Will it suit us?
Is online speech therapy right for my child?
Online speech therapy suits a child when the help they need can be given by talking, listening and playing on...
Social Communication
Social communication therapy online can work, because a video call is itself a conversation and much of a young person's social life already happens on screens. Dr Lauren Crumlish (PhD), Certified Practising Speech Pathologist, works one to one by video with children and teenagers on goals they want, then plans how those skills reach the rest of their week.
The short answer
Yes, with one honest limit. Social communication is how we use language with other people: taking turns, reading tone and intent, and sorting out a misunderstanding. A live video call is a real conversation, so these skills can be practised, noticed and talked about as they happen.
What one to one video work cannot give is live practice with a group of peers. That part happens in your child's own world between sessions, planned beforehand and talked through afterwards.
On Screen
Goals come from the assessment and from what your child wants to find easier. Social communication work by video can include:
Starting, keeping going and ending a conversation
Noticing tone of voice, facial expression and what someone means but does not say
Spotting a misunderstanding and repairing it
Reading and writing messages and group chats, where tone is easy to misread
Planning for a situation coming up, such as joining a game or asking a teacher for help
Talking through how a real conversation from the week went
Social communication therapy here is not about teaching a child to act like someone else. Dr Lauren sets goals with the young person, such as being understood, keeping a friendship going or saying what they need at school. She assesses, chooses what to work on first, runs each session and checks what is changing. It starts with an online assessment.
For many children and teenagers, friendships carry on through messages, group chats and online games. Speech Pathology Australia notes that reading and writing play a real part in how friends communicate through text messages and social media. On a video call, a moment in the conversation can be paused and talked about straight away, and a message your child chooses to share can be looked at together, with their permission.
Skills learned in a session matter only if they work at school, at home and with friends. The American Speech-Language-Hearing Association notes that therapy should happen in natural settings where possible, and that group sessions are often used alongside one to one work to help skills carry over. Online, that means small tasks for the week, with a parent, or a teacher if your family chooses, noticing how they went, and Dr Lauren reviewing them in the next session. How sessions run from the first call is set out in how online speech therapy works.
Social communication differences are common in autistic children and teenagers, and some children have them without being autistic. Dr Lauren does not diagnose autism; a paediatrician, psychiatrist or psychologist-led team does. Families of autistic children can read online speech therapy for autistic children. For older students, online speech therapy for teenagers covers how sessions change, and when understanding or building sentences is also hard, see online language therapy.
Research on speech therapy by video, and its limits, is set out in the research on online speech therapy. Some children do better in a room with the clinician, and the guide to whether online therapy is right for your child lists when.
If this sounds like your child, apply to work with Dr Lauren.
Online Sessions
Every session is by video: 45 minutes of therapy within one hour of service.
Dr Lauren looks at how your child uses language with other people, through conversation and tasks on screen, and hears from you about home and school.
Your child helps choose the goals, in their own words where possible.
Your child works with Dr Lauren on screen for 45 minutes of each session.
A small task is set for the week, and Dr Lauren reviews how it went and adjusts the plan.
Fees
The Mid-Length Assessment is usually the one for social communication. Ongoing therapy is charged per session.
Therapy
One hour of service: 45 minutes of therapy by video, and 15 minutes of preparation and notes
$193
Every family starts with an assessment
$590
Usually for late talkers, stuttering and speech clarity
$890
Usually for school-age language, literacy or social communication
$1,290
Usually for both language and literacy in a school-age child
Medicare rebates are available with a doctor's referral, and private health cover may apply. Dr Lauren is not NDIS registered: self-managed and plan-managed participants are welcome. See fees in full
Questions Parents Ask
Many social communication skills can be practised by video, because a video call is a live conversation: turn-taking, tone, repairing a misunderstanding and reading messages all work on screen. What a one to one call cannot give is practice with a group of peers, so that is planned into school, home and other everyday settings between sessions.
A speech pathologist assesses how a child uses language with other people, sets goals with the child and family, and works on the skills that make conversations and friendships easier. Dr Lauren Crumlish works one to one by video and plans practice for the week between sessions.
No. Social communication therapy follows what the assessment shows, not a diagnosis, and some children have social communication difficulties without being autistic. Dr Lauren does not diagnose autism.
Often, yes. Many teenagers are at ease on a video call, and much of their social life already happens through messages and group chats, which can be worked on directly. Teenagers usually attend their sessions on their own.
No. Sessions are one to one with Dr Lauren, by video. Practice with peers happens in everyday settings between sessions.
Work With Dr Lauren
Dr Lauren works with a small number of families and has limited availability. Tell us about your child, and our team will review your application.
Apply Now