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I remember our SLP being like that when we first started therapy. When they are that young and the SLP is figuring out how to work with them and what is actually wrong, I think it’s very difficult to give a prognosis or outcome. Only now, after over a year of consistent therapy and improvement has our SLP started giving us hints on how our son will do in terms of catching up.

It drove me crazy as well because I was frantically trying to ‘fix’ my kid and they couldn’t say exactly what was wrong or how we could help him. It took time to figure it all out as they are so young. I totally sympathize with you! What helped me was to think that even if my kid never spoke more than 2 words, he could sign and use augmentative communication devices. This was worst case, anything else was a bonus. All you can do is be his advocate and help him along, and it’s never too late to start. Our SLP said most kids don’t get evaluated until school so anything before that is awesome.

Have you had his ears checked? I only ask because my husband was very behind in speech as a child and it was because he had fluid in his ears and couldn't hear properly. I would assume they check this stuff when evaluating but you never know.
My hubby was hugely behind in speech and is now a very articulate adult so I would think he will catch up. Just might take a bit

@crazydoglady: yes my son has improved drastically. He had less than 5-10 words at 18-24 months and everything was the same sound (Gah) He was evaluated formally last Christmas at just over 2 years old and we’ve been in weekly therapy privately and publicly when available. He now says nearly every sound (H, S, R, and ‘breathy’ sounds are hard) and can speak in 4-5 word combos. We lost count of his words at around 150. He starts school in the fall and our SLP is confident he will be mostly functional by then. She tentatively diagnosed him with apraxia which makes it difficult to form the mouth movements to produce sounds. It’s a motor disorder so we also saw OT and PT. We had hearing tests and saw ENT as well so you could inquire about that.

I resigned myself that he may always have some difficulty with speech and that was very freeing. Every kid has their ‘thing’ it seems and ours is speech. I know exactly how you feel with wanting to make sure he would end up ‘normal’ and your son most likely will! I read that the vast majority of kids catch up by age 5 so that gave me hope.

I would give it 6 months and see how you feel then. Once your son gains confidence and your SLP builds a relationship, it will come along quickly. We had weeks of no progress and trying new things until it clicked and it just came spilling out. Still a lot of work to do but if you asked me last year if my kid would speak more than one word at a time, I would not have thought that was possible.

I agree with @muffinsmuffins that it takes time and that speech may be his thing. My identical twins both had speech delays and they've received identical amounts of therapy up until last year. My one son has progressed rapidly while my other son has needed additional therapy. They're in second grade now and both receive sppech at school additionally we've had my one son in private speech 3 times a week for the last year. Our insurance covers speech and recently changed from a limit if 40 visits per type of therapy (speech, ot, pt etc) to a total of 120 so we can do more than once a week.