the private specialist can talk with the public one. I have had this work for me. It depends a bit on the ego of the school therapist. Are they willing to learn something new & listen to the private therapist?
