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Does My Play Therapy Client Need Speech Therapy?
Play therapy clients may sometimes reveal through their interactions the need for specialized speech and language support. This article aims to guide therapists, caregivers, and educators through the signs that indicate a potential need for speech therapy and how to proceed with this knowledge.
Quick Look

Recognizing the signs that a play therapy client may need speech therapy is a critical skill for therapists, educators, and caregivers. Early identification and intervention can make a significant difference in a child’s communication skills, self-esteem, and overall development. By staying observant and proactive, and by fostering a collaborative approach with speech therapists and families, we can ensure that children receive the comprehensive support they need to thrive in all aspects of their lives.




Director, Play Strong Institute



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Understanding Play Therapy and Speech Therapy

Play therapy is a powerful tool for addressing emotional, psychological, and even some physical challenges that children face. Through play, therapists can observe and interact with the child in ways that are both meaningful and non-threatening to the child. Speech therapy, on the other hand, focuses on improving a child’s communication abilities, including speech production, understanding and using language, and social communication skills.

Signs a Child Might Need Speech Therapy

While engaged in play therapy, you might observe certain signs that suggest a child could benefit from speech therapy. These signs include:

  1. Delayed Speech Development: If a child's speech development seems delayed compared to typical milestones (e.g., not having a first word by age 1, two word phrases by age 2, not speaking in sentences by age 3), this might be a concern.

  2. Difficulty Following Directions: Trouble understanding or following simple instructions during play can indicate issues with processing or understanding language.

  3. Frustration During Communication: Children who frequently show signs of frustration or withdrawal because they cannot express their thoughts or needs clearly might need speech therapy.

  4. Unclear Speech, Dysfluency, or Stuttering: Difficulty being understood by unfamiliar listeners, long pauses in speech, stutter or stammering, consistently mispronouncing sounds and words beyond the age when this is developmentally typical could indicate a speech issue.

  5. Limited Vocabulary: A noticeably smaller vocabulary than peers or difficulty naming common objects can signal language development concerns.

  6. Social Communication Challenges: Difficulties in playing with others, taking turns in conversation, or understanding non-literal language (e.g., jokes, idioms) can suggest the need for speech therapy.

What to Do Next

If you've observed one or more of these signs, consider the following steps:

  • Professional Evaluation: Recommend a comprehensive evaluation by a certified speech-language pathologist (SLP). They can assess the child’s speech, language, and communication skills in depth.

  • Collaboration: If speech therapy is recommended, work collaboratively with the SLP. Integrating strategies and goals between play therapy and speech therapy can provide a cohesive and supportive environment for the child.

  • Parental Support: Engage and educate parents or caregivers about the findings and the importance of speech therapy. Their understanding and support are crucial in the child’s progress.