Kitchen-table speech

Speech therapy practice at home

The clinic hour cannot outrun breakfast, bath and the walk to the door. Home speech practice is one pause and one word inside a routine you already run — not a second school day on the sofa.

Illustration of a parent and child talking during everyday play
A pause at snack teaches more than a pack of flashcards you will not open again.

Written by the Inclusive Developmental and Therapy Center therapy team — our Speech & Language Therapist, psychology and ABA staff. This page is awaiting its clinical review.

What “practice” actually is

Get down to their level. Comment more than you quiz. Wait five seconds after you speak. Offer a real choice with two things in your hands. Say it one word longer than they did. That is the work. It is also on speech therapy at home and in the talking program.

If every evening becomes a lesson, they will stop coming to you. Stop while it is still going well. Log a tick on the practice log if you want one. A blank day is information, not failure.

Illustration of a parent and child talking during everyday play
Illustration of a parent and child talking during everyday play

Urdu, English, both

Count words in every language the house uses. Mixing is not confusion. Growing up bilingual does not cause speech delay — we wrote that out on bilingualism and speech delay. Coach in the language they hear most. Roman Urdu guides if that is how you think.

When home is not enough

No words by 18 months, fewer than about fifty and no two-word phrases by two, strangers understand less than half at three, a stammer that has lasted months, or lost words. Then book the speech programme or a developmental assessment. Hearing first if it has never been checked.

One job, written down

A pause, a copy of one word, a slower start. Printable: sounds chart. Activities: speech activities. Coaching: coaching for late talkers. Bilingual: bilingualism does not cause delay.

The idea behind the work (in the books)

Five minutes in a routine you already have. If it only works with clinic toys, it will not survive Tuesday.

  • Hanen — OWL at snack

    Hold the cup. Wait. Honour the look or the sound. Then give it. Count Urdu and English.

  • Law Cochrane — parent-delivered therapy

    Trained parents can do this work. Coaching is how you get trained, not a leaflet.

These are teaching ideas, named so you can look them up. Naming a book is not a claim that we run a certified programme of that name — if we do not, the page says so.

What the research tells us

This isn’t just our opinion — it’s grounded in published research. Here are a few findings from trusted, independent sources:

  • The Cochrane review of speech and language therapy found no significant difference between clinician-delivered and trained-parent-delivered therapy for the outcomes it pooled. That is the case for this page.

    — Cochrane Database of Systematic Reviews — Law, Garrett and Nye (2003), CD004110. View source
These are external sources for general information, not a substitute for an assessment of your individual child. See our full evidence base →

Take a worksheet home

Print one sheet. Fill it in this week. Bring it to the consultation — a consultation is Rs 1,500 and lasts up to 50 minutes.

Book a consultation

Contact owner Muhammad Salman Afzal first. No referral needed. A consultation is Rs 1,500 and lasts up to 50 minutes.

FAQ

At home — questions parents ask

How many minutes a day?

Five honest minutes inside a routine beat a planned half-hour that never happens. If you want a structure, use the talking home program rather than inventing a curriculum tonight.

Should I correct every sound?

No. Model the word once, clearly, and move on. Correcting every utterance teaches a child that talking is dangerous.

Screens as a teacher?

A video does not wait for your child to request. You do. If screens are crowding out back-and-forth, that is the first change, not a new app.

Can you watch us at home on video?

Yes — that is parent coaching, in person or online. A consultation is Rs 1,500 and lasts up to 50 minutes.

They will not sit for “speech homework”.

Then it is not homework. Put the pause in snack or bath. A table drill with a toddler is the wrong job.

Take the first step

Ask about at home

A short, friendly conversation is the best first step. Call, text or WhatsApp us — we’ll listen and guide you, with no pressure.

MPS Road, Block A Model Town, Multan (near Bloomfield Hall School, Street No. 2) · Mon–Fri, 2 PM – 6 PM

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