Speech pathologist smiling, pondering 'what does a speech pathologist do' in her career.

What Does a Pediatric Speech Pathologist Do?

Reviewed by Dr. Joyce Richardson, PhD.

Ever wondered about what a pediatric speech pathologist does? Many people aren’t familiar with this specialized field and the important work that these professionals do.

Whether you are a parent seeking help for your child or simply curious about the field of speech pathology, this article will give you an introduction to the role of a pediatric speech pathologist and the valuable services they bring to the table.

What Is Pediatric Speech Pathology?

Pediatric speech pathology is a specialized field that focuses on evaluating and treating children with speech and language disorders, as well as communication and swallowing difficulties.

The main goal is to boost a child’s communication skills, making sure they can express themselves well and succeed in school and social situations.

This field tailors its techniques to kids and pushes the importance of early intervention for optimal development because research shows that the earlier children with speech and language delays receive treatment, the better the outcome.

What Does a Pediatric Speech Pathologist Do?

A pediatric speech-language pathologist focuses on assessing and treating children with speech and language disorders.

They evaluate a child’s communication skills, create individualized treatment plans, and provide therapy to improve speech articulation, language comprehension, and expression.

From newborns to teenagers, they work on vocalization, phonation, fluency, pragmatics, oral motor control, and more. They aim to improve verbal and non-verbal language skills that are crucial for social, emotional, and academic development.

Speech pathologist using a ball in therapy, showcasing what a speech pathologist does.

Specific areas of focus for Pediatric Speech Pathologists include:

  • Articulation Disorders: These involve difficulties in pronouncing sounds, leading to unclear speech.
  • Phonological Disorders: Challenges in understanding and using sound patterns in language.
  • Expressive Language Disorders: Difficulty in expressing thoughts and ideas verbally.
  • Receptive Language Disorders: Challenges in understanding and processing spoken language.
  • Fluency Disorders (Stuttering): Working on strategies to improve the flow of speech, reduce stuttering, and enhance overall fluency.
  • Voice Disorders: Addressing issues related to pitch, volume, quality, and resonance of a child’s voice.
  • Feeding Disorders: Addressing challenges related to the acceptance of different food textures and transitioning to solid foods.
  • Swallowing Disorders: Ensuring safe swallowing to prevent aspiration and other complications.
  • Social Communication Skills: Focusing on the development of social communication skills, including turn-taking, maintaining eye contact, and understanding non-verbal cues.
  • Pragmatic Language Skills: Targeting the use of language in social situations, such as initiating and maintaining conversations, understanding humor, and using appropriate language in different contexts.
  • Augmentative and Alternative Communication (AAC): Implementing strategies and tools to support children who have difficulty with spoken communication, including the use of communication devices and visual aids.
  • Cognitive-Communication Disorders: Addressing challenges related to memory, attention, problem-solving, and other cognitive aspects of communication.
  • Pre-literacy and Literacy Skills: Supporting the development of foundational skills for reading and writing, including phonological awareness and vocabulary building.
  • Accent Modification: Assisting children who speak English as a second language in modifying their accent to enhance communication clarity.
  • Autism Spectrum Disorder (ASD): Tailored interventions to support children with ASD in developing communication skills, and addressing unique challenges associated with social interaction, language development, and behavior.

Early Intervention

Little kid smiling, embodying the joy from speech therapy success.

Early intervention is the cornerstone of success in pediatric speech pathology. It’s not just about identifying and addressing challenges; it’s about a trajectory shift during the most formative years of their development toward a future rich in communication skills and self-confidence.

Research consistently underscores the pivotal role of early intervention in optimizing outcomes for children with speech and language delays. The brain’s remarkable plasticity during early childhood makes it especially receptive to therapeutic interventions.

Pediatric speech pathologists, armed with specialized knowledge and a compassionate approach, work hand-in-hand with families to identify and address potential issues at the earliest stages.

Pediatric Speech Pathologist Treatment Approaches

The field of speech-language pathology is as diverse as the people it serves, and the approaches taken by professionals can vary significantly based on the age group they work with.

Here are a few treatment approaches you may see being used by a pediatric speech pathologist:

  • Play-Based and Child-Centric Techniques: Pediatric speech pathologists often incorporate play-based activities to make therapy enjoyable for children. Games, toys, and interactive exercises are used to address communication goals seamlessly.
  • Family Involvement: Pediatric speech therapy often involve the child’s parents, especially when dealing with very young children, because of the integral role families play in a child’s development. This collaboration extends the learning beyond the therapy room into the child’s daily life.
  • Visual Aids and Technology: To cater to the diverse learning styles of children, visual aids, pictures, and sometimes technology (such as tablets with communication apps) may be integrated into therapy sessions.
  • Shorter, More Frequent Sessions: Given the shorter attention span of children, therapy sessions with pediatric speech pathologists are often shorter and more frequent. This approach keeps the child engaged and maximizes learning.

While approaches may differ, speech-language pathologists are trained to adapt their methods based on the unique needs of each individual, whether they’re a bubbly preschooler or a seasoned professional.

Ultimately, whether in pediatric or adult settings, the goal remains the same: to empower individuals to communicate confidently and thrive in their interactions.

When Does a Child Need To See a Pediatric Speech Pathologist?

Recognizing the signs that may indicate a child could benefit from the expertise of a pediatric speech pathologist is crucial for early intervention and support.

Early intervention with a pediatric speech pathologist can make a big difference in a child’s development, leading to better academic, social, and emotional outcomes.

Girl facing window with teddy, symbolizing signs a child may need to see a pediatric speech pathologist.

Here are key indicators suggesting when a child may need to see a pediatric speech pathologist:

  • Delayed Speech and Language Development: When a child isn’t reaching typical speech and language milestones, such as babbling by 12 months, saying single words by 18 months, or forming simple sentences by 3 years.
  • Unclear Speech: Difficulty in pronouncing sounds appropriate for their age, persistent baby talk, or frequent use of gestures instead of verbal communication.
  • Limited Vocabulary: A child struggling to build a diverse vocabulary or having difficulty understanding and using age-appropriate words.
  • Difficulty Following Directions: Challenges in understanding and following simple or multi-step directions.
  • Stuttering or Disfluency: Repetition of sounds or words, prolonged sounds, or interruptions in the flow of speech.
  • Limited Social Interaction Skills: Difficulty engaging with peers, making eye contact, or understanding social cues.
  • Feeding and Swallowing Issues: Difficulty with chewing, swallowing, or reluctance to try different food textures.
  • Persistent Thumb Sucking or Pacifier Use: Prolonged reliance on thumb sucking or pacifiers beyond age-appropriate stages.
  • Hearing Loss or Ear Infections: Frequent ear infections, chronic fluid in the ears, or known hearing loss.
  • Autism Spectrum Disorder (ASD) or Developmental Delays: Lack of interest in communication, limited gestures, or challenges in social interaction.

If you notice that your child is showing any of those signs, or you’re not completely sure, it’s best to reach out to a pediatric speech pathologist for their expert advice. They’ll be able to do a full assessment and let you know if your child could benefit from speech therapy.

Skills and Qualifications Required for a Pediatric Speech Pathologist

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A pediatric speech pathologist typically needs a Master’s degree in Speech-Language Pathology from an accredited program, state certification or licensure, and a Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from the American Speech-Language-Hearing Association (ASHA).

This requires completing a supervised clinical fellowship and passing a national examination. Additional certifications, such as the Pediatric Specialist Certification (PSC) from ASHA, may also be beneficial.

In addition to that, specific skills and knowledge required to work with children with communication and swallowing disorders include:

  • Patience and Empathy
  • Effective Communication
  • Creativity and Flexibility
  • Observational Skills
  • Problem-Solving Abilities
  • Team Collaboration
  • Adaptability to Technology

How to Find a Pediatric Speech Pathologist Near Me

Finding the right pediatric speech pathologist for your child can be tricky if you don’t know where to look.

Getting a recommendation from your child’s doctor, teacher, or fellow parents is usually a good starting point since personal referrals often lead to people you can trust.

You could also look to the American Speech-Language-Hearing Association (ASHA) website for a comprehensive list of qualified therapists in your local area. However, not everyone is located near a major city or has easy access to in-person therapy services.

Fortunately, in today’s interconnected world, geographical limitations no longer restrict your access to top-tier professionals. Now, you can conveniently connect with qualified experts without leaving the comfort of your home with virtual speech therapy.

The convenience of virtual therapy not only saves you time and travel but also ensures that your child receives expert guidance in a familiar and comfortable environment.


The experts at Virtual Speech Therapy LLC have over 50 years of experience specializing in addressing the unique communication needs of your child, and our team is dedicated to fostering a supportive space where children can thrive, and families can actively participate in their child’s developmental progress.

So, if you’re interested in pediatric speech therapy services, take the first step and reach out to Virtual Speech Therapy LLC today. The best experts are just a click away, ready to guide your child toward effective communication and developmental progress.