General Archives | SmallTalk

Toy Story 5 and Child Development: Why Play Still Matters

Featured, General, News | Jun 16, 2026 3 min read

When Pixar announced that Toy Story 5 would focus on the battle between toys and technology, a lot of parents probably thought, “Yep, that’s a conversation we’re having at home too.”

Today’s kids are growing up with tablets, smartphones, streaming services, and educational apps at their fingertips. Technology isn’t going anywhere, and it certainly isn’t all bad. But (and it seems most professionals in this industry agree) there’s something screens can’t replace: play.

Why Play Is So Important

Play isn’t just how children have fun. It’s how they learn.

When a child builds a block tower, hosts a tea party, races toy cars, or creates an imaginary world with their favorite characters, they’re practicing important developmental skills without even realizing it.

Through play, children learn to:

Communicate and use language
Problem-solve
Develop social skills
Strengthen fine motor skills
Regulate emotions
Build creativity and imagination

That’s why play is such a big part of both speech and occupational therapy.

What Speech Therapists See

Many of the language skills we work on happen naturally during play.

Pretend play encourages children to:

Learn new vocabulary
Use longer sentences
Answer questions
Tell stories
Practice back-and-forth conversations

A toy kitchen or dollhouse often creates more opportunities for communication than a screen ever could.

What Occupational Therapists See

From an OT perspective, toys do much more than keep children entertained. Toys help build the foundational skills kids need for everyday life.

When a child builds with blocks, they’re developing hand strength, coordination, and problem-solving skills
Completing a puzzle supports visual perception and spatial awareness
Playing with Play-Doh strengthens the small muscles in the hands needed for tasks like buttoning clothes and holding a pencil
Coloring and painting help develop grasp, bilateral coordination, and visual-motor integration
Even sensory play, like digging through a sensory bin or playing with sand, can help children learn to process and respond to sensory information more effectively.

These skills may seem simple, but they’re the building blocks for everyday activities like getting dressed, feeding themselves, participating in school, and becoming more independent.

Is Technology Bad for Kids?

Not at all.

Technology can be educational, entertaining, and even helpful for communication. The goal isn’t to eliminate screens, it’s to make sure they don’t replace the experiences children need most.

Children learn best through:

Real-world interaction
Movement
Exploration
Problem-solving
Face-to-face communication

Those experiences simply happen more often during active play than passive screen time.

The Magic of Boredom

One thing technology has made rare is boredom.

But boredom isn’t a bad thing. When children aren’t immediately entertained, they’re forced to create, imagine, and problem-solve. A couch cushion becomes a fort. A cardboard box becomes a rocket ship. A stuffed animal becomes a classroom full of students.

Those moments of creativity are actually helping children build language, executive functioning, and flexible thinking skills.

The Takeaway

The debate in Toy Story 5 isn’t really about choosing toys over technology.

It’s about finding balance.

Technology has a place in childhood, but so do blocks, dolls, puzzles, art supplies, and all the simple toys that encourage imagination and connection.

At SmallTalk Pediatric Therapy, we see every day how powerful play can be. Whether we’re working on speech, feeding, sensory processing, motor skills, or social communication, play remains one of the best tools for helping children learn and grow.

So don’t be too quick to get rid of Woody and Buzz. They not only play a valuable role in your child’s development, but they might become a part of your child’s memories that last a lifetime!

8 Summer Activities That Support Speech, Language, and Development

Activities, Featured, General | Jun 11, 2026 4 min read

Make the Most of Summer While Supporting Your Child’s Development

Summer brings longer days, family adventures, and a welcome break from the school-year routine. It also creates countless opportunities for children to build important developmental skills through play.

The good news? You don’t need expensive camps, complicated activities, or hours of structured learning to support your child’s growth during this break. Some of the best opportunities for speech, language, sensory, and motor development happen during everyday summer fun.

Whether you’re spending the day at the beach, playing in the backyard, or looking for ways to keep little ones engaged between activities, these therapist-approved ideas can help support your child’s development while making lasting summer memories.

1. Beach Treasure Hunts

A trip to the beach can become a language-rich learning experience.

Challenge your child to find items such as shells, seaweed, smooth rocks, or driftwood. As you explore, encourage them to describe what they find using words related to color, size, texture, and shape.

Skills supported:

Vocabulary development
Following directions
Descriptive language
Sensory exploration
Fine motor skills

For older children, create clues and have them problem-solve their way through a scavenger hunt.

2. Water Play

Whether it’s sprinklers, water tables, buckets, or squirt bottles, water play offers endless developmental opportunities.

Talk about concepts such as:

Full and empty
Pour and dump
More and less
Heavy and light

Children can practice requesting items, following directions, and learning new vocabulary while staying cool.

Skills supported:

Language development
Following directions
Sensory processing
Hand strength and coordination

3. Backyard Obstacle Courses

Obstacle courses are an occupational therapist favorite because they combine movement, problem-solving, and fun.

Use pool noodles, sidewalk chalk, cones, hula hoops, or household items to create challenges.

Have your child:

Jump over lines
Crawl under obstacles
Balance on a path
Toss bean bags into a target

Skills supported:

Gross motor coordination
Balance
Body awareness
Motor planning
Listening skills

Make it even more language-rich by having your child help create and explain the course.

4. Summer Story Time Outdoors

Take reading outside.

Whether you’re at the park, on a picnic blanket, or relaxing in the backyard, reading together helps strengthen language development and early literacy skills.

As you read:

Ask open-ended questions
Predict what might happen next
Discuss characters’ feelings
Connect the story to your child’s experiences

Research consistently shows that shared reading supports vocabulary, language development, and parent-child connection.

Skills supported:

Language comprehension
Vocabulary growth
Early literacy
Social-emotional development

5. Make Frozen Treats Together

Homemade popsicles or smoothies are a fun way to build skills while creating a summer snack.

Invite your child to help:

Follow directions
Measure ingredients
Stir and pour
Describe tastes and textures

Skills supported:

Sequencing
Following directions
Fine motor skills
Vocabulary development
Sensory exploration

Bonus: picky eaters may be more willing to explore new foods when they’re involved in making them.

6. Nature Walk Conversations

A simple walk can become a powerful communication activity.

Talk about what you see, hear, smell, and feel. Encourage your child to ask questions and make observations.

Try prompts like:

“What do you notice?”
“What do you think that bird is doing?”
“How does that flower feel?”

Skills supported:

Conversation skills
Expressive language
Attention and observation
Vocabulary development

7. Sidewalk Chalk Games

Sidewalk chalk isn’t just for drawing.

Try:

Writing letters or sight words
Drawing obstacle paths
Playing hopscotch
Practicing speech sounds with target words

For example, if your child is working on the /s/ sound, write summer-themed words such as “sun,” “sand,” and “swim.”

Skills supported:

Speech practice
Early literacy
Fine motor development
Gross motor movement

8. Pretend Summer Adventures

Pretend play is one of the best ways to support communication development.

Create a pretend:

Ice cream shop
Camping trip
Beach day
Lemonade stand

Children naturally practice conversation, problem-solving, social skills, and flexible thinking during imaginative play.

Skills supported:

Language development
Social communication
Executive functioning
Creativity

The Best Summer Learning Happens Through Play

Children learn best when they’re engaged, connected, and having fun. Summer doesn’t have to be packed with worksheets or structured activities to support development.

Simple moments spent talking, playing, reading, exploring, and moving together can have a lasting impact on your child’s communication, sensory processing, and motor skills.

At SmallTalk Pediatric Therapy, we love helping families find ways to build developmental skills into everyday routines. If you have questions about your child’s speech, language, sensory, or motor development, our team is always happy to help.

Looking for more ideas that support your kiddos growth without sacrificing fun? We have plenty! We hope your family enjoys a summer filled with sunshine, play, learning, and plenty of fun along the way.

Meet Our Bilingual Team Members at SmallTalk Pediatric Therapy

Featured, General, Occupational Therapy, Speech Therapy | May 12, 2026 4 min read

Across our clinics in San Diego, SmallTalk Pediatric Therapy team members from a variety of backgrounds bring their languages, cultures, and personal experiences into the work they do every day. From therapists supporting children in their home language to administrative staff helping families navigate scheduling, paperwork, and questions with greater ease, bilingual communication helps create a more welcoming and inclusive experience for everyone who walks through our doors.

Our bilingual team members each use their language skills in different ways depending on their role at SmallTalk, but they all share a common goal: helping families feel seen, supported, and connected. Below, several members of our team share their personal backgrounds, the languages they speak, and how bilingualism shapes the work they do at SmallTalk every day.

Fab, Speech-Language Pathologist

My therapy approach recognizes caregivers as key to achieving goals and supporting the carryover of skills across environments. I can hold sessions in both English and Spanish and use the same strategies in both languages. By collaborating with the parents I embed the strategies based on family values, schedule, and culture. I prioritize each family’s unique needs by collaboratively identifying meaningful, functional goals that fit into daily routines. Beyond helping children reach their goals, I aim to ensure parents feel confident in their ability to support their child’s language development through on parent involvement and coaching as the language strategies benefit children regardless of the primarily language spoken.

Alexis R., Certified Speech-Language Pathology Assistant

My therapy style focuses on creating a supportive, engaging environment where children feel motivated and confident to learn while partnering closely with parents through regular feedback and functional strategies to use at home. I also support any primary languages when applicable, recognizing that bilingual development can strengthen a child’s overall speech and communication skills.

Nathalie-Rose, Speech-Language Pathologist

Hi, my name is Nathalie-Rose, and I am a bilingual Speech-Language Pathologist! I speak both English and French. I am committed to providing child-centered, play-based, and neurodiversity-affirming therapy, and I enjoy building connections with my clients and their families. When working with children who speak French or have French-speaking family members, I incorporate this into my sessions by using French nursery rhyme songs, teaching vocabulary in both languages, and helping to facilitate communication. This approach helps eliminate language barriers during parent education, activity explanations, and overall treatment.

Danielle P., Occupational Therapist

I am a first-generation Vietnamese-American and grew up immersed in traditional Vietnamese culture. Growing up was a journey to understand my identity as a part of both cultures. I bring this background deeply into both my personal relationships and my clinical practice as an occupational therapist. I aim to provide client-centered, play-based, holistic therapy. My background has helped me to understand that each child is as much an individual as they are a part of their family, cultures, and friendships that impact how they react to their environment. Being bilingual has helped me support a child’s primary language and to better communicate with parents or older caregivers to promote continuation of care into the home setting.

Jennifer, HR

I grew up in Sweden, so Swedish is my first language and what I still use with my family. I began learning English early in school, as it’s a core part of the Swedish education system, and became fully fluent after moving to the U.S. at 20 as an au pair, where I was immersed in an English-speaking home. Since then, I’ve continued to strengthen my English through earning my bachelor’s degree in San Diego and using it daily in both professional and personal settings. At SmallTalk, I support our team through my role in Human Resources, and I appreciate the opportunity to connect with Swedish-speaking families when it arises, it’s always meaningful to be able to communicate in a shared native language.

What Do Speech-Language Pathologists Do? A Look Inside Pediatric Speech Therapy to Celebrate National Speech-Language-Hearing Month

Educational, Featured, General, Speech Therapy | Apr 28, 2026 4 min read

Many of our families across San Diego county, in La Mesa, Mission Valley, and Scripps Ranch often ask what speech therapy really looks like and how to know if their child might benefit. This month is National Speech-Language-Hearing Month, so it is the perfect time to highlight the role of speech-language pathologists (SLPs) and the many ways they support children and families.

When most people think of speech therapy, they think of helping children pronounce words more clearly. While that’s certainly part of it, speech-language pathologists do much more. They support how children understand language, express themselves, interact socially, and even how they eat and drink safely.

At its core, speech therapy is about helping children connect with the world around them in a way that feels successful and meaningful.

What Does a Speech-Language Pathologist Do?

A speech-language pathologist is trained to evaluate and treat a wide range of communication and feeding challenges. For children, this often includes supporting:

Speech sound development, such as articulation and clarity
Language skills, including understanding and using words and sentences
Social communication, like taking turns, initiating interaction, and reading social cues
Early communication, including gestures, play, and first words
Feeding and oral motor skills when eating or drinking is difficult

Rather than focusing on just one skill, SLPs look at the whole picture of how a child communicates in their daily life.

What Does a Speech Therapy Session Look Like?

One of the most common questions parents have is, “What actually happens in a session?”

For young children, therapy rarely looks like sitting at a table doing drills. Instead, it’s play-based and interactive. An SLP might be on the floor playing with toys, reading a book, or engaging in a simple game while intentionally targeting communication goals.

A session may include:

Following the child’s lead in play to encourage communication
Modeling words, phrases, or sounds in a natural way
Creating opportunities for the child to request, comment, or interact
Expanding on what the child says to build longer phrases
Coaching parents on how to support these skills at home

For older children, sessions may become a bit more structured, but they are still designed to feel engaging and relevant. Activities might include conversation practice, storytelling, problem-solving tasks, or games that target specific speech and language goals.

No two sessions look exactly the same because therapy is always tailored to the individual child.

What Kinds of Children Can Speech Therapy Help?

Speech therapy supports a wide range of children, from toddlers just starting to talk to school-age children working on more complex communication skills.

SLPs commonly work with children who:

Are late to start talking or have a limited vocabulary
Have difficulty being understood by others
Struggle to follow directions or understand language
Experience frustration when trying to communicate
Have challenges with social interaction or play
Have diagnoses such as autism spectrum disorder, developmental delays, or speech sound disorders
Have feeding or oral motor difficulties

Some children may need short-term support, while others benefit from longer-term therapy as they continue to build and refine their skills.

Why Early Support Matters

Communication skills develop rapidly in the early years. When children receive support during this time, it can positively impact not just speech and language, but also confidence, behavior, and social connection.

Early therapy doesn’t mean something is “wrong.” It simply provides children with the tools and support they need to build strong foundations.

A Collaborative, Family-Centered Approach

At SmallTalk Pediatric Therapy, we see parents and caregivers as an essential part of the therapy process. Progress doesn’t just happen during a 30-45 minute session. It happens in everyday moments at home, during meals, playtime, and daily routines.

That’s why speech therapy often includes coaching and collaboration, helping families feel confident in supporting their child’s communication throughout the day.

Celebrating the Impact of SLPs

National Speech-Language-Hearing Month is a time to recognize the meaningful role SLPs play in helping children find their voice.

Every new word, every clearer sentence, every successful interaction builds toward something bigger: confidence, connection, and the ability to be understood.

If you’re wondering whether speech therapy might support your child, it’s always okay to ask. Sometimes a simple conversation can provide the clarity and reassurance you need.

At SmallTalk Pediatric Therapy, we’re proud to support families throughout San Diego County, with clinics in La Mesa, Mission Valley, and Scripps Ranch, as well as virtual therapy options for added flexibility. Give us a call to learn more about our speech therapy services.

When Is Picky Eating a Problem? Signs Your Child May Need Feeding Therapy

Educational, Featured, General | Jan 26, 2026 3 min read

Many children go through phases of picky eating, especially during toddler and preschool years. But sometimes feeding challenges go beyond typical preferences and can signal a need for professional support. Knowing when to seek a feeding evaluation can help reduce stress at mealtimes and ensure your child is getting the support they need to thrive.

When to Consider a Feeding Evaluation

It may be time to seek a feeding evaluation if your child:

Eats a very limited number of foods, especially fewer than 10 to 15 consistently
Refuses entire food groups or specific textures
Gags, vomits, or becomes distressed when presented with new foods
Shows strong sensory reactions to smells, textures, or the look of food
Experiences frequent mealtime anxiety or meltdowns
Struggles with chewing, swallowing, or moving food in their mouth
Has feeding challenges that impact nutrition, growth, or family routines

These signs may indicate more than typical picky eating and can be related to sensory processing differences, oral motor challenges, or both.

What Happens in Feeding Therapy

Feeding therapy is designed to support children in a safe, gradual, and encouraging way. During therapy, a speech-language pathologist and or occupational therapist will first assess your child’s feeding skills, sensory responses, and mealtime behaviors.

Therapy may focus on:

Increasing tolerance for new textures, smells, and foods
Supporting oral motor skills like chewing and tongue movement
Reducing sensory overwhelm around eating
Building positive, low-pressure experiences with food
Helping families create supportive and realistic mealtime routines

Therapy follows your child’s pace, often starting with non-eating interactions such as touching or smelling foods and gradually progressing toward tasting and eating as comfort increases.

How Feeding Therapy Can Help

With consistent support, feeding therapy can help children:

Expand the variety of foods they accept
Feel more comfortable and confident at mealtimes
Improve nutrition and overall health
Reduce stress for both children and caregivers

Most importantly, feeding therapy helps families turn mealtimes into more positive, connected experiences rather than daily struggles

Trust Your Instincts

A feeding evaluation doesn’t mean something is “wrong.” It simply gives you clarity, guidance, and a plan that meets your child where they are. With the right support, children can build confidence around food, expand their preferences, and make steady progress in a way that feels safe and encouraging.

If mealtimes feel stressful, overwhelming, or stuck in the same patterns, you’re not alone, and you’re not doing anything wrong. Many families wonder if their child will “grow out of it,” but when feeding challenges start to impact nutrition, development, or family routines, getting extra support can make a meaningful difference.

At SmallTalk Pediatric Therapy, our therapists bring both clinical expertise and a family-centered approach to feeding therapy. We work closely with caregivers to support real-life mealtimes, reduce stress, and help children develop skills that last well beyond the therapy room.

If you have questions or are wondering whether a feeding evaluation might be helpful for your child, we’re always happy to talk it through. Give us a call or send us an email today, because sometimes a small step can lead to big changes at the table!

New Year, New Goals: Supporting Your Child’s Growth in the Year Ahead

Educational, Featured, General | Jan 15, 2026 3 min read

The start of a new year brings a natural pause. It’s a time for reflection, fresh starts, and setting intentions for the months ahead. For parents, it’s also a moment to think about how your child is growing, what milestones they’re working toward, and how you can support their development in a way that feels realistic and encouraging.

At SmallTalk Pediatric Therapy, we believe the new year isn’t about pressure or perfection. It’s about progress, connection, and building skills through everyday moments.

Why the New Year Is a Great Time to Check In on Development

Children grow and change quickly, and small developmental shifts can add up over time. The new year offers a natural opportunity to check in on your child’s speech, language, motor skills, and overall communication.

You might be noticing things like:

Your child understands more but isn’t using many words yet
Speech sounds are still hard to understand
Transitions or routines feel especially challenging
Fine motor tasks like holding crayons or utensils are tricky

These observations don’t mean something is “wrong.” They’re simply signals that your child may benefit from extra support, guidance, or targeted strategies.

Setting Realistic Developmental Goals for Your Child

When it comes to child development goals, small and specific works best. Instead of broad resolutions, focus on simple, meaningful steps that fit into your life. Daily routines like meals, bath time, playtime, and errands are rich opportunities for learning and connection.

Examples of development-friendly goals include:

Reading together for 10 minutes each day
Encouraging your child to make choices using words or gestures
Practicing turn-taking during play
Building fine motor strength through crafts, play-dough, or even helping with household chores like preparing a meal or washing dishes
Creating consistent routines for mornings and bedtime
Narrating what you’re doing to model language
Giving your child extra time to respond
Offering choices to encourage communication
Celebrating effort, not just outcomes

Progress often comes in inches, not leaps, and that’s okay! These small habits support speech, language, sensory regulation, and independence over time.

How Speech and Occupational Therapy Support New Year Growth

Speech therapy helps children develop communication skills such as expressive language, articulation, social communication, and understanding directions. Occupational therapy focuses on fine motor skills, sensory processing, self-help skills, and emotional regulation.

Together, these therapies support the skills children need to succeed at home, in school, and in their community.

The new year is also a great time to:

Start therapy if you’ve been on the fence
Reassess goals if your child is already receiving services
Adjust schedules or routines to better support consistency
Review insurance benefits and coverage for therapy services

A Gentle Reminder for the Year Ahead

If the past year felt overwhelming, you’re not alone. Parenting is demanding, especially when you’re supporting a child with additional needs. The new year doesn’t require you to have all the answers. It simply offers another chance to move forward with support, information, and the right team beside you.

At SmallTalk Pediatric Therapy, we’re proud to support families throughout San Diego, with clinics in La Mesa, Mission Valley, and Scripps Ranch, as well as virtual services. Whether your child is just beginning their therapy journey or continuing to build on existing skills, we’re here to help make this year one of growth, confidence, and connection.

Here’s to a new year filled with progress, patience, and celebrating every step forward!

Preparing for Insurance Changes in the New Year: A Guide for Parents

Educational, Featured, General | Oct 23, 2025 4 min read

Parenthood is a rewarding journey filled with joy, milestones, and countless decisions. One of the most important (and often overlooked) responsibilities is understanding your insurance coverage, especially when it comes to services like speech and occupational therapy. With a new year just around the corner, now is the perfect time to review your benefits, make any updates, and ensure your child continues receiving the support they need.

Why It Matters

Insurance coverage can change from year to year, especially if you switch plans during open enrollment. Benefits for services like therapy may vary, and delays in updating or confirming your benefits can interrupt care. That’s why we’re encouraging all families to check their insurance details and notify us of any changes as soon as possible.

Insurance Terms Made Simple

Insurance language can be confusing, so here’s a quick glossary to help:

Insurance Policy: A contract outlining coverage, terms, and limits.
Coverage: The medical services your plan will pay for.
Premium: Monthly amount paid to have insurance.
Deductible: What you must pay before insurance starts covering costs. This amount will typically reset in the new year.
Coinsurance: The percentage of costs you pay after your deductible is met (e.g. 30%).
Copay: A set fee paid at each visit (e.g. $25 per session).
Out-of-Pocket Maximum/Catastrophic Cap: The most you’ll pay in a year for covered services (excluding premiums) — after which insurance pays 100%.

Steps to Prepare for the New Year

1. Review Your New Plan

Start by checking if your plan is changing in the new year. If anything about your plan has changed, or you are unsure, please send us a copy of your new insurance card to frontoffice@smalltalkspeech.com.

2. Understand Your Costs

Check what your benefits and patient responsibility are for speech therapy and occupational therapy. This information is typically listed in the “Benefits” section of your plan summary. Ask your insurance provider about:

Copayments
Deductibles
Coinsurance
Out-of-pocket maximums

3. Check for In-Network Providers

Is SmallTalk in-network? In-network therapists generally result in lower out-of-pocket costs.

4. Get a Referral if Needed

Some plans require a doctor’s referral before therapy services can begin. Check with your pediatrician and your insurer.

5. Ask About Pre-Authorization

Certain services require pre-approval before coverage begins. Skipping this step could result in denied claims.

6. Know Session Limits & Rules

Plans may place limits on how many sessions your child can attend or may limit coverage based on diagnosis.

7. What to Do if a Claim is Denied

Denied claims can often be appealed. Don’t give up! Ask your insurer for steps to initiate an appeal if needed.

8. Explore School-Based Services

Your child’s school may also offer therapy services, which can be used in conjunction with or as an alternative to private therapy.

9. Keep Communication Open

Share any insurance changes with us right away so we can help avoid coverage gaps and ensure continuity of care. You can contact us at frontoffice@smalltalkspeech.com or 619-647-6157 ext. 7 if you have any insurance updates or have any questions.

How to Check Your Benefits

When you call your insurance company, here are some helpful questions to ask:

Is SmallTalk Pediatric Therapy in-network with my plan?
- You may need our NPI: 1619298791
What are my benefits for these CPT codes?
- Speech Therapy: 92523, 92507
- Occupational Therapy: 97166, 97168, 97530
Is there a deductible that applies, and how much of it has been met?
What is my copayment per therapy session?
Are there session limits for speech or occupational therapy?
Do I need pre-authorization?
Are there any diagnosis exclusions?

Always call the Member Services number on the back of your insurance card. If you are having trouble finding it, you can also try the numbers below:

Insurance Provider	Member Services Number
Anthem Blue Cross (CA)	1‑800‑967‑3015
Blue Shield of CA	1‑800‑443‑5005
Blue Shield Federal (FEP)	1‑800‑411‑2583
Kaiser Permanente	1‑800‑464‑4000
Sharp Health Plan	1‑858‑499‑8300
TRICARE West (TriWest)	1‑888‑874‑9378
UnitedHealthcare	1‑800‑577‑8539

Final Thoughts

Understanding and preparing for insurance changes doesn’t have to be stressful. Taking the time now to review your benefits, ask the right questions, and share updates with us ensures that your child’s therapy can continue uninterrupted. Please contact us at frontoffice@smalltalkspeech.com or 619-647-6157 ext. 7 if you have any insurance updates or have any questions. We’re here to support you and your family every step of the way.

Let’s work together to make the new year a successful one for your child and their care.

Identifying Speech and Language Delays: A Guide for Referring Providers

Educational, General, Speech Therapy | Aug 13, 2025 4 min read

As a pediatrician or primary care provider, you are often the first professional a family consults when they have concerns about their child’s development. One of the most common questions parents ask is:

“Is my child’s speech development on track, or should I be concerned?”

Speech and language delays are among the most prevalent developmental concerns in early childhood, yet many children with delays are not identified or referred for support until after critical early windows have passed. Early intervention and timely referrals can significantly improve long-term outcomes in communication, academic readiness, and social-emotional health.

This guide outlines key speech and language early indicators, supported by current research, to help guide your decisions around when to refer for a speech-language evaluation.

The Prevalence of Speech and Language Delays

According to the National Institute on Deafness and Other Communication Disorders, approximately 8-9% of young children have a speech sound disorder, and 7-8% of preschool children have language delays that may affect learning, behavior, and social interaction.

While every child develops at their own pace, persistent delays or lack of progress in key communication areas can indicate the need for further evaluation. Below are typical early indicators that suggest a child may benefit from a referral to a speech-language pathologist.

Early Indicators of Speech and Language Delays

By 12 Months

Does not babble with a variety of sounds (e.g., “ba,” “da,” “ga”)
Does not respond to name or familiar voices
Limited use of gestures (e.g., pointing, waving)

By 18 Months

Says fewer than 10 meaningful words
Does not attempt to imitate words or sounds
Cannot follow simple one-step commands without gestures

By 24 Months

Says fewer than 50 words
Not combining two words (e.g., “more juice,” “mama help”)
Speech is largely unintelligible to caregivers

By 36 Months

Struggles to form simple sentences
Speech is unclear to unfamiliar listeners more than 50% of the time
Limited vocabulary for age
Difficulty answering basic “wh” questions (e.g., what, where)

At Any Age

Regression in language skills
Persistent drooling or oral motor difficulties
Frustration or behavior issues related to difficulty communicating

Why An Early Referral Matters

Research supports early intervention as a key predictor of long-term success in children with language delays.

Children who receive therapy before age 3 make significantly greater gains in expressive language skills than those who begin later.
Without support, early speech and language delays can evolve into academic struggles, including reading and writing difficulties.

The earlier children receive therapy, the more effective and efficient their progress tends to be, both developmentally and from a resource perspective.

Our Approach at SmallTalk Pediatric Therapy

At SmallTalk, we specialize in evaluating and treating children with speech and language delays from infancy through school age. We understand that your time with families is limited, and our role is to support both you and your patients by providing:

Prompt evaluations and clear feedback
Family education and involvement in treatment planning
Collaborative care with pediatricians, early childhood educators, and specialists
Evidence-based, play-centered therapy that fosters engagement and growth

Whether a child is showing subtle signs of delay or more significant concerns, our team is here to help determine whether intervention is needed, and to guide families with care, compassion, and clinical expertise.

How to Refer

Referrals can be sent directly via fax or by calling our administrative team. We welcome direct conversations with providers who may want to discuss a particular case or family dynamic prior to referral.

If you’re unsure whether a child qualifies, we’re happy to offer an evaluation and determine if therapy is appropriate.

You as the primary care provider are the starting point for families. By identifying and referring children early, you play a critical role in shaping their communication journey—and in many cases, changing their trajectory for life.

Should My Child Start Speech Therapy? What Parents Should Know

Featured, General, Speech Therapy | Jul 16, 2025 3 min read

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.

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.

Summer Speech & OT Tips: Five Ways to Support Your Child’s Development at Home

Activities, General | Jun 18, 2025 3 min read

Summer break is here—and while it’s a great time to relax and recharge, it can also be the perfect season to support your child’s developmental goals through fun, play-based activities. Whether your child is working on communication, motor skills, or sensory regulation, there are plenty of simple ways to keep therapy going at home.

At SmallTalk Pediatric Therapy, we believe that kids learn best through play—and summer is full of playful opportunities. Here are some therapist-approved tips to help you make the most of the season.

1. Build Speech Skills Through Everyday Moments

Language is everywhere! Use summer outings—like beach trips, park days, or even grocery runs—to model vocabulary, ask open-ended questions, and encourage your child to describe what they see or feel. For younger children, narrate your activities and encourage imitation. For older kids, play games like “I Spy” or storytelling prompts in the car.

Summer Speech & OT Tips: Five Ways to Support Your Child’s Development at Home

Try this: Pack a “summer bag” and talk through each item: “This is sunscreen. It keeps our skin safe!”

2. Make Sensory Play a Daily Routine

Sensory bins, sand play, water tables, and even messy play with shaving cream or finger paint can help children with sensory processing challenges stay regulated and engaged. Summer is a great time to get messy outdoors!

Try this: Fill a bin with water, sponges, and cups for a simple, calming sensory station.

3. Strengthen Fine Motor Skills with Summer Crafts

From sidewalk chalk to water balloons, summer is full of hands-on activities that boost coordination. Crafts like beading, finger painting, and cutting shapes are great for improving grip strength and control—key goals in occupational therapy.

Try this: Make homemade lemonade and let your child squeeze the lemons, stir, and pour—great for hand strength and sequencing.

4. Keep a Routine—but Keep it Flexible

Kids thrive on predictability. Try keeping some structure to your summer days (e.g., morning chores, mid-morning activity, afternoon free play), but allow room for spontaneity. Consistent mealtimes, bedtime routines, and regular movement breaks support both sensory and communication development.

Tip: Use visual schedules to help your child understand what’s coming next.

5. Stay Connected with Your Therapy Team

If your child is enrolled in speech or OT over the summer, be sure to attend regularly—and talk with your therapist about summer goals and carryover activities. If you’re taking a break, ask for a few at-home strategies to keep skills fresh.

Not in therapy yet? Summer is a great time to schedule an evaluation or get started without the school-year rush!

SmallTalk is Here to Help All Summer Long

At SmallTalk Pediatric Therapy, we’re here to support your family year-round—with fun, effective, and compassionate care. Whether you’re continuing therapy this summer or want ideas to use at home, our team is always happy to share tools and encouragement.

If you have questions about your child’s speech, motor, or sensory development, schedule an evaluation today.

Here’s to a summer full of growth, play, and connection!