Speech and Language Therapy FAQ

My 2 year old does not talk very much. Should I be concerned?

By the age of 2, most children will:

  • Use at least 50 words
  • Begin combining words (e.g., No cookie, More juice)
  • Recognize pictures in books and listen to simple stories
  • Put many actions together during play like feeding a doll, stirring, scooping, etc.
  • Follow a series of two related commands (e.g., Pick up the ball and give it to me)

If your child appears frustrated when trying to communicate or does not appear to understand simple directions, it would be good to contact a Speech-Language Pathologist. If your child does require some support, therapy at this stage of development typically focuses on giving parents strategies to help their child develop language. For additional information, please refer to: The Hanen Centre®

My 3 year old cannot say the “s” sound properly. Family and friends sometimes make comments about his speech. Should I be concerned?

There is a range in which typically developing children acquire sounds. Some sounds are seen earlier in development whereas others appear later. Often, parents think there is a problem when their child cannot produce a particular ‘sound’; however, there are many layers to the speech/language system of a child. When working with younger children and preschoolers, Speech-Language Pathologists examine several factors such as sound patterns (phonology), overall intelligibility, and the structure and function of the parts used for speech (lips, tongue, jaw). As a general rule for parents of young children, it is more effective to look at the overall intelligibility of your child when deciding whether there may be a problem. A 3 year old, for example, would be expected to be approximately 75% intelligible during everyday conversation. For further information, please refer to:

Caroline Bowen – Resources and information regarding typical speech/language development as well as speech/language disorders

Pamela Marshalla – Practical speech-language therapy techniques for therapists and parents

The Childhood Apraxia of Speech Association of North America

My 2 year old has recently started stuttering. Does she need speech therapy?

Stuttering most often begins between the ages of 2 and 5 years.1 Typically developing children are disfluent at times; for example, they may repeat words or phrases (e.g., I want a….I want a cookie). If your child’s disfluencies are quite noticeable and appear to be interfering with his/her ability to communicate, it is a good idea to contact a Speech-Language Pathologist (S-LP). The S-LP may ask you to monitor your child’s speech for a period of 3-6 months in order to observe any patterns or changes in severity. Stuttering can resolve on its own; however, there are particular types of disfluencies and risk factors that may suggest your child’s stuttering will persist. In the meantime, it is helpful to be patient with your child, allowing them to get his/her message out without interruption. In addition, try to focus on your child’s message rather than the disfluent speech. Children can quickly and easily become self-conscious about their communication. For further information, please refer to:

The Lidcombe Program

British Columbia Association of People Who Stutter

Canadian Stuttering Association

1Guitar, Barry. Stuttering – An Integrated Approach to Its Nature and Treatment (Philadelphia: Lippincott Williams & Wilkins, 2006), 26.

My 2 year old is not talking. He often seems uninterested in playing with me and does not respond to simple questions such as “Where’s daddy?”. I am worried that there may be more going on but everyone tells me that he will grow out of it. What should I do?

As a parent, you know your child better than anyone else. If you feel that something is not right with your child’s development, you may find it helpful to raise your concerns to your family doctor, who may decide to refer your child to a pediatrician. You can also speak to a community-based or private SLP regarding communication and play.

What is the fee for your services?
We charge $125.00/hour. Services billed include assessment, therapy, consultation, and report writing. For a therapy hour, 50 minutes are spent in direct contact with the client and the remaining 10 minutes are used for preparation and documentation.
Are there any funding sources for private speech therapy services?

Many extended health care plans provide some funding for speech/language services. Some additional funding sources are listed below:

Website: http://www.cknworphansfund.com/
Phone: 604-331-2711
Email: cknworphansfund@cknw.com

Website: http://www.variety.bc.ca/
Phone: 604-268-3891
Email: heart.fund@variety.bc.ca

Website: http://www.presidentschoice.ca/en_CA/community/pccc.html
Phone: 1-888-495-5111

Website: http://www.bcaps.ca/
Phone: 1-888-301-2227
Email: info@bcaps.ca

Can you provide home visits?
We do understand that some children work better in their home environment. We are able to travel to clients’ homes on a limited basis; travel time will be charged. Please inquire about specific rates and availability.

What our clients say

Alex was my daughter’s speech therapist for 2 years. I feel that Alex’s vast knowledge combined with her warm and caring personality greatly helped my daughter. Alex has many fun ways to teach and was very sensitive to my daughter’s moods and personality. Continue Reading

Parent of preschooler

We were extremely fortunate to have Alexandra as our son’s speech therapist. Alex was very knowledgeable about speech development and giving us strategies that we could use at home to help him improve his speech. Our son always looked forward to speech sessions, which were fun, playful and very productive... Continue Reading

Parent of preschooler