Speech therapy is not "one size fits all." A 2-year-old who isn't speaking needs a very different plan from a 5-year-old who can't pronounce "R" or "S".
Please read the statements below and click the button that best matches your child's situation.
Child is between 1 and 3 years old.
Uses mostly gestures (pointing) instead of words.
Has a vocabulary of less than 50 words.
Does not join two words together (e.g., "Mommy up").
Child speaks in sentences, but strangers find it hard to understand.
Substitutes sounds (e.g., says "wabbit" instead of "rabbit").
Has a lisp or slurred speech.
Family understands them, but teachers/friends do not.
Repeats sounds (e.g., "b-b-b-ball").
Prolongs sounds (e.g., "mmmmmommy").
Seems to "block" or struggle to get a word out.
Shows physical tension (blinking, facial grimacing) while speaking.
Does not turn when you call their name.
Avoids eye contact.
Prefers playing alone; doesn't show you toys.
Never speak to your child from above. Sit on the floor. Lie on the carpet. Get your face directly in front of theirs. When a child sees your mouth moving and your facial expressions, they connect the sound to the meaning.
Passive screen time (phones, TV, tablets) is the enemy of speech. It teaches children to receive information, not to communicate. For therapy to work, we need active interaction. Turn off the TV during meals and play.
Parents often talk too much. Ask a question or show a toy, then WAIT. Count to 10 in your head. Give your child the mental space to process and respond. The silence might feel awkward, but that is where the magic happens.
Narrate your life. As you cook, dress them, or drive, describe what is happening in simple words. "Mummy is cutting. Chop, chop, chop." "Water is pouring. Splash!" You are pouring vocabulary into their "language bucket."
If your child says nothing, you say one word ("Ball"). If they say one word ("Ball"), you add one more ("Big ball"). Always stay just one step ahead of their current level. This makes speech achievable, not overwhelming.
Stop saying "Say Apple! Say Apple!" This creates pressure and anxiety. Instead, just hold the apple and say "Apple" yourself, many times. Let them hear it without the pressure to perform. They will say it when they are ready.
Do not force English if it is not your home language. Speak in Hindi, Marathi, Gujarati, or whatever language carries your emotion. Speech is about expression. If a child understands the emotion in their mother tongue, the words will follow faster.
A child needs to hear a word 50 to 100 times before they say it. Do not be afraid to be boring. Read the same book. Sing the same song. Play the same game. Repetition builds brain connections.
If you want to play with blocks but they are looking at a fan, talk about the fan! "Round and round. Fast fan!" You cannot teach a child who isn't interested. Enter their world rather than forcing them into yours.
Did they make a grunt? A squeak? A point? Celebrate it! "Wow! You showed me!" Positive reinforcement releases dopamine in the brain, making the child want to communicate again.
While home therapy is powerful, some signs require a physical examination by an ENT specialist. If you notice any of the following, please book an appointment at Entina Clinic in Mumbai immediately:
Regression: Your child had words but lost them.
Ear Infections: Frequent ear pain or discharge.
No Babbling: No sounds by 12 months.
Frustration: Child is hurting themselves because they cannot communicate.