Terminology Explained

Sometimes, no matter how good our communications skills there are things we just don’t understand.

The following are some common speech and language terms and difficulties and what they mean in plain and simple language.

Attention and Listening

This is an important foundation for speech, language and communication development. Children need to not only hear but to listen to what is being said and they need to be able to sit and attend to an activity in order to fully understand. If children have difficulties with this area it can have a knock on effect to many other areas of development.

Receptive Language and Comprehension

This is the understanding of what people say. If children struggle to understand what is said to them this can affect their learning as well as their socialisation. It is therefore important any difficulties with understanding of language are dealt with as early as possible.

Expressive Language and Expression

This is what a child says and how they put words together to talk to people. Children can struggle to develop their language e.g. show a delay in their development. Other children may struggle to develop expressive language in the right way i.e. have disordered language. Both can impact on a child and therefore require help in order for the child to reach their potential.

Speech Sounds and Phonology

This is how a child says things rather then what they say. A child may use the wrong sounds e.g. “tar” for car or “pider” for spider. They may be able to make sounds on their own but struggle to put them together and use them in their conversation.

Verbal Dyspraxia

This is where a child has a specific difficulty with their speech and is characterised by the inability to coordinate their speech. They may know what sounds they want to say but find it difficult to produce them at the right time. This may appear as part of a wider motor coordination difficulty or may just be verbal dyspraxia on its own.

Social Communication Skills

These are the skills needed in order to communicate effectively e.g. eye contact, listening, waiting, turn taking, topic maintenance, empathy, awareness of others etc. These skills are crucial in order to be an effective communicator and are important in making and maintaining friendships and relationships with others.

Word Finding Difficulties

This is where a child struggles to use the right word at the right time. They may miss words out of their speech or replace words with another word.

Auditory Memory

This is the ability to remember information that has been heard and remember it in the correct order. A child who cannot “hold” a sentence of 3 or 4 words in his memory long enough to work out what is means will have difficulty in understanding language. Also, a child who cannot remember which sounds he heard in a word in the correct order will have difficulty in saying a word correctly or in spelling it correctly.

Specific Language Impairment

This is where a child is of normal intelligence but has specific difficulties with speech and language.

Alternative and Augmentative Communication System (AAC)

These are different ways to communicate that can be in addition to or to replace speech. These can include sign systems, use photos or symbols or using high tech aids such as voice output communication aids.


Other Frequently Asked Questions

Each child is different as are the difficulties they face so the questions you have will often be very specific but I’ve tried to offer some answers to some of the most common questions people have about speech and language problems and therapies.

Why should I choose independent therapy?

Independent and NHS therapists have the same basic training and qualifications and will offer similar therapy, however independent therapists can generally offer appointments sooner and can be more flexible in terms of what they offer and when. Independent therapists can also offer intervention in a variety of settings including your own home, schools or nurseries.

Where will you see my child?

I generally do assessments and therapy in your own home. I can however see you in my house if more convenient or in your child’s school or nursery. This can also be done flexibly, changing venue as needs change.

How often will my child be seen?

This depends on your child’s needs. I will always need to do an initial assessment which generally lasts an hour and then I may see a child for regular individual sessions either weekly, fortnightly or monthly; whatever frequency meets the needs. All input will be agreed jointly and discussed fully with you as parents.

What will I have to do as the parent?

At the initial assessment a case history will be taken where I will need as much background information as possible to help the assessment.

Parental involvement is important in the therapy process. I will give you ideas of activities and ways to back up therapy at home and it is important that these are followed through in order for your child to make the most progress. I ensure that any advice or activities are practical and easy to implement into your day as well as fun!

My child is seeing an NHS therapist, can you see them too?

Yes a child can have both an NHS therapist and an independent therapist at the same time. Liaison between the two is important and I ensure that I do this with any agencies involved with your child, in particular with any other speech therapist to ensure we are all working towards the same goal.

Where can I get more information and advice about communication difficulties?

The following organisations provide lots of useful information for children and young people with speech, language and communication needs (SLCN)

Afasic England

Association of Speech and Language Therapists in Private Practice (ASLTIP)

British Stammering Association


Royal College of Speech and Language Therapists

Talk to your Baby

The Communication Trust

What are your fees?

My fees have been set in line with the recommendations made by the speech and language therapy profession.

Please contact me to discuss exact fees for speech and language assessment and therapy (individual or group) and any other follow up appointments, such as reviews / ongoing advice sessions.