Our insurance will not make this easy. My 3-year-old does not use words yet, and one provider says ABA first while another says speech and AAC first. How do families think about this?
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It is usually not either-or clinically, even when insurance makes it feel that way. Speech therapy focuses on communication, language, feeding, and often AAC. ABA can work on learning, safety, daily living, and communication too, but it should not replace a communication specialist for a nonverbal child. I would push for an AAC-aware speech evaluation and ask the ABA team how they will support communication goals without blocking gestures, devices, or other ways your child communicates.
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