Your Preschooler’s Speech & Language Development

Preschool is a time for learning, growth, and play. A preschooler’s language skills are quickly evolvPreschool Playinging during this time. You may notice your child beginning to share the exciting events of his/her school day, understanding the difference between what happened “yesterday” vs. “today”, and reciting various nursery rhymes and stories learned in school.

You play an important role in your child’s ongoing communication development. Talking, listening, and playing with your child will help to build the skills he or she needs to become a successful and confident communicator.

The following are examples of speech and language milestones typically met by three and four years of age:


  • Correctly says the following sounds: m, n, ng, p, f, h, w, k, g, b, d and t
  • Understood by listeners 70-80% of the time
  • Matches colors
  • Names a few colors
  • Answers simple “yes/no”, “what” and “where” questions
  • Counts to 3
  • Uses sentences to communicate
  • Follows a 3-step direction


  • Understood by listeners 90% of the time
  • Sentences may range 4 to 8 words in length
  • Asks and answers a variety of “wh” questions (who, what, where, why)
  • Accurately retells a long story
  • Starting to use complex sentences
  • Starting to use grammatically correct sentences
  • Counts to 10

Activities to foster your child’s communication skills include:

  • Use good speech that is clear and simple for your child to model.
  • Use descriptive words such as colors and opposites (big/little, fast/slow) as well as action words (walking, jumping, running) when you are talking with them.
  • Talk about places you’ve been or where you will be going.
  • Read books that are predictable and repetitive – pause to give the child a chance to fill in the words and phrases.
  • Talk about similarities and differences among objects.
  • Model correct sounds and grammar – child says “he drawed” and you say “yes, he drew”.
  • Play and pretend with them! They may like acting out scenes from their favorite movies or books, pretending to eat in a restaurant or to be a teacher.

If you have concerns regarding your child’s speech and language development, please contact Kristin Miller at Miller Therapy.  Located in Arlington Heights and serving the entire Chicagoland area, Miller Therapy provides expert Speech Therapy and Orofacial Myology. |




Tele-Therapy! Tele-what?

dddProviding therapy services over the internet in real time… We thought long and hard about providing this service.  Many have questions both from the client and provider side…The most common include – Is it as effective?  Is it covered by insurance? Is it HIPAA compliant?  Do I need to have a special computer program?  The short answers are Yes, Yes, Yes, and No.

Is it as effective?  Yes.  A tele-therapy program is tailored to the client’s needs.  After the initial evaluation or screening, which must be done in person, we will develop a therapy plan.  Depending on the severity of the case, tele-therapy can be the exclusive method of services or we may recommend a series of office visits combined with online sessions.  This can change over time as client goals are met.  Additionally, tele-therapy is an effective way to promote carryover of skills into the home.

Is it covered by insurance?  Very often, yes.  On the patient side, absolutely nothing changes from a billing perspective.  Technically, on the therapy side a modifier (or additional) code is used when submitting claims to insurance.

Is it HIPAA compliant?  Yes.  This has been a topic of debate for some time.  We have partnered with a simple, free, and secure tele-therapy service that is HIPAA compliant and is as easy to use as Skype or FaceTime.

Do I need to have a special computer program?  No.  But you must be using Google Chrome or Firefox (but it’s 2016, who uses Explorer anymore?) Prior to your tele-therapy session, a branded Miller Therapy link will be emailed to you – The same link will be used each therapy session.  Simply click the link and you are ready to begin.  It could not be easier.

If you have any questions, please visit our website at or email us at

Located in Arlington Heights and serving the entire Chicagoland area, Miller Therapy provides expert Speech Therapy and Orofacial Myology.