Yes, It’s Doable And Often a Great Place to Start

Many parents ask, “Can I give speech therapy at home?” The answer is yes and in fact, starting at home can be a powerful first step. You already know your child better than anyone else. Your everyday interactions, routines, and playtime can become meaningful moments for language learning. With the right approach, you can support your child’s communication development right where they feel safest: at home.

But before diving in, it’s important to understand when speech therapy might be needed and how to spot the early signs.

How to Know If Your Child Might Need Speech Therapy

Every child develops at their own pace. Still, there are general speech and communication milestones that can help you know what’s typical and when it might be time to seek support. Recognizing these signs early can help you decide whether to begin speech therapy at home or consult a specialist.

Speech Milestones by Age

By 1 Year Old

• Your child should be babbling with different sounds, like “ba-ba”, “da-da”, or “ma-ma.”
• They may say one or two simple words like “mama” or “bye.”
• They respond to their name and simple phrases like “no” or “come here.”
• They may also show excitement when they see familiar people or toys.

By 2 Years Old

• Vocabulary starts to grow rapidly most toddlers say about 50 or more words.
• They begin combining words, like “want toy” or “more milk.”
• Your child should follow simple instructions like “give me the ball.”
• They can point to body parts or name common objects when asked.

By 3 Years Old

• Speech becomes more expressive. They may say 3–4 word sentences like “I want juice.”
• They ask questions: “What’s that?” or “Where is daddy?”
• Even though pronunciation isn’t perfect, you should understand most of what they say.

By 4 Years Old

• They can hold simple conversations, answer questions, and tell little stories.
• Their sentences become longer and more detailed, like “I went to the park with grandma.”
• Strangers can usually understand what they say.

Gestures Milestones: Early Signs Before Speech

Long before children start talking, they communicate through gestures. These are just as important as spoken words sometimes even more so.

By around 9–12 months, your child should:

• Point at things to show interest.
• Wave goodbye.
• Reach out to be picked up.
• Clap, shake head, or use other actions to communicate.

The key difference between typical development and a possible delay often lies in communication intent is your child trying to connect with you? Are they using actions to get your attention or share excitement?

If not, this could be a sign to observe more closely.

When to Worry: Red Flags for Speech Delay

❗ By 1 Year Old

• Not babbling or using simple sounds
• Doesn’t respond to name
• Doesn’t point or gesture

❗ By 2 Years Old

• Says fewer than 50 words
• Doesn’t combine two words (e.g., “want ball”)
• Struggles to follow simple instructions

❗ By 3 Years Old

• Doesn’t ask questions or use short sentences
• Speech is very hard to understand, even for parents
• Avoids eye contact or shows little interest in interaction

Not Sure If Your Child Needs Therapy? Start With These Small Changes

If you’ve noticed any of the red flags above and feel unsure whether your child truly needs therapy, try this simple 1-week reset at home. These small, focused changes can help unlock your child’s communication potential:

1. Eliminate Screen Time Completely

Cutting out passive screen time (like TV or mobile videos) allows your child to focus on real-world interactions. Replace screens with face-to-face play, books, or outdoor time.

2. Set a Consistent Night Sleep Routine

Good sleep helps brain development. A stable bedtime routine with calming activities like stories, cuddles, or lullabies prepares the brain for learning and attention the next day.

3. Play Interactive Games

Choose simple, back-and-forth games that encourage turn-taking and engagement:

• Peek-a-boo teaches anticipation and eye contact.
• Pretend play (feeding a doll or cooking toy food) builds imagination and expressive language.
• Sound imitation games (making animal noises, repeating simple sounds) improve listening and speech.

 4. Talk A Lot!

Narrate your day. Describe what you’re doing (“I’m cutting the apple”), comment on what your child is doing (“You’re stacking blocks!”), and always pause for them to respond even with a smile or a sound.

See Small Improvements? That’s a Great Sign!

If you notice better eye contact, more sounds, or an increase in words within a week you’re already on the right path. This means your child is responsive to natural communication and could benefit from home-based speech support. This early response shows that your child may thrive with speech therapy at home, especially when it’s play-based and loving.

How to Begin Speech Therapy at Home

• Start slow – Don’t rush into everything. Focus on one goal at a time.
• Be intentional – Track what you’re working on. It could be “name 5 common items” or “use 2-word combinations.”
• Check with a developmental pediatrician – This helps you understand what language goals are developmentally appropriate for your child’s age. It’s not about guessing it’s about knowing where to begin.

Not Sure What Your Goals Should Be? Start With Milestones

Understanding what your child should be doing is the first step to setting the right goals.

Download These Free Tools to Help You Get Started:

• CDC Speech & Language Milestones Chart

Use these tools to keep track of your child’s progress and guide your home-based speech therapy efforts with confidence.

When you align your goals with developmental milestones, speech therapy at home becomes much more effective.

Ready for Support? We’re Here to Help!

If you’re still unsure, don’t worry—you don’t have to do it alone. At Neuronurture Kids, we believe that every child deserves a voice, and every parent deserves support.

Book a professional evaluation or start home-based therapy with our expert team: Explore our services and Book an appointment now

If you’ve been asking, “Can I give speech therapy at home?”—you already have the most important ingredient: your love and dedication. With a structured approach and a little guidance, your home can be the most powerful place for your child’s communication to grow.

Let’s take the next step—together.