aac therapy - Cardinal Pediatric Therapies

When a child has autism, connecting with peers can feel confusing or painful. Play dates stall, group activities end in tears, and parents start to worry that friendships may never come easily.

Social skills develop over time, and many kids need more than “just exposure” to learn how to join in. Structured social skills training autism programs give children clear coaching and lots of practice, so relationships feel safer and more predictable.

At Cardinal Pediatric Therapies, ABA therapists design social goals that match each child’s age, personality, and learning style for families in Cary, Phoenix, Wilmington, Clayton, and nearby communities.

Why social skills feel hard for many autistic children

Autism affects how children read cues, process language, and understand what other people expect. That often shows up during play and group time.

Many families notice that their child:

Prefers to play alone or repeats favorite activities instead of joining others
Wants friends but “freezes” or uses scripts that do not fit the moment
Struggles with turn taking, sharing, or waiting
Misreads facial expressions, tone of voice, or personal space

The University of Kansas highlights how social communication differences can limit participation in class, clubs, and community activities in its overview on autism communication.

Autism social development is not about changing who a child is. Social training for autism focuses on giving kids tools so they can:

Express what they want and need
Understand others more clearly
Feel more confident around peers

What social skills training autism programs focus on

Research on social skills training autism programs shows that structured teaching can improve how children engage, problem solve, and maintain friendships.

Most programs target skill areas such as:

Joining play and staying with a group
Greetings, eye contact, and body language at a level that feels comfortable
Conversation turn taking and topic changes
Handling teasing, misunderstandings, or mistakes
Managing big feelings during social situations

AFIRM describes social skills interventions as step by step teaching that includes modeling, role play, and real world practice.

Cardinal’s dedicated Social Skills Training services build these abilities through play, modeling, and guided interaction that fit each child’s developmental stage.

How ABA therapy structures social training for autism

In ABA, ABA therapy social skills goals sit inside a larger plan for communication, behavior, and independence. Board Certified Behavior Analysts break social goals into small, teachable steps, then track progress over time.

Social skills training usually happens in two main formats:

One to one sessions that introduce new skills
Group social skills autism sessions that allow practice with peers

The In-Clinic ABA Therapy environment gives children a structured, supportive space for this kind of practice.

One to one ABA: building foundations for interaction

In individual sessions, therapists slow social situations down so children can understand and rehearse them.

Sessions might include:

Practicing simple greetings with a therapist
Using visual supports to plan out a play routine
Role playing what to say when a peer takes a turn or suggests a new game
Using reinforcement to celebrate every step toward interaction

The Parent Guide to ABA Therapy at Cardinal explains how these individualized goals fit within a broader treatment plan and how parents can follow progress.

One to one work also leaves room for sensory breaks and coping strategies, which keeps social behavior therapy autism friendly and respectful of each child’s nervous system.

Group social skills autism sessions: practicing with peers

Once a child has some foundation skills, group work offers a safe place to try them with other kids.

ABA based groups often include:

Circle time with greetings and sharing
Cooperative games that require turn taking and problem solving
Guided conversation practice with clear visual supports
Feedback and specific praise that highlight what went well

Peer mediated models, where therapists coach peers to include and respond to autistic children, can further boost autism peer interaction support as described in resources from the Indiana Institute on Disability and Community.

Cardinal’s family and group offerings, described in the ABA group therapy overview, combine games, stories, and structured play so social training for autism feels fun, not forced.

Real life examples of skills targeted in social skills training

Parents often ask what “social skills” actually looks like in a session. In Cardinal’s programs, therapists work on everyday interaction, not polished scripts.

Common goals for improving social skills in autistic children include:

Play and cooperation
- Sharing materials and taking turns
- Joining a game that is already in progress
- Accepting small changes in rules or routines
Conversation and connection
- Starting a conversation with a peer
- Staying on topic for a few turns
- Asking simple follow up questions
Understanding others
- Noticing basic facial expressions
- Matching voice volume to the setting
- Respecting personal space and boundaries

Social Stories also help children rehearse tricky situations, like asking to join a group or handling “no” from a peer, before they happen in real life, as described in Social Stories in ABA Therapy.

Bringing social skills into school and community

Families do not want skills that only show up in the therapy room. ABA teams plan for generalization so children can use new social tools at school, in the neighborhood, and during family activities.

Therapists often:

Coordinate with teachers and IEP teams
Share simple strategies that fit into the school day
Use classroom like activities during in clinic sessions

For older children and teens, social behavior therapy autism plans may include community outings like playground trips, library visits, or small group meetups, always with clear expectations and support.

How Cardinal tailors social goals for each child

No two children need the same path. Some may start with basic play skills, while others benefit from more advanced coaching on friendship, group projects, or emotional problem solving.

At Cardinal, BCBAs and therapists:

Complete a detailed assessment that includes parent input
Prioritize goals that matter to the family
Choose teaching strategies that fit the child’s strengths and sensitivities
Adjust the plan as skills grow using data and observation

Over time, social training for autism becomes less about drills and more about real connection, supported by adults who know when to step in and when to step back.

How parents can support social skills training autism work at home

Parents play a huge role in keeping social growth moving between sessions.

At home, parents can:

Model simple social phrases during daily routines
Set up short, low pressure play opportunities with one familiar child
Use visuals and Social Stories before stressful social events
Praise specific social efforts, such as “You waited for your turn”

The Parent Guide to ABA Therapy at Cardinal outlines practical ways to track gains and celebrate both small and big wins.

When parents, therapists, and schools pull in the same direction, social skills training autism programs can help children move from feeling left out to feeling included.

When to consider more structured social support

Many parents seek help when they notice that their child wants friends but interactions often end in tears.

You might also notice that your child is much quieter around peers than at home, or that playground and classroom comments sound confusing or rigid.

Reaching out earlier allows coaching to line up with important milestones like preschool, kindergarten, or middle school transitions.Through social skills training and integrated ABA services, Cardinal Pediatric Therapies uses evidence informed tools to support friendships, confidence, and everyday connection for autistic children and their families.

If your child has autism and uses very few words or no speech, communication can feel like a daily puzzle. You may see your child get upset throwing toys, or shut down and still feel unsure what they needed in that moment.

Augmentative communication for autism gives children extra ways to express themselves. These tools do not replace your child’s voice. They create more paths for connection at home, in school, and in the community. Families across North Carolina and Arizona work with Cardinal Pediatric Therapies to explore these options in a structured, supportive way.

What Is AAC?

Augmentative and alternative communication includes any way of communicating that does not rely on spoken words alone. According to the American Speech Language Hearing Association, AAC covers methods like signs, picture symbols, communication boards, and speech generating devices that support or replace speech for people of all ages who have trouble with speech or language.

For children with autism, AAC might involve:

Gestures and simple signs like “more,” “help,” and “all done”
Picture cards, photos, or symbol boards for favorite foods or toys
Tablet based communication apps that speak when your child taps icons

AAC can:

Add to spoken language when some words are present
Provide another option when speech feels very hard
Grow and change as your child learns new skills

For many autistic children, AAC becomes the bridge between wanting something and being able to share that need clearly.

Types of AAC Tools for Autistic Children

There is no single best AAC system. A strong plan uses alternative communication strategies for autism that match your child’s strengths, interests, and daily routines. Autism organizations describe AAC as a range from no tech strategies to high tech tools.

No-tech and low-tech AAC

Natural gestures and body language
Simple sign language for common words
Picture Exchange Communication System (PECS), where a child hands a picture to request something
Choice boards with pictures for snacks, toys, people, or activities

Mid-tech AAC

Recordable buttons with short, repeated messages
Small communication devices with a fixed set of symbols

High-tech AAC

Tablet based communication apps
Dedicated speech generating devices with more advanced language options

Many children start with low tech tools. As they grow, a team can add or switch to mid or high tech options if that better fits the child and family.

Why Augmentative Communication for Autism Matters in Daily Life

Many autistic children learn best through visual information. Pictures, symbols, and written words often feel easier than long strings of speech. Augmentative and alternative communication (AAC) builds on that strength and gives your child clear ways to share needs and ideas.

When your child has a reliable way to communicate, you often see:

Fewer meltdowns, because your child can say “stop,” “break,” or “different”
Less stress for parents, with less guessing about every want or need
More independence as your child asks for help and makes choices
Better participation in group activities, classroom lessons, and playdates

AAC can promote independence, expand communication, and increase social interaction for people with autism at many ages. Most importantly, it supports your child’s right to share feelings, opinions, and not just basic needs.

AAC creates the most change when a supportive team teaches it step by step.:

ABA therapy to break communication goals into small, clear steps
Speech therapy to build language, sound production, and functional communication
AAC tools that match your child’s learning style and daily environment

In clinic, your child may practice requesting favorite items, labeling people and objects, and using simple social phrases like “hi,” “bye,” and “my turn.” Many families also choose in home ABA therapy so their child can practice AAC during real routines like meals, bath time, and bedtime. Growing Language and Communication services add even more focused support for augmentative communication for autism.

AAC works best when it becomes part of normal life

Morning and evening: visual schedules and picture choices for clothes, hygiene, and bedtime stories
Meals and snacks: picture cards or device pages for “more,” “different,” “drink,” and “all done”
Play and outings: symbols for “again,” “help,” “my turn,” “stop,” and portable cards or a tablet for trips to the park or store

In home ABA gives families hands on coaching so these tools fit naturally into your child’s environment and daily rhythm.

Easing Common Worries About AAC

Many parents feel nervous the first time someone suggests AAC. You are not alone if you have questions or doubts.

“Will AAC stop my child from talking?”

Research on AAC and autism finds that these interventions can improve communication without blocking speech development. In many studies, AAC helped people with autism communicate more effectively and sometimes use more spoken language over time.

“Is my child too young for AAC?”

Professionals often encourage early support when children show significant communication delays. AAC can give young children a way to express needs and preferences while longer term language skills continue to grow. Parent focused AAC resources stress that families can start small and adjust tools as children change.

“What if my child just presses buttons for fun?”

Therapists at Cardinal set clear goals so devices and boards have meaning. Your child learns that tapping a symbol can start a game, bring a snack, or get your attention. That sense of power helps communication feel exciting, not random.

alternative-communication-strategies-for-autism

When to Consider an AAC Evaluation

Every child is different, but some patterns suggest that an AAC evaluation could help.

You may want to explore augmentative communication for autism if:

Your child is older than two and uses few or no meaningful words
Your child mainly communicates through crying, grabbing, or behavior
Teachers, relatives, or babysitters often say they cannot tell what your child wants
Your child seems to understand more than they can express

You can bring these concerns to your pediatrician, current ABA provider, or a speech language pathologist.

How Cardinal Pediatric Therapies Supports Communication Growth

Cardinal Pediatric Therapies offers autism communication support through a coordinated set of services:

In clinic ABA therapy with structured individual and group sessions that build social and communication skills
In home ABA therapy that works inside family routines and helps caregivers use AAC tools consistently
Speech therapy that focuses on language development, articulation, and effective use of AAC systems
Parent coaching and family support that help caregivers feel confident using communication strategies every day

Moving Forward with Confidence

If you feel unsure where to start, remember that exploring AAC does not lock your child into one device or method. It simply opens more doors.

You can begin by:

Asking your current providers how AAC might support your child
Reading parent friendly information from respected autism and communication organizations
Talking with Cardinal about evaluations, ABA therapy, speech therapy, and in home supports in your area

Augmentative communication for autism offers your child more ways to say “I am here” and “This is who I am.” With the right mix of tools, ABA therapy, speech support, and family involvement, your child can build a communication system that feels powerful and personal.

This article is for educational purposes only and does not replace medical, diagnostic, or therapeutic advice. Always consult qualified professionals about your child’s specific needs and treatment options.