What to Expect at Your First Speech Therapy Session

Starting speech therapy can feel like a big step—especially if it’s your first time. Whether your child has just been evaluated or a pediatrician has referred you, it’s completely normal to feel a little uncertain about what comes next.

At APA Speech Therapy Inc., we’re here to support you every step of the way. In this post, we’ll walk you through what to expect during that all-important first session—so you can feel confident and prepared when your child begins their speech therapy journey.

Why the First Session Matters

The initial session sets the tone for your child’s entire therapy experience. It’s a chance for your Speech-Language Pathologist (SLP) or Speech-Language Pathology Assistant (SLPA) to build rapport with your child, gather important information, and start shaping a personalized treatment plan.

It’s also a time for you as a parent or caregiver to ask questions, share insights, and become an active part of your child’s progress.

What’s an SLPA?
SLPAs are trained professionals who work under the supervision of licensed speech-language pathologists (SLPs) to provide direct therapy and support services. At APA Speech Therapy Inc., our SLPAs play a key role in delivering high-quality, engaging, and effective sessions. If you’re unsure about the difference between these two roles, check out this helpful article: SLP vs. SLPA: Here's the Difference

Step-by-Step: What Happens at the First Speech Therapy Session

1. Warm Welcome and Introductions

We begin with a warm, friendly hello — the goal is to create a safe and welcoming environment. Your therapist might use toys, visuals, or games to make your child feel at ease.

2. Reviewing the Intake Form or Evaluation Results

If your child has already completed a speech evaluation, the therapist will review the results with you. If not, they may conduct informal observations or screening activities to gain a better understanding of your child’s communication skills.

Example: If your child is working on sound production, the therapist might play a game that encourages words with target sounds, such as/s/, /r/, or /th/.

3. Getting to Know Your Child Through Play

Play-based interaction is at the heart of pediatric therapy. Your therapist will engage your child in age-appropriate activities to observe skills such as:

• Expressive and receptive language

• Speech sound production

• Social interaction

• Attention and participation

4. Parent/Caregiver Collaboration

You play an essential role in your child’s progress. Your therapist will discuss your concerns, explain therapy goals, and offer guidance for supporting speech and language at home.

How to Prepare for Your Child’s First Session

Bring Relevant Info: Evaluation reports, IEPs, or notes from teachers can help your therapist customize sessions.

Dress for Play: Sessions often include movement—comfortable clothes help kids stay focused and engaged.

Set Positive Expectations: Discuss therapy as a fun and safe experience. Phrases like “talking games” or “play time with a new teacher” can help reduce anxiety.

Common Questions Parents Ask

Will my child always see the same therapist?
We strive to maintain consistency in our therapy sessions. Your child may work with an SLPA under the supervision of an SLP, depending on the plan. Both team members collaborate closely to ensure continuity and quality of care.

How long are sessions?
Typical sessions last 30 to 60 minutes and are tailored to your child’s goals.

What’s the difference between an SLP and an SLPA?
SLPs evaluate, diagnose, and develop therapy plans. SLPAs are certified to carry out therapy sessions and provide direct support under an SLP’s supervision. Both are trusted professionals working towards the same goal: helping your child thrive.

Real-Life Example

If your 4-year-old is working on forming longer sentences, the therapist may engage in pretend play using toys such as a dollhouse or animal figurines. They’ll model simple sentences, such as “She is jumping” or “The dog is eating,” encouraging your child to imitate and expand on them.

This helps your therapist observe your child’s communication while creating a fun, pressure-free learning experience.

Your Child’s Journey Starts Here

Every child is different—and so is every first session. Whether your therapist is an SLP or SLPA, you can expect warmth, professionalism, and a personalized approach.

Discover more about our services or explore our other family-focused blog posts.

You’re not just starting therapy—you’re starting a partnership.

Ready to Book Your First Appointment?

We’d love to meet your child and support your family. Contact us today or call us at (323) 924 - 9464 to get started.