
The Role of Play in Pediatric Speech Therapy: Making Learning Fun
Have you ever wondered why your baby spends so many hours on the floor, seemingly playing with the same toy over and over again?
Does your child love to play peek-a-boo games with you for hours in the mirror? Do they enjoy pushing their favorite pop-up toy?
And do they giggle with glee as the smiling elephant pops up to their delight, again and again? Do they carry their treasured stuffie around with them all day long? Kissing it, feeding it, washing it, and hugging it?
Additionally, does your child relish pretending to prepare an elaborate meal? Do they like building towers within the city they are constructing?
I invite you to consider that this ‘silly playtime fun’ DOES have a very strong purpose in every child’s early language development! This is exciting news! All this playtime and these games DO serve a very integral purpose in early language development! Play and language are greatly intertwined at this stage of your child’s development, which is why I thoughtfully incorporate play into my speech therapy approach.

Building Language Through Play
As a child learns to engage with their environment and toys, they are growing a multitude of language skills, including: improving their language expression, social engagement, and attention to directions.
Play also encourages growth in a variety of cognitive skills, including: imaginative play, creative problem solving skills and critical thinking skills.
Why Play Is a Powerful Part of Early Language Learning
In 1980, speech-language pathologist Carol Westby conducted extensive research, which resulted in the Westby Play Scale. This is a widely used and highly regarded assessment tool. I personally continue to use this play scale when screening for possible language differences in the infants and young children that I treat today within my own pediatric speech-language therapy clinic in New York City.
In Carol Westby’s research, it became evident that both language and play skills develop together and also influence each other within this intertwined relationship. As a child’s play skills grow, so do their language skills flourish and vice versa.
I will briefly explain Carol Westby’s Play Scale and illustrate how this interdependent relationship between play engagement and language development in infants and young children develops over time. This growth in language occurs as connections and engagement with games and toys evolve gradually over time.
A nurturing and playful environment lays the foundations for this early language learning.
Stage 1 of Play & Language Development:
In Carol Westby’s Play Scale, the first stage of language development is marked by vocalizations and occurs within the first 12 months of age. This first year of your baby’s life is filled with loads of floortime games, like peek-a-boo and patty-cake!
These hide-and-seek games serve a very important function. These games teach a child about the concept of object permanence.
What is Object Permanence?
Object permanence refers to the ability to know that an object can be hidden in sight, but still exists. This is a crucial foundational concept to comprehend.
During this first year of life is when a child begins to identify and label common people and objects. A child at this first stage of play also learns the concept of cause and effect.
What is Cause and Effect?
Cause and effect refers to the concept of: “I can have an effect on my environment.”
“I can do things, and then other things happen!”
They are learning that they can have a powerful effect on their environment. This is why your child may enjoy playing with the same pop-up toy on repeat! Rejoice! This is a very powerful stage and the foundation of learning personal agency!

Stage 2 of Play & Language Development:
The second stage of language and play development occurs between the ages of 13 months and 17 months. This is when a child builds their single-word vocabulary.
At this second stage of play and language development, they may start to call out to you, expressing their desires with enthusiasm, “SHOES,” “DOOR,” “OPEN!”
During this second stage of language development, a child begins to use a combination of gestures, vocalizations, and single words to express their needs, thoughts, and ideas. Also within this stage, a child is still dependent on visual references to name objects.
At this stage of play, a child is learning to operate more complex toys with buttons, switches, and levers. As these play skills expand, so does their ability to problem solve with these toys and the environment. Additionally, they may enjoy a simple shape sorter, a jack-in-the-box, or a simple three-piece puzzle to engage with on the floor.
Stages 3 & 4 of Play & Language:
Stages 3 and 4 of language and play development occur between the ages of 17-22 months. When your child is in the third and fourth stages of language development they will begin to combine some simple two word phrases.
Now they may begin to refer to items not within their visual sight. They may start to request: “go park,” “eat cheese” or “sleep mommy.”
A child’s play skills at this third and fourth level becomes more complex and they begin to engage in what we call play schemes!
What are Play Schemes?
Play schemes are: play routines that young children engage in and act out.
These play routines involve acting out every day activities that help them to learn about themselves, their environment, and how they can successfully engage, learn, and navigate within the world around them.
These are the foundation skills for all language learning!
Some examples of common play schemes at this stage include: pretending to feed self, and then moving towards play on others: such as brushing doll’s hair, washing their hair, or dressing them.
As a child’s play repertoire expands so does their language.
As they practice describing their actions: “brushing hair,” “washing hands,” “eating food” they learn to use more complex vocabulary and grammatical structures.
For example, at this stage play with a doll or stuffed animal is a common play routine, as they are learning to speak in longer phrases they are learning to describe their actions.
Stages 5, 6 & 7 Of Play & Language:
The later stages of early childhood play and language development include: stages 5, 6, and 7. These stages of interplay between play and language take place between 24- 36 months of age.
As a child matures both linguistically and cognitively, they begin to talk about daily experiences and events. At this stage of language development, you may notice your child start to use longer sentences and more complex grammatical structures. For example, they may start to ask questions like: “I go outside?” “Mommy go work?”
At this later stage of language and play development you may notice their ability to ask and answer questions improving steadily. As your child enters these later stages of early language and play development, they might experience new enjoyment out of sensory play, like sand and water play. They may also enjoy building with blocks or playing with a dollhouse.
As your child’s play and language skills develop in tandem you will notice their ability to engage in more complex pretend play activities growing! At this stage your child may enjoy pretend games with themselves like: going to the store, vet, or doctor!
Stage 8 of Play & Language Development:
At 3 and a half, a child has begun to embark on the eighth stage of play and language development. In stage 8 of play & language development, an important skill is learned called Theory of Mind.

What is Theory of Mind?
Theory of mind refers to the ability to take on another person’s perspective. This ability to take on another person’s perspective is a crucial skill to learn at this stage of development. As your child begins to engage in more complex play schemes they will grow their ability to think, comment, and engage in more complex pretend play and games. The beginning foundations of character development and role-playing are being developed at this stage.
Stages 9 and 10 of Play & Language:
The final two stages of early childhood play and language development include stages 9 and 10. These stages of play and language development take place between 4 and 6 years of age.
In the final two stages of play and language interdependence, your child may use more abstract prompts in their play. Your child may start to engage in fully cooperative play with their friends!

At this stage of play and language development, your child may enjoy role-playing games with their friends, like playing restaurant, movie theatre, or shopping.
These types of role-playing games give your child an opportunity to engage in different character roles.
It also gives them a chance to practice negotiating turns and sharing with their friends! During role-playing games, they practice exploring another person’s point of view – planting the seeds for compassion and empathy!
Closing Remarks from an Expert Speech Therapist in Tribeca, NY
Play and language develop within an interconnected relationship, weaving growth in both language and play skills harmoniously! This is something I thoughtfully nurture through pediatric speech therapy.
Next time that you are making a silly face in the mirror with your child, feel confident that you are helping them to build, foster, and grow their early play and language skills – together!
If you need further guidance and would like to book an initial speech-language consultation with Heather Lynn Boerner MA CCC/SLP, please visit our website at: www.chattychild.com; email: info@chattychild.com; or call: 347 491 4451
You can also find out more about Ms. Carol Westby and the Westby Play Scale she developed at: https://pubs.asha.org/doi/10.1044/0161-1461.1103.154
Sincerely,
Heather Lynn Boerner MA CCC/SLP
Explore Pediatric Speech Therapy in NYC
Play is more than just fun – it’s a powerful tool for learning and communication. As therapists at Chatty Child Speech & Occupational Therapy, we use play-based techniques to support your child’s development in a way that feels natural, joyful, and engaging. Our holistic approach to pediatric speech therapy in NYC fosters growth in language, social connection, and self-confidence.
If you’re looking for a playful, compassionate path to help your child thrive, here’s how to get started:
- Call for a free 15-minute phone conversation to talk through your child’s needs and ask any questions.
- Book an initial consultation and assessment session to identify strengths and set meaningful communication goals.
- Begin personalized speech therapy sessions rooted in play, creativity, and whole-child support.
- Watch your child blossom as they build communication skills, confidence, and joyful self-expression.
Additional Services at Chatty Child in Tribeca, NY
Alongside our pediatric speech therapy, Chatty Child offers a variety of services designed to nurture each child’s development and support families every step of the way:
- InterAct – A creative therapy experience that merges theater and communication, helping children express themselves through movement, storytelling, and play.
- Occupational Therapy – Supports children in strengthening fine motor skills, regulating sensory input, and gaining independence in daily routines.
- Teletherapy – Offers flexible, remote access to speech and occupational therapy for children across New York State.
- Tutoring – Personalized academic instruction focused on literacy, writing, and creative thinking to build confidence and success in school.
- Functional Nutrition – Whole-child nutritional support tailored to developmental needs and overall wellness.
- Consulting – Collaborative guidance for caregivers, educators, and therapy teams to help children succeed across home and school environments.
- Programs – Interactive group sessions and enrichment classes that foster learning, social growth, and joyful development through play.
Chatty Child Speech, Occupational & Physical Therapy, PLLC
Creating Possibilities .. one child at a time ..
Chatty Child Provides Pediatric Speech & Occupational Therapy & Classes in Tribeca, Manhattan, NYC – In Person at 325 Broadway Suite 403 New York, NY 10007 & serving the entire state of New York including: NYC, Westchester, Hudson Valley, Long Island via online therapy in New York State.
www.chattychild.com 347 491 4451 info@chattychild.com
This website is for informational purposes only and does not constitute a therapeutic relationship. © 2025 Heather Lynn Boerner | all rights reserved.