Is Your Child’s Therapy Helping or Hurting?
I became a speech-language pathologist to help children find their voice. But somewhere along the way, I realized that for many, “helping” has become synonymous with “fixing.” It has become about molding neurodivergent children to fit into a neurotypical world, often at the cost of their well-being and authentic selves. I’m here to say that needs to stop.
We need to confront the uncomfortable truth that many of our most common practices are not just outdated, they are actively harmful to the neurodivergent children we are supposed to serve.
Why “Quiet Hands” Might Be Doing More Harm Than Good
Let’s talk about compliance-based therapy. It’s a cornerstone of many traditional approaches. We reward children for sitting still, for making eye contact, for giving the “right” answers. We see a child who stims, by flapping their hands, rocking, or humming, and our first instinct is often to extinguish that behavior. We call it “non-functional” or “distracting.”
But have we ever stopped to ask why the child is stimming? Stimming is a natural, essential form of self-regulation. It can be a way to express joy, manage anxiety, or focus, in an overwhelming sensory environment. When we demand “quiet hands,” we are not teaching communication. We are teaching a child that their natural way of being is wrong. We are stripping them of their coping mechanisms and telling them their comfort is less important than our appearance of control. This isn’t therapy; it’s conditioning.
The goal should never be to produce a compliant, quiet child who can mask their differences to make the adults around them more comfortable. The goal should be to support a happy, regulated child who can communicate their needs and wants authentically.
Stop Labeling, Start Understanding & Embracing Your Child’s Unique Traits
The language we use matters. We label a child’s intense focus on a topic they love as a “restricted interest.” We call their unique way of moving their body “stereotypical behaviors.” We describe their honest, direct communication style as “lacking social pragmatics.”
These are not objective medical terms. They are judgments rooted in a neurotypical bias. What we call a “restricted interest” is often a deep, passionate engagement that brings immense joy and is a powerful gateway to learning, what I like to refer to as a “special interest.” What we call “lacking pragmatics” is often a communication style that values honesty and clarity over confusing, unwritten social rules.
By pathologizing these traits, we teach neurodivergent children to be ashamed of who they are. We send the message that their passions are weird and their instincts are wrong. A neurodiversity-affirming approach doesn’t see these traits as deficits to be corrected, but as unique characteristics to be understood and embraced.
How to Build a Therapy Approach That Truly Supports Your Child
Challenging these deep-seated norms is not easy. It means unlearning much of what we were taught and pushing back against a system that values conformity. But our children’s futures depend on it.
A truly affirming practice looks radically different:
- Prioritize Regulation Over Compliance: We first ensure a child feels safe, respected, and regulated. We create sensory-friendly environments and honor their need to stim. A regulated child is a child who is ready to connect and learn.
- Embrace Strengths and Interests: We use a child’s passions as the foundation for therapy. If a child loves trains, our sessions are all about trains. We join them in their world instead of forcing them into ours. This is where meaningful connection and communication blossom.
- Honor All Forms of Communication: We recognize that spoken words are not the only valid form of communication. We value and support AAC (Augmentative and Alternative Communication), body language, and scripting. A child using a device to say “I need a break” is communicating just as validly as a child who says it with their mouth.
Check out our Neurodiversity Affirming Ebook to learn more.
It’s time to stop asking neurodivergent children to change who they are to fit our world. It’s time for us, the professionals, the adults, to change our practices and our mindsets to fit the children we serve, a world that is beautiful and much more rooted in connection and authenticity. We must be brave enough to dismantle the old, harmful ways and build a new standard of care, one founded on respect, acceptance, and the unwavering belief that every child deserves to be celebrated for exactly who they are.
SHOLEH SHAHINFAR
M.A. CCC-SLP, RYT
Sholeh Shahinfar is the Founder of Valued Voices, a licensed Speech Language Pathologist, Child Communication Specialist and Certified Oral Motor Therapist. She is passionate about uplifting children’s voices in the world and inspiring self-expression. In her free time, Sholeh embraces a vegan lifestyle, loves going to the ocean, exploring nature with her pup Kobe, practicing yoga, traveling, and spending time with her loved ones.
