Signs Your Child May Benefit from Speech Therapy or Occupational Therapy

Every child develops differently, but sometimes extra support can help build confidence and skills. Here are some areas to watch for.

Speech and Language Skills to Watch

  • Not combining words by age 2

  • Limited vocabulary for age

  • Difficulty telling simple stories or expressing needs clearly after age 3

  • Trouble following directions or understanding what others say

  • Difficult to understand—speech unclear compared to same-age peers

  • Stuttering (i.e. repeating parts of words or whole words, getting stuck on a sound when speaking)

Occupational Therapy Related Skills to Watch for

Play & Social Skills

  • Prefers to play alone most of the time

  • Limited pretend play or difficulty joining peers in play

  • Trouble taking turns or sharing during play

  • Difficulty making or keeping friends

Fine Motor Skills

  • Trouble using crayons, markers, or scissors

  • Avoids puzzles, coloring, or small-object play

  • Awkward or fist-like pencil grip past age 3

Gross Motor Skills

  • Clumsy or less coordinated than peers

  • Trouble running, climbing, jumping, or using playground equipment

  • Avoids physical play or tires easily

  • Poor balance or body awareness; bumps into things often

Self-Care Skills

  • Difficulty dressing or undressing independently

  • Challenges with feeding—messy eater, picky eater, avoids textures

  • Struggles with tooth brushing, bathing, or haircuts

  • Delays in toilet training compared to peers

Behavior & Regulation

  • Frequent tantrums or difficulty calming down

  • Very active, constantly in motion, short attention span

  • Overly sensitive to touch, sound, smells, or movement

  • Has trouble adjusting to changes in routine


What To Do Next

If you notice several of these signs, and feel that your child is struggling in one or more of their daily environments, a speech or occupational therapy evaluation can help you understand your child’s strengths and needs.

Schedule a free phone consultation to be connected with a Speech Language Pathologist or Occupational Therapist at Synapse.

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