How old is too old for speech therapy? That’s a trick question! Some people think therapy is only for children, but in reality, it can be helpful for all ages–even adults and teenagers.

If your teen seems to be struggling with communication, read on. In this post, we’ll discuss everything you need to know about speech therapy for teenagers.

Does speech therapy work for teenagers?

Yes! Any person, at any age, who isn’t at the level they should be in their communication abilities can benefit from speech therapy.

Think about it like this: If someone is having trouble developing the skills needed to be a confident communicator, it’s best to step in and provide help. There’s no magic age at which speech therapy is no longer beneficial. Similar to improving your cooking, piano playing, or athletic skills, all people can continue to learn and grow in their abilities–no matter their age!

Reasons a teenager may need speech therapy

There are many reasons an adolescent may receive speech therapy.

Articulation:

Speech therapy for articulation helps people learn to correctly pronounce sounds that they’re struggling with.

A teenager can have trouble with any sounds. However, some of the trickier errors that can linger if not properly treated in childhood occur with the /s/, /r/, and /l/ sounds.

Expressive and receptive language

A teen may have trouble with receptive language, expressive language–or both!

Let’s break down what these are. Receptive language is a person’s ability to understand what is spoken to them. Expressive language is a person’s ability to make their wants, needs, and ideas known through clear communication.

If a teen has receptive language problems, they may have trouble understanding questions asked in conversation or at school. They may also have a tough time following directions. This could be due to difficulty following the structure and exact meaning of sentences, or difficulty understanding vocabulary terms being used.

If a teen has problems with expressive language, it may be hard for them to construct sentences that make sense. They may even misuse words if they’re struggling with vocabulary usage.

Another tricky area of expressive language development is the ability to tell a story or retell an event. Let’s say your teen is telling you about something that happened at soccer practice. If their speech is hard to follow, and the story they’re telling stops and starts several times, this could be a sign of an expressive language delay.

As a whole, any challenges with clearly communicating thoughts and needs is a sign that speech therapy may be necessary.

Pragmatics

This is a major area where some adolescents need help. Pragmatics refers to the social aspect of language and communication. This includes social rules such as:

  • Maintaining eye contact during a conversation
  • Not standing too close to the person with whom you’re speaking
  • Staying on topic in the conversation
  • Having a two-way, rather than a one-sided, conversation

Even the ability to understand sarcasm and figurative language can be a challenge for teenagers who struggle with pragmatics.

Think of social language as the “icing on the cake” of being a good communicator. If you know what to say, but don’t know how or when to say it, your message may not come across the way it’s intended! Treatment for social language is extremely beneficial for teenagers struggling in this area and can help them become the best communicators they can be.

Stuttering and fluency

This is another challenging area for some teenagers. Stuttering is the disruption of normal, fluent speech sounds and movements. It can sound like a person stammering over the first sound in their sentence, or repeating a word over and over. There can even be instances of “blocks,” where a person appears frozen and has trouble making the mouth movements to continue what they’re trying to say.

It’s best to start speech therapy as soon as stuttering is observed. For some teenagers, this may be an issue they’ve dealt with all their life. But sometimes, stuttering can occur later in childhood or adulthood.

Voice therapy

This type of therapy can help improve the quality of the voice. It can be beneficial for those who have an underlying issue causing problems with the vocal cords, such as vocal fold paralysis, vocal nodules, and underlying neurological problems. Vocal volume, strength, and pitch are usually targeted in voice therapy.

Signs your teenager may need speech therapy

If you are wondering if your teenager may need speech treatment, here’s a quick checklist of signs to look for. An adolescent who needs therapy may exhibit just one of these signs, or several:

  • Difficulty pronouncing certain speech sounds
  • Speech that is hard to understand
  • Stuttering while speaking
  • Difficulty clearly expressing thoughts and needs
  • Poor ability to answer questions
  • Difficulty telling a story and explaining something in a sequential order and in a way that makes sense
  • Voice issues, such as hoarseness or inability to speak loudly enough
  • Not easily able to follow social rules in conversation with others:
  • Difficulty keeping eye contact
  • Poor ability to use appropriate body language
  • Difficulty participating in a conversation by staying on topic and asking and answering questions
  • Inability to understand sarcasm or figurative language

If you sense that your teenager may have trouble in one or more of these areas, schedule an evaluation with a speech-language pathologist. Let’s talk a little about what this involves!

How to find a speech therapist for your teenager

When you’re first considering speech therapy, it may feel a little overwhelming. Just take it one step at a time, and you’ll find exactly what you need.

How to Find and Choose the Perfect Speech Therapist
Choosing a speech therapist isn’t a decision to take lightly. In this article, we break down several important considerations to help you find the ideal speech therapist for you and your family.

As a speech-language pathologist, I can offer these tips:

First, talk with your child’s doctor or pediatrician. Even though your adolescent isn’t so little anymore, their pediatrician can still be a great source of information. They may have recommendations for a qualified speech therapist. Plus, in many cases, a doctor’s script is needed for insurance to approve visits for therapy.

If you want to research for yourself (and I recommend you do!), talk with friends whose children have had speech therapy. And be sure to look online. Take time to read reviews of several therapists. Reviews can give you a good sense of a therapist’s expertise, working style, and personality.

It’s best to find a therapist who specializes in working with teenagers. As you do your research, be sure to put this question at the top of your list. And keep teletherapy in mind as an option. It can be an effective and convenient way to receive speech therapy, especially for busy teens.

Why Choose Teletherapy
The top five reasons why online speech therapy may be a better alternative than traditional methods for you and your family.

What does speech therapy for teenagers look like?

During your initial visit, the speech therapist will complete an evaluation. This will allow them to see exactly what areas of communication your child is struggling with.

If the therapist sees areas that need improvement, they will recommend treatment. Sessions are typically held at least once a week. During these sessions, your speech therapist will target goals they have hand-picked for your child. Each session will focus specifically on these goals so that the speech therapist can measure progress over time.

Speech therapy can be personalized to your teenager’s likes and interests. For instance, if your child enjoys games, their speech-language pathologist may choose one to complete while practicing. It could be a card game, a strategy game, even trivia about your teen’s favorite TV show! Speech therapists who work with teenagers know that their interests differ from those of younger kids, so they’ll be sure to select tasks your child will enjoy.

Of course, some teenagers may not need this extra motivation to participate. Many teens are self-motivated enough that they can simply come in and work with their speech therapist.

No matter what your child prefers, your speech therapist will always work to keep your child comfortable and encouraged. They know speech therapy can be challenging–and that therapy likely isn’t how a teen prefers to spend their free time. Your speech therapist will provide just the right balance to keep therapy motivating and purposeful.

Your involvement matters!

One important thing to note: Although your teen is more independent than a young child, their speech therapist should still involve you in therapy. They should provide frequent updates on your child's progress, as well as recommendations for home practice.

The Importance of Parental Involvement in Speech Therapy
One of the most powerful tools your child has to improve their speech and language problems is also the most accessible: you.

Ensuring your child follows through on this home practice is key! Speech therapy sessions absolutely help teens gain the communication skills they need. But it’s the practice that happens between sessions, at home and during everyday life, that helps them progress even faster.

As a speech-language pathologist, I know that the therapy journey isn’t always an easy one. But if this is what your child needs, then looking into resources for speech therapy is the very best thing you can do for them! It won’t be too long before your teenager is a grown adult, off on their own attending college or working. Establishing these foundational communication skills now is one of the most valuable things you can do to ensure their success.