‘When Will My Child Talk’

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“When will my child talk?”

I get asked this question often. Speech therapy is not a miracle pill nor magic, things don’t just happen overnight.

We get involved as speech-language pathologists to consult with the families. We work together to determine what small changes and habits can be incorporated everyday into the family’s lives to create new communication habits in the child’s everyday life.

As any new habit, this takes time and commitment from both parties (the therapist and the family). I read somewhere that it takes 66 days to create any new habit. So we obviously need buy in from the parent. We can’t do this on our own.

If a child has attention deficits, receptive language skill delays, and expressive language delays there is even more wait on the expressive language skills part. When a child has other areas of need, sometimes we need to work on getting the child to attend to us first or work on joint attention before the child begins to speak.

For example, a child who is non-verbal and has joint attention delays compounded by receptive and expressive language delay, well then first thing is first. We are working on rapport first and working on engaging the child by making it fun. Then, as the eye gaze and joint attention improves, my focus becomes receptive language skills.

Expressive language or “talking” is generally the very last thing that appears as a result of all of the other skills having been addressed. I think this is an important part of our job as early interventionists, to communicate all the little steps that we need to address that get us to the end point, hopefully to get the child to “talk.”

I never give parents a timeline of when their child might begin to talk, as I cannot see the future. But, if I explain to the parents all of the things that we need to address first, those building blocks might get us closer to the end goal of the child saying their first words.

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About Author

Jasna Cowan, MS, CCC-SLP
Jasna Cowan, MS, CCC-SLP

Jasna Cowan, MS, CCC-SLP, is a bilingual speech-language pathologist and the Director and Founder of Speech Goals Speech Therapy, Inc. She is licensed by the state of California and Certified by the American Speech and Hearing Association (ASHA). Her certifications include a Hanen Certification, and Early Start Denver Method. Cowan has been working as a speech language pathologist for 12 years, having received her Bachelor’s and Master’s Degrees from San Francisco State University. In her career, she has gained valuable experience working for the Pacifica School District as an employee and then as a contract consultant for litigious cases. She has also spent a significant portion of her career at the Pine Hill School and the Newton Program for children with high functioning Autism. Her expertise includes speech and language delay and disorders including bilingualism, children with autism spectrum, and articulation and phonological delays and disorders with speech sounds. Her accomplishments include creating the first Mommy and Me sign language class at Kaiser Permanente San Francisco. Cowan currently serves as President of Speech ABCs, a non-profit that assists families in need of speech and language services and related services from her main offices in South San Francisco. Additionally, she consults for the Child Care Coordinating Council (4C’s) of San Mateo. Cowan also sits on a multidisciplinary team at Golden Gate Regional Center (GGRC) in San Mateo, CA for whom she also serves as a therapy provider forGGRC’s Early Intervention Speech Pathologist in Spanish and English. As a trusted GGRC service partner, she provides both bilingual assessments and therapy for young children, ages 0-3. In conjunction with this service, she also conducts parent coaching courses on speech and language facilitation at Good Samaritan Resource Center of the Mission District in San Francisco

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