Child Therapy FAQs | Speech, OT, Autism & ABA Therapy
Parent-friendly therapy information

Your questions about child therapy, answered.

Clear and practical answers to common parent questions about speech and language therapy, occupational therapy, autism support and ABA therapy.

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Simple answers without complicated clinical language.
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Focused on assessment, development and individual needs.
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Every child's strengths, needs and progress are different.

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Speech & Language Therapy

Communication, speech development and language concerns.

How do I know if my child may need speech therapy? +
A speech and language evaluation may be helpful if you notice ongoing difficulty with speaking clearly, understanding language, using words or sentences, communicating needs, interacting with others or developing communication skills expected for your child's age. A qualified speech-language professional can assess your child's individual development.
What is the difference between speech and language? +
Speech refers mainly to how sounds and words are produced. Language refers to understanding and using words, sentences and other forms of communication to share ideas, needs and feelings. A child can experience difficulty in one area or both.
Is late talking always a sign of a developmental disorder? +
No. Children develop at different rates and late talking can have several possible reasons. However, persistent concerns should not simply be ignored. A professional evaluation can help understand your child's communication skills and determine whether monitoring or additional support is recommended.
At what age should a child start talking? +
Communication develops gradually through eye contact, gestures, sounds, understanding and words. Developmental milestones can provide guidance, but children do not all develop at exactly the same pace. If you are concerned about your child's communication at any age, discussing it with a qualified professional is appropriate.
Can too much screen time affect language development? +
Young children learn communication especially well through responsive interaction with people. Excessive passive screen use can reduce opportunities for talking, playing and interacting. Parents can support language development through conversation, shared play, reading, singing and everyday routines.
What happens during a speech therapy session? +
Sessions depend on the child's goals. Activities may include play, picture-based activities, conversation, sound practice, storytelling, language exercises and parent coaching. For younger children, therapy often looks like structured play while the therapist targets specific communication skills.
How long will my child need speech therapy? +
There is no single duration that applies to every child. It depends on the type of communication difficulty, severity, age, therapy goals, consistency of attendance, home practice and how the child responds to intervention. Progress should be reviewed regularly.
Should parents practice speech activities at home? +
Yes. Short and consistent practice within everyday activities can help children use new skills outside the therapy room. Your therapist can show you appropriate strategies for meals, playtime, books, outings and other daily routines.
Can bilingualism cause speech delay? +
Learning more than one language does not by itself cause a language disorder. A bilingual child may distribute vocabulary across languages. If there is a true language difficulty, it is generally noticeable across the languages the child uses. A professional familiar with bilingual development can provide appropriate assessment.
When should I request a speech and language assessment? +
Consider an assessment when communication difficulties persist, interfere with daily life, cause frustration, affect learning or social interaction, or when a parent, teacher or healthcare professional has developmental concerns. Parents do not need to wait until difficulties become severe before seeking advice.

Occupational Therapy

Daily living, movement, sensory processing and independence.

What does occupational therapy help children with? +
Paediatric occupational therapy can support skills needed for everyday life, including dressing, eating, handwriting, play, fine motor coordination, movement, attention, sensory regulation and participation at home or school. Therapy goals should be based on the child's individual needs.
How do I know if my child may need occupational therapy? +
An OT evaluation may be useful when difficulties with fine motor skills, self-care, sensory experiences, coordination, handwriting, play or daily routines are consistently affecting participation and independence.
What are sensory processing difficulties? +
Some children respond to sounds, touch, movement, smells, tastes or other sensations differently from others. They may appear very sensitive to certain sensations or seek additional sensory input. An occupational therapist can explore how these responses affect everyday activities and recommend suitable supports.
Can occupational therapy help with handwriting? +
Yes, when handwriting difficulty is related to skills such as hand strength, pencil control, visual-motor coordination, posture, motor planning or letter formation. The therapist first identifies what is making writing difficult before choosing activities.
Can OT help a child who struggles with dressing or feeding? +
Occupational therapists can support many activities of daily living, including dressing, using utensils and participating in mealtime routines. Feeding concerns can have different causes, so the therapist may recommend additional medical or specialist evaluation when needed.
What happens in an occupational therapy session? +
Sessions may use movement, play, obstacle courses, fine-motor activities, sensory activities, self-care practice and task-specific exercises. Activities are selected according to the child's assessed goals rather than using the same programme for every child.
Why does occupational therapy sometimes look like play? +
Play is one of the main ways children learn. Therapists can use carefully selected play activities to work on coordination, attention, problem solving, strength, motor planning, sensory regulation and independence while keeping the child engaged.
Will parents receive activities to practice at home? +
Often, yes. Your therapist may suggest practical strategies that fit into normal routines rather than giving only formal exercises. Consistency between therapy, home and school can make it easier for children to use their skills in everyday situations.
How long does occupational therapy take? +
Therapy duration varies according to the child's needs, goals and progress. Some children need short-term support for a specific skill while others benefit from longer-term intervention. Goals should be reviewed periodically and adjusted as the child develops.
Can OT support children at school? +
Occupational therapy can support skills that affect school participation, such as sitting, handwriting, organising materials, using classroom tools, sensory regulation and completing daily school routines. Collaboration with teachers can be useful when appropriate.

Autism

Development, assessment and supportive intervention.

What is autism? +
Autism is a neurodevelopmental condition associated with differences in communication, social interaction, behaviour, interests and sensory experiences. Autism is a spectrum, which means autistic children can have very different strengths, challenges and support needs.
What are some early signs parents may notice? +
Parents may notice differences in areas such as social communication, responding to name, gestures, shared attention, language development, play, repetitive behaviours, interests or sensory responses. One behaviour alone does not diagnose autism. Developmental concerns should be assessed in the context of the whole child.
Does speech delay mean my child has autism? +
No. Speech delay can occur for many different reasons. Autism is assessed using a broader pattern of development, including social communication, interaction, behaviour, play, interests and sensory characteristics. A comprehensive evaluation is more informative than relying on one symptom.
How is autism assessed? +
Assessment may include developmental history, parent interviews, direct observation and standardised assessment tools. Depending on the child's needs, professionals from different disciplines may contribute information. The exact assessment process varies by provider and clinical situation.
Should I wait and see if I am concerned about my child's development? +
Parents can discuss developmental concerns whenever they arise. Early evaluation does not automatically mean a child will receive a diagnosis. It can help clarify strengths, identify areas needing support and guide the family on appropriate next steps.
Can therapy cure autism? +
Autism is not an illness that therapy should aim to "cure." Support is generally focused on helping the child develop useful communication, daily living, learning, regulation, participation and independence skills while respecting their individual needs and differences.
Which therapies may be recommended for an autistic child? +
Recommendations depend on the child's individual profile. Support may involve speech and language therapy, occupational therapy, behavioural intervention, psychological support, educational intervention or other services. Not every autistic child needs the same combination of therapies.
Can autistic children learn to communicate? +
Autistic children communicate in different ways and communication development varies significantly between individuals. Support may focus on spoken language, gestures, pictures, communication devices or a combination of methods depending on what works best for the child.
Why is parent involvement important? +
Parents know their child and daily routines extremely well. Collaboration helps therapists choose meaningful goals and helps children practise useful skills outside the clinic. Parent coaching should support families rather than place unrealistic pressure on them.
Are all autistic children the same? +
No. Autism is a spectrum and every person has a unique combination of strengths, preferences, communication styles and support needs. Therapy and educational plans should therefore be individualised rather than based only on the diagnosis.

ABA Therapy

Behavioural learning, skills and parent involvement.

What is ABA therapy? +
Applied Behaviour Analysis, commonly called ABA, uses principles of learning and behaviour to understand why behaviours occur and to teach useful skills. A programme should be individualised around meaningful goals rather than following the same plan for every child.
Is ABA therapy only for autistic children? +
ABA principles can be used in different settings and with people who have different learning or behavioural needs. It is commonly associated with autism intervention, but whether ABA is suitable should depend on an individual assessment and meaningful goals.
What skills can be addressed in ABA? +
Goals may include communication, following daily routines, play, social participation, independence, self-care, learning readiness and reducing behaviours that interfere with safety or meaningful participation. Goals should be selected according to the child's needs and family's priorities.
What happens during an ABA session? +
Sessions can include structured learning as well as natural play and everyday activities. The therapist may break a skill into manageable steps, provide practice, reinforce progress and collect information to understand whether the teaching approach is working.
How are ABA therapy goals decided? +
Goals should be based on assessment, observation, developmental priorities and discussion with the family. Useful goals focus on skills that improve the child's communication, independence, safety, learning or quality of daily life.
How do therapists track progress in ABA? +
Therapists may record information about targeted skills and behaviours during sessions. Reviewing this data can help determine whether the intervention is effective and whether teaching strategies or goals need to be adjusted.
How long does a child need ABA therapy? +
The frequency and duration of intervention should depend on the child's assessed needs, goals, progress, family circumstances and other services the child receives. Treatment intensity should be reviewed rather than automatically remaining the same indefinitely.
Are parents involved in ABA therapy? +
Parent involvement can be very valuable. Therapists may explain strategies that parents can use naturally at home and discuss which goals are most relevant to daily family life. Families should also be able to ask questions and participate in treatment planning.
Is ABA supposed to stop harmless autistic behaviours? +
Intervention should prioritise meaningful areas such as communication, safety, independence and participation. Behaviours that are harmless and help a child regulate should not automatically become treatment targets simply because they look different. Goals should respect the child's dignity and wellbeing.
How will I know whether ABA is helping my child? +
Progress should be connected to meaningful functional changes, such as communicating more effectively, becoming more independent or participating more successfully in everyday activities. Therapists should review progress with parents and update goals when necessary.
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Not sure which service your child needs?

You do not have to decide the therapy yourself. A developmental or clinical assessment can help identify your child's strengths, concerns and the most appropriate next steps.

Start with your concerns

Note what you are seeing at home, school, playtime or during daily routines.

Complete an appropriate assessment

Assessment helps professionals understand your child's individual strengths and needs.

Discuss therapy recommendations

Not every child requires the same therapy, frequency or combination of services.

Review progress regularly

Therapy goals can change as your child learns, develops and becomes more independent.

Still have questions about your child's development?

Speak with our team about your concerns and find out which professional or assessment may be appropriate for your child.

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Important: The information on this website is for general educational purposes only and is not a diagnosis or a substitute for individual medical, developmental or therapeutic assessment. Development varies between children. If you have concerns about your child's development, communication, behaviour, movement or daily functioning, speak with an appropriately qualified healthcare professional.