Is it time for therapy?
Should he be talking more at this point?
Should she be walking by now?
Kids are constantly growing, changing and adding new skills. Which means adults are constantly wondering if kids are adding the right skills, at the right time, with the right proficiency. So, when do you “wait and see” and when should you say, “it’s time for therapy?” The clues can help point the way and identify relevant details to share with your pediatrician.
Remember, as a parent, you know your child best. If the clues below and your daily experiences lead you to believe it’s time for therapy, request a referral from your pediatrician. If an evaluation reveals it’s not time for therapy, we’ll be happy to let you know!
Milestones
Always the top Google result for “Does my child need speech therapy?” The standard developmental milestones can be helpful, especially if you know they are merely guidelines and that each child’s unique set of circumstances plays a significant part in how and when they achieve them. If you’re unsure, we can help you navigate these norms to make the right decision for your child.
Known Roadblocks
Was your child premature? Have they faced serious childhood illness? Is there a family history of slower speech or motor development?
These clues might point toward earlier therapy. For example, if all of your children have experienced a muscular weakness that delayed walking, a wait and see approach isn’t helpful. If you know the problem, you should address it as early as possible. On the other hand, premature birth often explains delayed speech development and, to some extent, a “give it more time” approach could be appropriate. We are here to help you navigate this decision.
Areas of strength
Reviewing your child’s strengths is at least as important as assessing any weaknesses. For example, if your child is a bit behind on verbal communication, but is very physically active and always busy playing, their development may be focused on motor skills for now. Just like adults, kids rarely make equal progress across multiple areas simultaneously. While this may not rule out therapy, strengths are also an important factor to consider.
Frustration
Any time difficulty communicating or completing motor tasks causes clear frustration without gradually improving skills (initial, minor frustration can inspire new development) you should consult with a therapist. Even when the milestone chart says they aren’t that behind, growing frustration signals time for intervention.