What to Expect at Your Child’s First Speech Therapy Session

Starting speech therapy can feel like a big step for both you and your child. You may wonder: What will happen during the first session? How do speech therapists get started? This guide walks you through what to expect so you can feel prepared and confident.

1. The Initial Evaluation

Your child’s first speech therapy appointment typically begins with a comprehensive evaluation. This is not a test your child can “fail.” Instead, it’s a way for the speech-language pathologist (SLP) to understand your child’s strengths, challenges, and communication style.

During this time, the SLP may:

• Ask you questions about your child’s speech and language history.

• Observe your child in play or conversation.

• Use standardized tests or informal assessments to see how your child produces sounds, understands language, and expresses themselves.

  
  

2. Building Comfort and Trust

Many children feel shy or nervous during their first session. A skilled pediatric SLP will prioritize making your child feel comfortable. We might start with a fun game, a favorite toy, or even some silly sounds to help your child relax.

Therapy is most effective when kids enjoy the experience, so the first session often includes lots of smiles, encouragement, and playful interactions.

3. Parent Involvement

Parents are a key part of the first session. Your SLP may ask you to share concerns, describe your child’s daily routines, or provide examples of when you notice communication struggles.

Don’t be surprised if you’re invited to participate during the session. This gives you hands-on strategies to support your child’s communication at home.

4. Setting Goals and Next Steps

At the end of the first session, your SLP will:

• Review findings and observations.

• Recommend how often therapy should take place.

• Outline initial speech therapy goals based on your child’s needs (e.g., improving speech sounds, expanding vocabulary, building social skills).

  
  

You’ll also get a chance to ask questions and discuss how therapy sessions are structured.

5. What Happens in Future Sessions?

Future sessions are typically shorter and more structured, focusing on skill-building. Expect fun activities like games, crafts, and books that target your child’s specific speech and language goals.

Final Thoughts

Your child’s first speech therapy session is all about building a strong foundation. The goal is to create a positive, engaging experience that sets the tone for progress. 

If you’re ready to take the first step, reach out to schedule an evaluation—your child’s voice matters!