Maturation as a Therapy Strategy

By Pam Marshalla

Q: Do you think that physical maturation alone can be all that a particular client may need to help his speech improve?

Yes, clearly some children outgrow their speech problems. But the only way to know this is to let time pass without therapy. I sometimes recommend that a child go 6-12 months with no therapy to see what happens. I make sure the parents know that I am doing this and why. Often the parents and I alone, or the parents and I with the child make this decision together. Some kids just need a break for a while, and some kids you really don’t know if time will take care of his issues. This is a “non-answer” that I hope will help you think through this issue for the client you have in mind.

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