If you’re a parent of a child with autism, you may have questions about their communication and development. One of the most important people on your child’s support team can be a speech-language therapist (SLT).
Knowing what autism is, how it can affect communication, and how an SLT can help will give you the tools to better support your child’s growth and connection with the world.
What Is Autism?
Autism Spectrum Disorder (ASD) is a developmental condition that affects how a person communicates, interacts, and processes information.
The word spectrum means that autism can look very different from one child to another. For example:
- Some children speak fluently but find social cues confusing.
- Others may have little or no spoken language.
Autism is usually diagnosed in early childhood. While every child is unique, common traits may include:
- Differences in social communication
- Repetitive actions or routines
- Strong or focused interests
- Sensitivity to certain sounds, lights, textures, or other sensory input
How Autism Can Affect Communication
Children with autism may communicate in ways that are different from what’s typical—but these differences are just as valid.
Some examples include:
- Delayed or no spoken language
- Difficulty starting or keeping a conversation
- Repeating words or phrases (echolalia)
- Using fewer gestures or facial expressions
- Interpreting language literally rather than figuratively
- Finding it hard to read tone of voice or body language
Some children may prefer alternative communication methods like sign language, picture boards, or speech-generating devices. These can be just as effective as spoken words.
How Speech-Language Therapists Help
A speech-language therapist’s job is to help children communicate in ways that work for them—whether that’s through speech, gestures, devices, or other methods. Neurodiversity-affirming SLTs focus on building skills while respecting each child’s natural communication style.
Here’s how they support children with autism:
1. Building Communication Foundations
Therapists create opportunities for real, meaningful interaction—whether that’s talking, signing, pointing, or using AAC (augmentative and alternative communication) devices (see extra resource section below for more information).
2. Reducing Frustration
When children have reliable ways to express themselves, they’re less likely to feel upset or overwhelmed.
3. Supporting Social Skills
Therapists help children practice things like taking turns, greeting others, or joining a game—skills that make social situations smoother.
4. Helping in School
SLTs work on understanding instructions, sharing ideas, and participating in class in ways that match the child’s strengths.
5. Encouraging Emotional Expression
Whether it’s through words, signs, or pictures, being able to say “I’m sad” or “I need a break” helps children manage emotions and build confidence.
6. Promoting Independence
Learning to ask for help, make choices, and share opinions empowers children to speak up for themselves.
7. Working with Families
Therapists guide parents on how to support communication at home—so learning doesn’t stop when the session ends.
Why Early Support Matters
Starting therapy early—especially in the preschool years—can make a big difference in language, learning, and confidence. The sooner children have tools to communicate, the sooner they can build stronger connections.
Parents and Therapists: A Team Effort
Speech therapy for child with autism works best when parents are actively involved. You know your child best, and your insights help guide the therapist’s approach.
If you’re concerned about your child’s communication, don’t wait—ask your doctor for a referral to a speech-language therapist or book an assessment.
With the right support, every child can find their voice—whatever form it takes.
Extra Parent Resource: What Is an AAC Device?
AAC stands for Augmentative and Alternative Communication.
- Augmentative: Adds to spoken language (e.g., a child talks but also uses a device for clarity).
- Alternative: Replaces spoken language entirely when talking isn’t possible.
Types of AAC:
- Low-tech: Picture boards, books with symbols, or cards with words.
- High-tech: Tablets or devices with software that “speaks” when words, pictures, or letters are selected.
Important: Using AAC will not prevent speech development. In fact, it often helps children learn language faster by giving them a reliable way to communicate right now.
