10/14/2026
We spend so much energy on the first few sessions with the child. The eval, the goals, figuring out what’s going on.
But this study made me rethink where that early energy goes.
Researchers followed 41 families and 12 speech therapists through a 12-week intervention. The strength of the relationship between the therapist and the parent, rated after just two sessions, predicted how much the kids improved by the end.
Not the last session. The second one.
So those first visits aren’t just about getting to know the child. They’re when the parent decides whether they’re a partner in this or just dropping off.
A few things that help early:
👉 Ask the parent what matters most to them, not just what the referral says
👉 Explain the why behind what you’re doing in plain language
👉 Give them one small thing to try at home, not a packet
Save this for your next eval, and send it to a therapist who’s always rushing past the parent to get to the kid.
📚 Icht, M., Tayar, M., Mikulincer, M., Taitelbaum-Swead, R., & Ben-David, B.M. (2026). Parent-therapist therapeutic alliance: A neglected factor in pediatric speech-language intervention: A longitudinal study. Journal of Communication Disorders, 121, 106637.
cris.huji.ac.il/en/publications/parent-therapist-therapeutic-alliance-a-neglected-factor-in-pedia