Speech/language therapy can help a child who uses echolalia learn to create their own spontaneous utterances as well. However, there is no one-size-fits-all treatment plan for children with echolalia.

There are different strategies that can be used depending on why and how the child is using their echolalia.

For that reason, I highly recommend that echolalia be treated by a licensed speech-language pathologist who can tease out exactly why the echolalia is being used. That being said, here are some strategies that will help reduce a child’s use of echolalia either in therapy or in conjunction with therapy.

Below are a few different speech therapy approaches and ideas for helping children with echolalia.

These are the strategies to use in speech therapy for gestalt language processors (GLPs).

Keep in mind, these are strategies that the adults in the GLP’s life should learn and acquire. These do not have to occur in this order and should eventually all be used together.

1. Finding (and Responding to) Meaning: Adults will seek out the meaning behind spoken gestalts and respond to the child’s communications.
2. Following the Child’s Lead and Imitating: Adults will follow the child’s lead in play or other activities and imitate the child’s speech and actions.
3. Using Statements and Silence: Adults will model language naturally by making statements and using intentional silence.
4. Playing with Pitch and Emotion: Adults will model language naturally by including more emotion and pitch variability in their spoken language.
5. Modeling Mitigable Gestalts: Adults will model different types of gestalts that will be easy for a child to mix and match later.
   1. First Person Gestalts: I…, I’m…
   2. Joint Perspective Gestalts: We…, we’re…, let’s…
   3. Neutral Perspective Gestalts: It’s…, that’s…, where’s…
   4. Suggestion Gestalts: Look…, how about…, don’t…., let’s…
6. Break em Down, Mix and Match: Adults will model how gestalts can be broken down into smaller chunks and mixed and matched to create new utterances.

Need some therapy materials for this? Use our GLP Curriculum for Shaping Echolalia. We have a worksheet and visual aids for each of these strategies.

When the Child Repeats your Question Instead of Answering

Echolalia when responding to questions is extremely common. This usually stems from the child not knowing how to answer the question appropriately but it can be very difficult to teach the child to answer the question if all he does is repeat the last word. Here’s what I do for this in therapy (keep in mind these steps may take weeks to master, this won’t happen all during one session):

1. 1. Choose one question type (like “do you want it?” or “what’s this?”) to address at first.
   2. Ask the question and then immediately say the answer with a single word (without pausing). It sounds like this “Do you want it? Yes.” Ideally, the child will just imitate the “yes” part of it. If not, encourage the child to imitate “yes” (or whatever the answer is). Keep doing this until the child is consistently repeating just the one-word answer.
   3. Ask the question again but now just say the first sound of the answer, like this: “Do you want it? Yyyy-“. Encourage the child to say the word “yes” by getting her started with the first sound. If you have to say the whole word with her a few times, that’s ok, but hold out the first sound until she starts it. Keep doing this until she is consistently saying the answer after you give her the first sound.
   4. Ask the question again but now just mouth the first sound but don’t say it out loud. You should just look like you’re about to say it. Direct the child’s attention to your mouth by pointing so she sees you starting to say the sound. Encourage the child to say the word after you mouth the first sound. Keep doing this but gradually fade the amount that you’re mouthing the sound until she will just say the answer without you needing to mouth it at all.
   5. Once she’s mastered one question form, start over again with a different question. Keep doing this until you’ve taught a variety of questions and she starts answering them spontaneously without using echolalia.

When the Child is Echoing Your Praise

This is my favorite because it’s so darn cute. It sounds like this:

Therapist: “Kevin, what does a puppy say?”

Kevin: “Woof woof. Good job, Kevin!”

That’s the moment when you realize, “Man, I must say “good job, Kevin” every time he gets it correct!” As cute as this is, it’s not very functional so it’s important to fade it out. The first thing you need to do, is stop saying whatever it is your child has associated with the next thing that comes after his response. Instead, just repeat the correct answer, pause, and then give your praise. So it would sound like this:

Therapist “Kevin, what does a puppy say?”

Kevin: “Woof woof. Good job, Kevin!”

Therapist: “Woof woof. A dog does say ‘woof woof’, you’re right.”

If that doesn’t fix the problem after several tries, then you can go back to the numbered steps above and use the same type of cuing system. For example, you would say “What does a puppy say? Woof woof.” Then, try to jump in and say “woof woof” again after he says it but before he can go on to say “good job”. It may take a while for him to get used to not saying the whole thing so just keep trying this and eventually it should fade out.

When Children Repeat Words While Stimming

Some children use echolalia because they find it comforting. We call this self-stimulatory because they are finding ways to provide themselves with stimulation that makes them feel good. Some children flap their hands or rock back and forth as a self-stimulatory behavior. We call this “stimming” for short. There are also children who use echolalia as a form of stimming.

I often see this from children when they are stressed out because they find their movie scripts or tv show scripts to be comforting because they are predictable. If a child doesn’t understand the world around him or why something is happening, he may prefer to do something that he is familiar with and that is predictable, like reciting an entire movie for memory. It’s comforting to him because he knows that movie script will always sound the same no matter what.

Other children may use this delayed echolalia as stimming because they are bored or are not tuned into the world around them so they retreat into their own world where Frozen is playing non-stop in their head and they can just tap into that and recite the character’s lines for entertainment.

Should we Stop a Child from Using Echolalia as Stimming?

Keep in mind that this is a pleasurable activity that the child enjoys and there’s nothing wrong with that. The child should be allowed to have some time during his day to use this echolalia as down time, just like you would allow a boy who loves playing ball some time to play with his basketball outside for some down time.

However, there are certain times when it is not OK for a child to be using echolalia. This may be while the child is in class and the teacher is talking, or when the child is in a quiet location like the library or at church. It is not fair to exclude a child from these situations because he doesn’t know how to stop using echolalia so it can be important to help him understand when it’s OK and when it should wait.

How to Help a Child with Disruptive Echolalia as Stimming

The key to stopping echolalia that is self-stimulatory is to figure out why it’s happening. If the child is stimming with echolalia because he is stressed out, see if you can find alternative ways to de-stress the child. This may include reading him a social story about what’s going on around him or teaching him some calming strategies that will help him self-soothe in a quieter manner.

If the child is using echolalia because he is bored or tuned out, it may be helpful to remind him to tune back in. For example, if he’s quoting movie scripts during class time, you could have an adult sitting next to him reminding him to focus on the teacher. Or, the teacher could frequently ask the child questions about what she is talking about to focus his attention back on her. You could also give the child a small fidget toy that will allow him to move his hands so he can focus on the teacher better.

Helping a Child Remember Appropriate Times to Use Echolalia

If the child doesn’t realize that he is using echolalia but is just doing it out of habit, you may need to teach the child rules about when it is ok to be talking and when it is not ok to talk. Then, have the teacher gently remind him of those rules when he is talking during a “no talk” time. Bringing his awareness to this and setting limits or rules may be enough to keep the child on track.

Click here to learn more about managing stimming and other self-stimulatory behaviors.

Our structured “Shaping Echolalia” Curriculum is perfect for learning the strategies needed to support children who are using echolalia to communicate, including gestalt language processors.