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Speech therapy for 4-year-old children should start at the table. At this age, no matter what their language ability is like - he should be able to sit down with you for at least 10-15 minutes at a time.

Use this time to introduce toys that are age-appropriate. If she's still loving those baby toys, start teaching her how to play with pretend-play toys like doctor's kit and also some board games like shoots and ladders, funny bunny etc...

Once your child can sit down with you to play with age-appropriate toys, the next step is really to teach!
Is your child's problem in speech, language or both? Choose the 1 goal only, that will help your child the most. For example, if most of the time you cannot understand his pronunciation, then target his speech sounds. If you're not sure, please consult a qualified speech therapist for home therapy guidelines specifically for your child's case.

If it's language - meaning there's a problem with your child's ability to understand you or express his feelings appropriately... Then you need to determine at what level does his language operate.

Age does not determine what language goals you should target, children, develop language at their own pace. So it comes down to how much language he's using already and teaching at a slightly higher level.

Is your child non-verbal? This means that she's not using any meaningful words to communicate with you. Can he copy what you say? If not, then target some gestures and teach some sign language.

If your child can already speak, then teach sentences that are slightly harder than what he can say already. Use board games to give you and your child some structure to learning. If your child doesn't understand certain questions, then teach it through structured play with said board games as well!

It's very important that you should keep things as simple as you can at home. 10-15 minutes of structured learning - targeting only ONE goal. This will keep you and your child sane.

In other times you should do language facilitation more on that in this video: https://youtu.be/f7kgHyY1vFY

Comment below for specific questions! thanks!