Communication has been one of our hardest issues. PECS..I guess a lot of people swear by PECS and Makaton, those are the common tools used in our Special Needs Schools. For us, neither were effective, as much as I complained and whinged about them not working for Mikey, I still went on the courses, made the cards and boards and for seven years waited for any kind of result. Much to everyones surprise (Mikey has a way of surprising a person, or unsuspecting spider!) Mikey has picked up on British Sign Language, he uses the few signs he knows appropriately and it has given him a form of communicating thereby relieving a lot of his frustrations. It was Mikeys carer Michele who introduced this vocabulary to Mikey and I. Again, she managed to do what seven years in a special needs school could not. I wish I could go back in time to Mikeys younger years, drop the PECS and Makaton on focus a lot on sign language. My advice to anyone who is going through the communication mine field with their child..try a sign language teacher, cant hurt to try.