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Speech Therapy and Speech Testing in Pune

Q: What is the 3:1 rule in speech therapy?

It is a guideline many speech therapists give parents: for every question you ask your child, make about three comments. Questions put a child on the spot, while comments, such as describing what you are doing together, model new words with no pressure to reply. It is a general tip, not a test. After an assessment, the therapist suggests what suits your child.

Q: Is speech therapy costly?

It varies, and there is no single figure. The total depends mainly on how many sessions are needed and how often, which depends on the difficulty and the goals. We tell you the cost of the assessment when you book, and the cost of the plan before therapy starts, with no pressure.

Q: What is a normal speech discrimination score?

The score is the share of words you repeat correctly when speech is comfortably loud, and is also called the word recognition score. People with typical hearing usually repeat almost all of the words correctly. A lower score means words are heard but not always understood clearly. The audiologist explains your own score alongside the rest of your hearing test.

Q: At what age should my child start speech therapy?

Earlier is better. If you have any concern about your child's speech or language, an assessment is worthwhile, because early intervention often makes therapy shorter and more effective. There is no age that is too young to be evaluated.

Q: Do you check hearing as part of a speech assessment?

Yes, and it is an advantage of our clinic. Because undiagnosed hearing loss can cause speech and language delay, we can test hearing and treat speech together, all in one place.

Q: How long does speech therapy take?

It depends on the person, the kind of difficulty and the goals. After the assessment we give you a realistic plan and review progress regularly, so you always know where things stand.

From a toddler who isn’t talking yet to an adult recovering speech after a stroke, the speech-language specialists at Prism Hearing, Speech and Balance assess, explain and treat. Every plan starts with a proper assessment, followed by patient, practical therapy for children and adults in Viman Nagar.

Book an assessment Call +91 97664 52655

Speech and language therapy session at Prism in Viman Nagar, Pune

Communication is at the heart of everything

Difficulty speaking, understanding or swallowing can affect confidence, schooling, work and relationships at any age. With the right assessment and consistent therapy, real progress is possible.

Speech and language therapy helps people understand others, put their thoughts into words, say sounds clearly, speak more fluently and swallow more safely.

We begin with a thorough speech-language assessment, share clear findings and goals, then work with you (and, for children, with parents) through structured, encouraging sessions.

How we help

Speech, language & swallowing care

Children’s speech & language

Assessment and therapy for delayed speech, unclear articulation, limited vocabulary, language delay and fluency concerns such as stammering, with parent guidance for home practice.

Adult speech & language

Support for communication difficulties after a stroke or neurological condition, including language (aphasia) and clarity of speech, to help you reconnect with the people around you.

Dysphagia (swallowing)

Assessment and management of swallowing difficulties, with safe-swallow strategies and guidance for patients and families.

Hearing-linked speech support

Because hearing and speech are closely connected, we coordinate speech therapy with hearing assessment and hearing-aid fitting where needed.

When to seek help

Consider an assessment if…

A child isn’t meeting speech milestones, or is hard to understand for their age
A child repeats sounds, blocks or stammers when speaking
A child struggles to follow instructions or to put words together into sentences
An adult has trouble finding words or speaking clearly after a stroke or injury
Coughing, choking or difficulty swallowing food or liquids
Someone can hear that people are talking, but often mishears the words

Your visit

How speech therapy works, step by step

Therapy always starts with an assessment, so the plan fits the person rather than a label.

A conversation first. We ask about your concerns, health and daily life. For a child, that includes development so far and anything nursery or school has noticed. Bring any earlier reports.
The assessment. Young children are assessed mostly through play, pictures and toys. Older children and adults talk, listen, name pictures and follow instructions. Where swallowing is the concern, we look at how food and drink are managed.
A hearing check where needed. If hearing could be part of the picture, we can test it in the same clinic.
Findings, goals and a plan. We explain what we found in plain language and agree clear goals with you.
Therapy and practice at home. Children learn through play, adults through everyday tasks. Short, regular practice at home helps progress carry over into daily life.
Regular reviews. We track progress and adjust the goals as things change.

When the goals are met, we agree how to keep skills going at home.

A plain guide

Speech testing and speech audiometry, explained

Speech testing can mean two things, and we offer both: a speech and language assessment of how a person speaks and understands, and speech audiometry, a hearing test of how well you hear and understand words. When a child’s speech is slow to develop, hearing is usually checked early, because undiagnosed hearing loss can cause speech delay. For babies, the first check is a newborn hearing screening.

What is a speech audiometry test?

You listen to words through headphones at different loudness levels and repeat them, or point to pictures. It shows how clearly you understand speech, which tones alone can’t fully tell us, and it guides the choice and fine-tuning of hearing aids. It is usually done with pure tone audiometry, the test with beeps.

The speech audiometry threshold

The speech reception threshold, sometimes called the speech audiometry threshold, is the softest level at which you can hear and repeat simple, familiar words.

Speech discrimination and the speech audiogram

The word recognition score, also called the speech discrimination score, is the share of words you repeat correctly when speech is comfortably loud. It measures clarity rather than loudness. A speech audiogram records both results for each ear, usually alongside your pure tone audiogram, and the audiologist explains them in plain language.

The speech banana on an audiogram

Plotted on an audiogram, the sounds of everyday speech fall in a curved band shaped a little like a banana. Deep sounds such as “m” and “oo” sit at the low-pitch end, and softer, high-pitched sounds such as “s”, “f” and “th” at the other. Where your hearing falls below part of the banana, those sounds are easy to miss, so speech can seem loud enough but unclear. It is a teaching picture, not a diagnosis: only a full hearing test shows what is happening in your ears.

See a doctor promptly if

Hearing drops suddenly, or a new hearing loss appears in one ear.
There is ear pain, discharge, or dizziness with a change in hearing.
Hearing or speech changes after a head injury.
A child stops using words or skills they had before.
Swallowing problems come with choking, chest infections or weight loss.

See a doctor or an ENT specialist promptly for these. If speech suddenly becomes slurred, or the face droops or an arm or leg is weak, go to a hospital emergency department now: these can be signs of a stroke. Read more about sudden hearing loss.

Questions

Speech therapy FAQs

What is the 3:1 rule in speech therapy?It is a guideline many speech therapists give parents: for every question you ask your child, make about three comments. Questions put a child on the spot, while comments, such as describing what you are doing together, model new words with no pressure to reply. It is a general tip, not a test. After an assessment, the therapist suggests what suits your child.

Is speech therapy costly?It varies, and there is no single figure. The total depends mainly on how many sessions are needed and how often, which depends on the difficulty and the goals. We tell you the cost of the assessment when you book, and the cost of the plan before therapy starts, with no pressure.

What is a normal speech discrimination score?The score is the share of words you repeat correctly when speech is comfortably loud, and is also called the word recognition score. People with typical hearing usually repeat almost all of the words correctly. A lower score means words are heard but not always understood clearly. The audiologist explains your own score alongside the rest of your hearing test.

At what age should my child start speech therapy?Earlier is better. If you have any concern about your child’s speech or language, an assessment is worthwhile, because early intervention often makes therapy shorter and more effective. There is no age that is too young to be evaluated.

Do you check hearing as part of a speech assessment?Yes, and it is an advantage of our clinic. Because undiagnosed hearing loss can cause speech and language delay, we can test hearing and treat speech together, all in one place.

How long does speech therapy take?It depends on the person, the kind of difficulty and the goals. After the assessment we give you a realistic plan and review progress regularly, so you always know where things stand.

Help finding the right words

Book a speech-language assessment in Viman Nagar for your child or yourself, and let’s make a plan together.

Book an assessment Call +91 97664 52655