09/02/2026
One of the biggest lessons I’ve learned as a young clinician came early in my career while completing an evaluation with a four-year-old nonspeaking child.
I learned firsthand that just because a child may not communicate verbally doesn’t mean they don’t understand. This little one was listening—to the positive comments, but also to the negative ones.
It was a powerful reminder to always assume that a child understands what you’re saying, even if they don’t communicate back to you.
Include them in the conversation.
Talk to them—not around them.
Speak about them with the same respect you would speak about anyone else.
And above all, presume competence.
Achild’s ability to communicate is not a measure of their ability to understand. ☀️