By Shellie Miller-Farrugia
Renee Smith (name changed for privacy) is a devoted mother of four, navigating the challenges of raising her seven-year-old son, Bobby, who was diagnosed with autism spectrum disorder (ASD) at 18 months old. “I’m so concerned about his future!” she says. “How will he ever make it in this world? Who is going to take care of him when I can’t?” Though Bobby has made small strides with gestures and occasional sounds, he remains nonverbal, and Renee worries about his ability to communicate and lead a fulfilling life.
Raising a nonverbal child with autism can be overwhelming, but there is hope. Many families have helped their children find ways to express themselves and thrive. Advances in therapy and assistive technology offer new possibilities for communication. Not speaking does not mean being unable to communicate. Some children develop speech later, while others use alternative methods such as gestures, sign language, or communication devices.
Several evidence-based therapies can help children like Bobby develop communication skills:
- Speech Therapy – Speech-language pathologists (SLPs) help children produce sounds, use gestures, and understand language. Even if verbal speech does not develop, SLPs introduce alternative communication methods.
- Augmentative and Alternative Communication (AAC) – Devices like speech-generating tablets, picture exchange communication systems (PECS), and sign language enable nonverbal children to express themselves.
- Applied Behavior Analysis (ABA) – This therapy reinforces positive behaviors, including communication skills, using play-based techniques tailored to each child.
- Occupational Therapy (OT) – If sensory sensitivities or motor difficulties affect communication, OT helps children engage with their environment and use communication tools.
- Music and Play Therapy – Many children with autism respond positively to music and play-based interventions, encouraging engagement and communication in an enjoyable way.
Though Renee may not see it yet, Bobby’s future holds possibilities. With the right support, many nonverbal children lead independent and meaningful lives. Some develop speech later in childhood, while others communicate through technology and alternative methods.
The most important thing Renee and her other children can do is encourage Bobby, celebrate his progress, and explore new ways to help him communicate. Every small step—from a new gesture to a sound—is a victory. Her family’s love, dedication, and advocacy will always be his greatest source of strength.