Should My Child Start Speech Therapy? What Parents Should Know

When you’re worried about your child’s speech development, it can feel overwhelming to know what to do next. Maybe you’ve heard well-meaning advice like, “They’ll grow out of it,” or “Just wait and see.” But how do you know if waiting is the right choice? What if early speech therapy could help your child thrive?

At SmallTalk Pediatric Therapy, we often meet parents who aren’t sure whether to seek support or give their child more time. Here’s what you should know to make an informed decision.

Understanding Speech and Language Milestones

All children develop at their own pace, but there are general milestones most kids reach around certain ages. For example:

  • By 12 months: Babbling, using gestures, responding to their name.
  • By 18 months: Saying about 10–20 words.
  • By 2 years: Using two-word phrases (“more juice,” “mama help”).
  • By 3 years: Speech is clear enough for familiar adults to understand most of what they say.

You can read more about specific milestones with our Developmental Checklist. If your child is significantly behind in these milestones, it may be time to consider an evaluation.

The “Wait and See” Approach

Many parents are told to wait and see if their child will “catch up.” While this can be appropriate in some cases, especially when there is steady progress, delaying help can also mean missing the window when therapy is most effective.

Should My Child Start Speech Therapy? What Parents Should Know

Research shows that early intervention leads to better outcomes in speech and language development. If a delay is identified early, therapy can help build skills before gaps widen.

A 2011 meta-analysis published in the American Journal of Speech-Language Pathology found that parent-led early speech interventions significantly improved expressive language in young children—especially those under age 3 (Roberts & Kaiser, 2011). These findings support the importance of not delaying care when communication concerns arise.

Benefits of Starting Speech Therapy Early

Here are a few reasons why acting early can be so powerful:

  • Brain Plasticity: Young children’s brains are more adaptable, making it easier to learn new communication skills.
  • Confidence: Kids often feel frustrated when they can’t express themselves. Therapy helps reduce this frustration and build self-esteem.
  • Social Connection: Communication delays can impact play and peer relationships. Early support helps kids engage more successfully with others.
  • Family Support: Therapy gives you tools and strategies to help your child at home.

When to Seek an Evaluation

You don’t need a referral to have your child evaluated by one of our speech-language pathologists. If you notice any of the following, it’s a good idea to schedule an eval:

  • Your child is not meeting speech milestones for their age.
  • They appear frustrated by not being understood.
  • They rarely imitate sounds or words.
  • You have a gut feeling that something isn’t quite right. Trust your instincts—you know your child best.
When to Seek an Evaluation

How SmallTalk Pediatric Therapy Can Help

At SmallTalk, we believe in early, compassionate, play-based therapy that meets kids where they are. Our licensed speech-language pathologists will:

  • Assess your child’s speech and language skills.
  • Create an individualized treatment plan.
  • Guide you on how to support your child at home.
  • Celebrate every success, big and small!

You Don’t Have to Wait and Wonder

If you have concerns about your child’s speech, you don’t have to navigate them alone. Early intervention doesn’t mean something is “wrong”, it means you’re giving your child every opportunity to communicate confidently.

Contact us today to schedule a speech evaluation. We’re here to help.

How Virtual Speech and Language Therapy Can Support Your Family

As the world continues to expand its abilities to connect with other people, so has our ability as therapists to connect with you in ways that are flexible, effective, and fun! Virtual visits are a great method of speech-language services that ensure your child’s ability to make progress on their communication goals, while simultaneously supporting your family navigating busy schedules and lives.

What can be accomplished virtually?

There are a variety of benefits that a virtual visit can provide, much like in-person visits:

  • Assessments: Standardized assessments to determine the diagnosis of potential speech-language delays, as well as implementation of a comprehensive treatment plan are entirely achievable by meeting virtually. Virtual assessment sessions usually include a combination of standardized testing, particularly if your child is of age to participate. Another effective measure is parent interview, hearing from you exactly what your concerns and observations are of your child in their home environment.
  • Treatment: Virtual speech therapy sessions can be designed to meet the communication-specific needs of your child. Whether it is articulation, expressive/receptive language, social/pragmatic skills, or related areas, tasks developed through various online games, interactive stories, and songs/videos help support the progress of your child. Not to mention, they are designed to be fun and engaging so that your child will want to continue to attend these virtual visits!
  • Parent Education and Collaboration: Parents are just as important to the process of speech-language development as the therapists that work with your child. Virtual visits allow for private, constructive conversations to give parents suggestions, resources, and in-the-moment opportunities to demonstrate language facilitation strategies with their children right in the comfort of their own home!

So what now?

If your child might need a little guidance in speech and language, receiving services virtually is an effective way to support the communication journey of your child. SmallTalk offers virtual sessions all-week long, including several therapists, like me, who have dedicated an entire day to virtual sessions to connect with more families around the San Diego community. Please consider giving it a try – I hope to see you online!

By Alex Maloney, SLP

Great Games for Gifts from a Speech Therapist

…and fun ways to target speech and language

The holiday season brings festive lights, cozy family time, and a welcome break from busy school routines. With kids home and more time together, it’s the perfect opportunity to slow down, unplug, and connect through play. Whether you’re looking for thoughtful gift ideas or fun ways to spend screen-free time at home, games can be a wonderful way to keep your child engaged and learning.

As a speech therapist, we love using games in our sessions because they make learning fun and meaningful. Play is one of the most powerful ways to support speech, language, and overall development and it doesn’t have to stop when therapy ends. Below are some of our favorite games that bring joy and skill-building together this holiday season along with goals you can target while you play!

Pop the Pig (ages 4+, 2-6 players) 

  • Turn taking
  • Two step directions (e.g., roll the dice, then feed the pig; feed the pig, then press his head)
  • Speech sounds (e.g., say a word before every turn)
  • Simple “what” questions (e.g., what color did you get?; what number is it?)

Feed the Woozle (ages 3-6, 2-5 players)  

  • Following directions 
  • R words in phrases (e.g., chocolate covered flies, moldy macaroni, spider egg pudding)
  • L words in phrases (e.g., liverwurst popsicle, lemon flavored underwear, iced garlic
  • S words in phrases (e.g., sugar coated sardines, baseball sandwich, soggy sausage)

Zingo (ages 4+, 2-6 players)  

  • Naming objects in pictures
  • Turn taking 
  • Answering yes/no questions for facts (e.g., do you have a tree?)

Tell Tale (ages 5+, 1-8 players)  

  • Using story telling elements 
  • Maintaining conversation topic
  • Answering wh- questions
  • Retelling stories

I Spy Eagle Eye (ages 5+)  

  • SP blends in phrases (e.g., I spy…)
  • Naming objects in pictures 
  • Where questions (e.g., where is it?)

By Jess Wi MS, CCC-SLP

The holidays are the perfect time to reconnect, play, and make meaningful memories together. Whether you choose a game that encourages conversation, teamwork, or problem-solving, each moment of play can support your child’s speech, language, and developmental growth in a natural, joyful way.

At SmallTalk Pediatric Therapy, we believe that learning happens best when it’s fun. If you’d like more ideas for play-based learning or have questions about your child’s progress, our teams in La Mesa, Mission Valley, and Scripps Ranch are here to help.

Link copied to clipboard!