Our Approaches
Our Therapy Approaches
Our experienced speech-language therapists adopt a mix of evidence-based approaches to support your child’s speech and language development. Our multi-pronged, multi-modal approach is dynamic, proven effective, and tailored to meet your child where they are.
Augmentative and Alternative Communication (AAC)
What is AAC?
AAC encompasses all the different ways that someone could communicate, apart from talking. It includes both unaided AAC such as hand gestures, sign language, or facial expressions, and aided AAC such as picture boards, notebooks, tablet/iPad apps, or Speech-Generating Devices.
Who is AAC
suitable for?
AAC is suitable for many kinds of communicators, including minimally speaking people, unreliable speakers, situational communicators, and people who lose speech during stress.
Research on adults with autism also suggested that AAC can support self-advocacy and expression during emotional shutdowns or fluctuating communication states (Frisch, Betts and Vertanen, 2025).
How can AAC
help my child?
When children are given alternative means to communicate, it lowers the frustration and pressure, making them more likely to attempt communication. Unlike speech which disappears, AAC is visual, which also gives the child more time to process what was said.
Cued Articulation
What is Cued Articulation?
Cued Articulation is a visual phonics system for the 49 sounds (phonemes) used in spoken English. Developed by Jane Passy, each cue shows where and how a speech sound is produced (Passy, 2003).
Who is Cued Articulation
suitable for?
Cued articulation is suitable for children with hearing impairments, phonological delays, or auditory processing difficulties.
Children with these difficulties benefit from having more visual support to help them learn oral motoe movements
How can Cued Articulation
help my child?
Cued articulation provides visual support for children who have difficulties with hearing the differences between speech sounds. It also supports both speech production and phonics learning. Cued articulation allows children to 'see' how a sound is produced.
DIR Floortime
What is DIR Floortime?
DIR Floortime promotes an individual's development through a respectful, playful, and engaging process. It uses the power of relationships and human connection to encourage the development of the capacities for self-regulation, engagement, communication, problem solving, and reasoning.
Who is DIR Floortime
suitable for?
DIR Floortime is one of the most widely known approaches to support children with autism spectrum disorder (ASD).
How can DIR Floortime
help my child with autism?
Neurodiverse children often require substantial motivation to engage in social interaction with their peers. They often do not initiate interactions unless they need something, hence tend to miss out on the opportunity to enjoy shared experiences. DIR Floortime taps on the child’s natural environment, as caregivers join them in their world and warmly pull them into a shared world to help them master each of their functional emotional developmental capabilities (ICDL, 2026).
Dynamic Temporal and Tactile Cueing (DTTC)
What is DDTC?
A motor-based approach, DDTC uses intensive, high-frequency practice, cueing and feedback to support the development of speech movement patterns instead of individual phonemes.
Who is DTTC suitable for?
Children with moderate to severe Childhood Apraxia of Speech. Children who can focus on their therapist’s face for some time, and can attempt direct imitation, are more likely to benefit from this approach.
How can DTTC help my child?
DDTC strengthens your child’s ability to plan and programme movements for speech, by emphasising whole-word and syllable-level movements. This also better reflects the fluid, connected nature of real-world speech. As your child improves in skill and accuracy, the cueing is gradually stepped down, slowly building your child’s autonomy in speech development.
Hanen – It Takes Two to Talk® / More than Words®
What is the Hanen approach?
The Hanen approach focuses on helping parents and educators gain the skills needed to play a key role in their child’s language development, through everyday activities and daily interactions. Two key parent programmes by The Hanen Centre are It Takes Two to Talk® and More than Words®. Each targets different child profiles and communication goals.
Who is the Hanen approach suitable for?
It Takes Two to Talk® is more suitable for parents of young children with general language delays or language disorders.
More than Words® is more suitable for parents of children with autism or social communication difficulties.
How can the Hanen approach help my child?
Research has shown that when equipped with the right skills, parents can provide a language-rich early learning environment that has greater impact than therapy sessions alone. At Speech Bubbles, we encourage parents or caregivers to sit in our therapy sessions to learn powerful strategies to motivate your child to interact with you, thus enabling therapy to be continued at home.
Intensive Interaction
What is Intensive Interaction?
Intensive Intervention focuses on building early social communication skills through responsive, play-based interactions and natural everyday routines. By following your child's lead and joining in their interests, therapists and parents create meaningful opportunities to foster connection, engagement, and intentional communication.
Who is Intensive Interaction suitable for?
Intensive Intervention is particularly suitable for toddlers and young children who are nonverbal, minimally speaking, or facing early social-communication challenges, including those with autism spectrum disorder (ASD) or developmental delays.
How can Intensive Interaction help my child?
By turning play into intensive learning moments, this approach helps your child develop crucial preverbal skills, such as eye contact, joint attention, and turn-taking. At Speech Bubbles, we empower parents with practical techniques to respond to subtle communication cues, transforming daily moments into powerful opportunities for language growth.
PROMPT
What is PROMPT?
PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) is a tactile-kinesthetic approach to speech therapy. It uses touch cues on the child’s face, specifically on the lips, jaw, tongue, and cheeks, to guide and shape the precise muscle movements needed for clear speech production.
Who is PROMPT suitable for?
PROMPT is suitable for a wide range of speech sound disorders in children, including Childhood Apraxia of Speech, dysarthria, articulation delays, motor speech disorders, and speech difficulties associated with autism spectrum disorder or global developmental delays.
How can PROMPT help my child?
By providing direct tactile feedback, PROMPT helps your child physically feel how to position their articulators and move between sounds to construct words. This tactile guidance reduces frustration, strengthens neuromuscular pathways, and builds muscle memory so that motor speech plans become smoother, more accurate, and more natural over time.
Sequential-Oral-Sensory (SOS)
What is SOS?
The Sequential Oral Sensory (SOS) approach to feeding is an evidence-based transdisciplinary framework that evaluates and treats feeding and weight issues in children. It addresses feeding as a complex developmental skill involving all sensory systems, organ systems, nutrition, and learning, moving children through a gentle 32-step hierarchical process from tolerating food in their environment to eating it.
Who is SOS suitable for?
SOS is ideal for children who struggle with food selectivity, mealtime anxiety, or texture sensitivities, including children with autism, sensory processing difficulties, motor coordination challenges, structural abnormalities, or global developmental delays.
How can SOS help my child?
Instead of forcing or pressuring a child to eat, SOS uses play-based sensory exploration to build comfort and confidence around food at the child's own pace. By gradually desensitising your child to the sight, touch, smell, and texture of foods in a safe, stress-free environment, SOS helps expand their food repertoire and transforms mealtimes into positive, social, and nourishing experiences.