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Speech therapy is for a variety of issues - pronunciation, receptive speech delays, expressive speech delays. It's totally possible for a very verbal child to need speech therapy for pronunciation and zero concerns on receptive or expressive speech. For a preschool aged child I would 100% take advantage of any offered supports - they can only help. Just as an example, my son was on an IEP for speech plus PT/OT in preschool. He seemed bright but was reached so many milestones just short of the point of major concern. We accepted the school IEP recommendation and also got private services. By 6 he was on target - after 3 years when he was re-evaluated he was taken off the IEP. He's in middle school now and doing really well all-around - great grades, plays sports, has good friendships, etc. It was a very stressful time for us as parents when it seemed there were all these reasons for concern. But do I regret the therapies? Not at all. Maybe some of it is learning style where some children pick things up instinctually and others need tailored teaching. I think his speech, PT and OT really helped him get on track, and once caught up he was much better prepared to succeed.
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