When did you start to notice a difference? Scarlett has been doin speech since January 20th. She was diagnosed with Expressive Language Disorder. We recently had a hearing test done that showed mild hearing loss in her left ear, but the final diagnosis was inconclusive because she couldn’t complete the sound booth test. Since starting speech in January, she still only has her 2-3 words but is picking up on signs left and right. This is my first personal experience with speech therapy, so I’m curious how long it typically takes?