Anyway, the point of my post is, do you think it would be worth working with her to use pecs cards to teach her to communicate with us? She is very slow to pick up sign language and the few signs she does know, she will not use spontaneously. She will use them when prompted though. For example if she is hungry she goes to the kitchen and starts crying at the counter pointing at the counter. If I say are you hungry she will start signing more, eat, please, but won't come to me and sign them before flipping out at the counter. When she is thirsty, she does the same thing only at the fridge or the cupboard where the cups are kept. If I ask of she's thirsty and wants a drink she will sign please, but will not sign drink. If she needs help she gets mad and throws a bit of a fit or she grabs my hand and puts it on what she needs help with. Then I will say do you need help, say help please. And she will sign help please.