The Process of Starting Speech Therapy and When to Talk to the Doctor

Early recognition of speech and language disorders is paramount. The developmental years, incredibly the first few, form the bedrock of your child’s communication skills. During this time, the neural pathways related to speech and language are highly malleable, allowing for improved outcomes when interventions are initiated promptly.

  • Early intervention often leads to better long-term results, enabling children to catch up with their peers and reducing the risk of related academic or social challenges.

  • Addressing speech or language challenges immediately can prevent children from experiencing frustration, embarrassment, or isolation, fostering a positive self-image.

  • Younger brains are more adaptable, meaning they can often adjust more easily to therapeutic interventions. This neuroplasticity diminishes over time, making early intervention particularly potent.

  • Evaluate general health, ensuring the speech or language challenge isn’t a symptom of broader health issues, like hearing loss.

  • Provide referrals to specialists, including audiologists or neurologists, if needed.

  • Direct you to speech therapists for specialized assessments and interventions.

Speech Therapists are professionals specialized in evaluating, diagnosing, and treating speech, language, voice, and fluency disorders. A speech therapist will help you with –

  • Conduct a comprehensive assessment of the child’s speech and language skills.

  • Create a tailored therapy plan to address identified concerns.

  • Guide you and your family on how to support your child at home, enhancing therapy’s effectiveness.

  • Infancy (0-12 months):

  • Reacts to loud noises.
  • Begins to babble and imitate sounds.

  • Say names such as, “mama” or “dada”

  • Understands “No”

  • Recognizes familiar voices.

  • Infancy (0-12 months):

  • Vocabulary expands from a few words to hundreds.

  • Starts combining words into simple sentences.

  • Understands and answers simple questions.

  • Infancy (0-12 months):

  • Vocabulary grows exponentially.

  • Begins using more complex sentences.

  • Can narrate simple stories or events.

  • Says hundreds of words

  • 2–4-word phrases

  • Understands and uses pronouns (I, my, mine, you)

  • Follows a 2-3 step command

  • Points to named objects and actions in books or pictures

However, it’s crucial to note that individual variations exist. Some children may speak later than others but can still be within the range of typical development. Factors influencing this variability can include bilingualism, temperament, and familial speech patterns.

Should you have any uncertainties and require guidance, please contact us to arrange a free speech disorder evaluation for your child.

  • Delayed Speech or Language Milestones: Every child develops at their own pace, but significant delays compared to typical milestones can be a concern. For instance, if your child isn’t babbling by nine months or doesn’t speak “single-words” by 16 months, it might be time to consult a professional. It is always better to consult even if you have the slightest doubt. As the saying goes, a stitch in time saves nine.

  • Challenges in Sound Production or Clarity: By a certain age, your child should be able to produce most sounds correctly. Lisping, omitting sounds, or consistently mispronouncing certain sounds beyond the typical age might indicate a need for speech therapy. At the age 2-3 years a child should be able to say the following sounds:

    P, B, M, T, D, N, H, T, K, G, W, NG, F, Y

  • Issues with Receptive or Expressive Language: Receptive language refers to understanding what others say, while expressive language pertains to the ability to express oneself. Signs of challenges can include
  • Difficulty following directions.

  • Struggling to construct sentences or convey ideas.
  • Frequently reverting to nonspecific words like “thing” due to vocabulary gaps.
  • How Doctors and Speech Therapists Collaborate

  • Primary physicians, pediatricians, or specialists (like neurologists) play a crucial role in the initial stages. They can guide patients and caregivers based on their observations and preliminary tests.

  • After recognizing potential speech or language issues, doctors typically have a generic list they provide to families based on where they live. Families should do their own research and contact other providers. This helps with finding a specialist that is appropriate for the child and getting waitlisted to start speech therapy..

  • Continuous collaboration is essential. Speech therapists send the evaluation and plan of care to the doctor,, while doctors can provide insights into any medical concerns that may impact therapy.

  • Navigating Insurance and Therapy Options

  • Different insurance plans offer varying levels of coverage for speech therapy. It’s crucial to verify with your insurance provider about coverage specifics, frequency limits, and any required documentation. You should also communicate with the speech pathologist on your insurance details so that there are no hidden surprises during therapy.

  • Some therapists work in hospitals, others in private clinics and schools, or even offer teletherapy. Depending on individual needs, preferences, and geographical locations, one can choose the most suitable therapy setting.

  • Always ensure that the chosen therapist is licensed and credentialed in your state or country. This provides standardized care and is often a prerequisite for insurance coverage.

  • Periodic assessments allow the therapist and you as a parent (or caregivers) to see how far you have come. Recognizing improvements, no matter how small, can boost motivation and reinforce the value of therapy.

     

  • As initial goals are met, new ones can emerge. Regular assessments ensure that therapy remains relevant to the individual’s current needs. For instance, once a child masters certain speech sounds, the focus might shift to more complex sounds or language structures.

  • Sometimes, progress might stall. Regular assessments can identify these plateaus, prompting a re-evaluation of the therapy methods used.

  • Speech and language are multifaceted. Periodic assessments can ensure that no aspect is overlooked. For instance, while a child might make excellent progress in articulation, they might still struggle with specific language structures.

  • Based on the results of ongoing assessments, therapy activities can be customized, ensuring that each session targets the most pressing and relevant challenges.

     

  • The field of speech-language pathology is continually evolving. Regular monitoring allows therapists to integrate new techniques or tools that might be beneficial.

  • As your child’s speech quality progresses, they require less frequent therapy sessions. Conversely, if someone is struggling, increasing the frequency Especially for your child, involving you as a parent, caregiver, or teacher in therapy can be pivotal. Based on progress, therapists might offer new strategies or tools for you to use at home or in school.

  • If your child seems less engaged in therapy, it might be time to introduce new activities, games, or approaches that reignite interest. Speech pathologists are well-trained to identify a lack of engagement, enabling them to change the course of their treatment.

You need to understand that the journey through speech therapy is dynamic. Regular monitoring and a willingness to adjust are critical to the success of the treatment.