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Speech Therapy

Helping Your Child Be Understood

If your child is struggling to communicate, you’re not alone—and we’re here to help.


At Beyond Speech Therapy, we support children in building clear speech, strong language skills, and confident communication.

Signs Your Child May Need Speech Therapy

  • Difficulty pronouncing sounds clearly
  • Hard to understand compared to peers
  • Not combining words or forming sentences
  • Trouble following directions
  • Frustration when trying to communicate

Early support can make a big difference in your child’s confidence and development.

What We Treat

Sound Disorders

We help children who have difficulty producing sounds correctly, improving clarity and confidence. 

This may include:

  • Substituting sounds (“w” for “r”) 
  • Leaving sounds out (“ca” for “cat”) 
  • Distortions (like a lisp)


Phonological Disorders

  • “boo” instead of “boot”
  • "tat” instead of “cat”



Childhood Apraxia of Speech

A motor speech disorder that affects how the brain plans speech movements. 

Children may:


  • Have inconsistent speech errors
  • Struggle with sounds and word sequencing
  • Have difficulty with rhythm and timing of speech

Language Development

Receptive Language (Understanding)

How your child understands:

  • Directions
  • Words and meanings
  • Conversations

Strong receptive skills help children feel confident and succeed socially and academically. 

Expressive Language (Talking and communicating) 

How your child expresses:

  • Wants and needs
  • Thoughts and emotions
  • Ideas and questions

.

Sound Development Chart (pdf)

Download

Patterns of Speech Errors (png)

Download

What is Apraxia of Speech? (pdf)

Download

How We Help

Our therapy sessions are individualized and may include:

  • Visual cues to show sound placement
  • Verbal instruction and modeling 
  • Hands-on (tactile) support for motor planning
  • Play-based and engaging activities


We also provide home strategies so progress continues beyond sessions.

Language Development and Milestones

Welcome to Beyond Speech Therapy Speech Therapy

We know parents often wonder:  “Is my child where they should be?”

18 Months to 2 Years

18 Months to 2 Years

18 Months to 2 Years

During this period, children's language abilities grow rapidly. Here are key milestones to look out for:


Words: By 18 months, many children can say several single words. By 21 months, they might know between 50 to 100 words.


Types of Words: Expect to hear a mix of nouns, verbs, and some adjectives. Common words include names of family members, everyday objects, and favorite foods.


Following Instructions: Children can follow simple one-step instructions, such as "Come here" or "Give me the ball."


Recognizing Names: They can recognize and respond to their own name and the names of familiar people and objects.

21-24 Months

18 Months to 2 Years

18 Months to 2 Years

Two-Word Phrases: Around 21-24 months, children start combining two words to form simple phrases like "more milk," "big truck," or "mommy go."


Questions and Commands: They begin to understand and answer simple questions, as well as follow two-step commands like "Pick up the toy and give it to me."


Word Count: By the age of 2, most children have a vocabulary of around 200-300 words.


Exploring New Words: They frequently pick up new words, often after hearing them only once or twice.

 

Gestures: Use of gestures alongside words, such as pointing, nodding, or shaking their head.


Eye Contact: Improved eye contact when speaking or listening to others.

24 to 30 Months

18 Months to 2 Years

24 to 30 Months

Simple Phrases: Expect them to form simple two- to three-word phrases like "want cookie" or "big truck."


Simple Commands: They should begin to follow simple instructions such as "come here" or "sit down."


Recognizing Names: Your child will recognize and name family members and favorite toys.


Basic Concepts: They will start understanding basic concepts like "big" vs. "small" and "up" vs. "down."


Pronouns & Possessives: Start using pronouns like "me," "you," "my," and possessive forms like "mine." 

30 to 36 Months

30 to 36 Months

30 to 36 Months

 Sentence Formation: By now, your child will likely form longer sentences with three to five words, such as "I want more juice."


Questions: They will start asking simple questions like "What's that?", "Where go?" and "Why?"


Following Multi-step Instructions: Your child should be able to follow two- to three-step instructions, such as "Pick 

 Sentence Formation: By now, your child will likely form longer sentences with three to five words, such as "I want more juice."


Questions: They will start asking simple questions like "What's that?", "Where go?" and "Why?"


Following Multi-step Instructions: Your child should be able to follow two- to three-step instructions, such as "Pick up your toy and put it on the table."


Understanding Stories: They will understand short stories and can answer questions about them.

 

Conversation Skills: Your child will begin to take part in simple conversations, responding appropriately to questions and remarks.


Expressing Needs & Feelings: They will become better at expressing their needs and emotions with words rather than gestures or cries.


Descriptive Language: Start using descriptive words like colors, shapes, and sizes.


Pretend Play: Language becomes a significant tool in pretend play, helping your child explore roles and scenarios.

3-4 Years old

30 to 36 Months

30 to 36 Months

Vocabulary Expansion: By the age of 3, most children will have a vocabulary of around 200-1,000 words. By 4, this can expand to over 1,500 words.


Sentence Formation: Using more complex sentences with up to 5-6 words


Basic concepts: Naming colors and identifying shapes


Correct formation of sentences: Using pronouns correctly (e.g., "he," "she

Vocabulary Expansion: By the age of 3, most children will have a vocabulary of around 200-1,000 words. By 4, this can expand to over 1,500 words.


Sentence Formation: Using more complex sentences with up to 5-6 words


Basic concepts: Naming colors and identifying shapes


Correct formation of sentences: Using pronouns correctly (e.g., "he," "she," "they")


Tenses: Speaking in both present and past tense


Conversation Skills: They can hold a simple conversation and take turns speaking, asking and answering questions. 

1. Talk about activities from their day


2. Tell simple stories, often mixing real events with fantasy


 3. Describe what’s happening in a picture book


4. Sing nursery rhymes or songs from memory


Following directions: They can follow two-step directions like "Pick up your toys and put them in the box."


Questions: Understands "who," "what," "where," and "why" questions


Pretend play: using toys or objects to represent something else (e.g., using a block as a phone)Play with other children, using language to cooperate and share

4-5 Years Old

30 to 36 Months

4-5 Years Old

Hold Conversations: They can engage in back-and-forth conversations with both children and adults, taking turns speaking.


Tell Stories: They can narrate stories and describe their thoughts and emotions in detail.


Longer Sentences: Expect to hear them use longer sentences with more complex grammar.


Connecting Words: Words like "so," "but," an

Hold Conversations: They can engage in back-and-forth conversations with both children and adults, taking turns speaking.


Tell Stories: They can narrate stories and describe their thoughts and emotions in detail.


Longer Sentences: Expect to hear them use longer sentences with more complex grammar.


Connecting Words: Words like "so," "but," and "because" will start appearing in their sentences.


Emotion Words: They'll begin to use words that explain their feelings, such as "confused" or "upset."


Spatial Concepts: Terms like "between" and "above" will become part of their vocabulary.


Comprehension: They will understand most of what is said at home and in school.

Following Directions: They can follow multi-step directions and answer simple questions about short stories.


Storytelling and Imagination: Your child’s imagination will take off, and they’ll start telling simple stories. These narratives might not always make complete sense, but they’re a vital part of language development.

Social Skill Development

Children with high-functioning autism, Asperger’s syndrome, ADHD, and social anxiety often face challenges in communication and forming friendships. At Beyond Speech Therapy, we help children develop interactive friendship skills. 

Young School Age Children

Social stories, games, crafts, songs and videos will be used to guide patient in development and application of trained social skills. 


Goals may focus on:

  • Greetings/introductions/farewells  
  • Monitoring body language
  • Asking questions and answering questions
  •  Personal space recognition
  • Sharing ideas and maintaining topics 
  • Listening to others
  • Expressing needs/wants
  •  Accepting suggestions
  • Accepting "NO"
  • Identify emotions

Tweens and Teens

Direct teaching, sequential thought processing, role-playing, and video modeling are used to enhance and supplement social language skills.


Sessions may focus on the following skills:

  • Asking questions in class
  • Working as park of a group
  • Saying Hello and goodbye
  • Asking someone out on a date
  • Making supportive statements
  • Interviewing for a job
  • Interrupting a conversation
  • Asking for help when needed
  • Respecting each other's space
  • Making mistake
  • Giving class presentations
  • Forbidden topics
  • Doing difficult schoolwork

Social skills development from birth to 18 years old (pdf)

Download


Clinic Locations  

911 Walnut Hill Dr. Longview, Texas 75605  

109 Simpson St Gilmer, Texas 75644 

804 North Saint Mary St, Carthage, Texas 75633

Fax 888-245-6178


Copyright © 2024 Beyond Speech Therapy - All Rights Reserved.


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