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Speech therapy is almost always recommended for autistic children since many people with autism have difficulty with social communication. Even if a child is very verbal and says a lot of words, they might need to work on communication skills like: 

• responding to questions
• starting or ending conversation
• changing conversation topics
• using gestures like pointing
• understanding other people's body language 

Speech therapy is a big focus in early intervention for autistic children and is usually the starting place for recently diagnosed kids. There is a critical period in the brain for language development and so, it's really important to teach language and communication skills as early as possible, especially if there are any delays in that area. Your child will learn effective ways to communicate which will help them grow into more independent and confident individuals.

It might be obvious when a child struggles with speaking —they are very quiet, say only a few words, or don't speak at all.

Spot speech and language delays like a doctor here.

The goal of speech therapy is to help your child communicate effectively with other people across all environments. This may take the form of using gestures, simple signs, verbal speech, and Augmentative and Alternative Communication (AAC).

Some other common things speech therapists can help with:

• Nonverbal skills, such as signs or gestures
• Forming speech in a clearer way
• Communicating thoughts and feelings clearly
• Understanding and responding to questions
• Discerning facial expressions and their corresponding emotions
• Noticing and understanding body language
• Feeding and swallowing
• Stuttering

A mental health professional (such as a pediatric psychologist) can help concerns around anxiety, depression, trauma, eating disorders, ADHD, behavioral challenges, OCD, grief/loss.

If your child does not qualify, you can ask your school to evaluate your child for a 504 plan. This article provides more information about the differences between IEPs and 504s.

This happens. The results of the school’s evaluation may be different than your child’s medical diagnosis. It’s also important to remember that school is NOT the final say on your child’s potential. They may offer very little support to your child, underestimate their abilities, or disagree with you on what support your child needs. You will probably need to advocate for the services and support you believe your child needs.