At Milestones Kids Therapy Hub, we take a neurodiversity-affirming approach to speech pathology with our autistic clients. We recognise that communication is not a one-size-fits-all process, and our therapy focuses on supporting each child's unique way of interacting with the world.
Child-Led and Family-Centred Therapy
Our approach is child-led, with the child’s interests and preferences shaping the therapy process. We adopt a family- and child-centred method, viewing the child’s functional communication skills holistically, across all their everyday environments. Whether in play, school, or home life, we work to support communication in a way that feels natural and empowering for the child.
One example is tailoring therapy to include a child’s special interests, whether it’s a favourite toy or game. This helps the child feel engaged and understood, allowing them to communicate more comfortably in a way that works for them.
Focusing on Communication, Not Conformity
A key aspect of our practice is explaining to families that the goal of speech pathology is to support communication and support the child to access the world, not to push children to interact in neurotypical ways. Many traditional methods aimed at “treating” autism have caused harm by focusing on making autistic individuals conform to neurotypical standards.
With the growing outpour of autistic voices, there’s now a shift in understanding. We reference these perspectives when discussing goals with families, emphasising the importance of respecting the child’s way of communicating and the value of neurodiversity.
Augmentative and Alternative Communication (AAC)
For some children, AAC (such as high-tech communication devices) can be a valuable tool. However, we never force AAC on any child. It’s always there as an option, inviting the child to use it at their own pace and agency.
When a child selects AAC as a preferred method of communication, we know it’s the right choice for them. Families are often reassured when they see how these tools can help their child express themselves more clearly and confidently.
One common myth we address is the concern that using AAC will slow or halt the development of spoken language. In reality, AAC often supports language development by reducing frustration and providing a clear way to communicate, which can ultimately encourage more verbal interactions.
Sensory Considerations in Speech Therapy
Sensory differences are common among autistic children, and these can have a significant impact on communication. That’s why we work closely with the child’s occupational therapist, speak with parents, and make our own observations to understand the child’s sensory needs.
Speech pathologists at Milestones Kids Therapy Hub are knowledgeable about sensory processing, and we ensure our therapy environments are adapted to be sensory-friendly. This might include dimming lights, playing music, or allowing for movement during sessions.
To help families understand sensory differences, we often reference our own preferences or show the “teacup analogy” video. This visual aid explains how some people’s sensory systems are easily over or underwhelmed.
Involving Families in the Process
Family involvement is a cornerstone of our approach. We coach parents to embed communication strategies into their child’s everyday routines—whether it’s during playtime, mealtimes, or when out and about.
For example, parents might be encouraged to follow their child’s lead in play, using moments of joy and engagement to build on communication skills. This makes the learning process natural and fun for both the child and the family.
We also advise families to surround themselves with neurodiversity-affirming perspectives. Whether through online communities or advocacy, it’s important to embrace different methods of communication and ensure the child feels understood and accepted by those around them.
Celebrating Progress in All Its Forms
At Milestones Kids Therapy Hub, we celebrate all wins, no matter how big or small. Whether it’s a child maintaining engagement or finding their voice through AAC, we set short- and long-term achievable goals that reflect their individual path.
It can be understandably difficult for parents not to compare their child’s progress to that of neurotypical peers, but we always reassure families to focus on their child’s individual growth. Every achievement, no matter the size, is worth celebrating.
By shifting away from traditional milestones and embracing each child’s unique journey, we create a supportive, affirming space for growth and development.
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