In or Out? A Parent’s Guide to Being Present (or Not) During Therapy

By Christine Hinkle, M.A. CCC-SLP

If you’ve ever wondered “Should I sit in on my child’s speech therapy session or wait in the lobby?”—you’re not alone. This is a common question; however, the answer isn’t always straightforward.

At Columbia Pediatric Therapy, we’ve worked with families who take both approaches. There’s no one-size-fits-all answer—but that’s a good thing! What works best can depend on your child’s needs, personality, goals, or the treatment approach used by your provider.

This post breaks down the benefits of both being in the room and waiting outside so you can feel confident making the choice that’s right for your family.

The Case for Staying In

Some parents choose to sit in on their child’s speech sessions, especially early on in the treatment process or when their child is young. Here are some of the advantages of this approach:

1. Real-Time Learning

Watching a session in action can be incredibly helpful. You get a front-row seat to the strategies your child is practicing and the techniques your therapist uses. Parents often walk away with new tools to try at home.

In some cases, your therapist might ask you to be in the room for this very reason! Sometimes your therapist might have caregiver goals written specifically for you, so make sure to confirm this with them when your child starts therapy.

2. Better Carryover at Home

The more familiar you are with what’s happening in therapy, the easier it is to support those same skills in daily life. Whether it’s modeling functional words or demonstrating how to make a tricky speech sound, observing can help you feel better equipped.

3. Emotional Comfort for Your Child

Especially for younger children or those who are anxious, your presence can be reassuring. It creates a sense of safety in a new environment and may help your child settle in more quickly.

4. Stronger Connection and Greater Transparency with the Therapist

Being present fosters open communication. You may find it easier to ask questions or get clarification on activities while in the room, and your therapist can provide real-time updates or tips.

The Case For Stepping Out

On the other hand, many families find that children benefit from some space during sessions. Here’s why stepping out might be the better choice:

1. Encouraging Independence

When a parent isn’t in the room, children will often rise to the occasion. They may take more initiative, use their words more independently, or feel a greater sense of ownership over their progress.

2. Fewer Distractions

For some kids, having a parent or siblings in the room (even quietly) can be distracting. They might look to you for answers, get off task, or become more emotional when challenged. A quieter, one-on-one setting can boost focus and give your child the opportunity to demonstrate what they really can do.

3. Building Functional Life Skills

Beyond the goals they are working on in therapy, kids can also work on turn-taking, managing frustration, interacting with another adult, and navigating a health care appointment more independently. Being solo in the room helps your child build those skills naturally.

4. Time for You

Parents are busy—and therapy time can be a rare opportunity to recharge. Whether you use that 30 minutes to sip a coffee, answer emails, or simply breathe, a short break can make a big difference.

So… What’s the Right Choice?

Both options are valid, and many families try a mix of both depending on the day or season of life. Here are some things to consider as you decide:

💡Ask your therapist for their input. They may have insight into what works best for your child’s personality and goals.

💡Especially for older children and teenagers, ask them what they feel comfortable with. It gives them an opportunity to demonstrate some autonomy and show greater involvement in their therapy.

💡Try both and observe how your child responds. Some kids benefit from having you close by at first, then transition to independent sessions.

💡Check in regularly. What worked six months ago may not be the best fit today—and that’s okay.

You know your child best, and your therapist knows best practices for treatment. Together, you can find the balance that helps your child feel supported, challenged, and confident.

Final Thoughts

No matter if you’re watching from the chair beside them or cheering from the waiting room, it’s your involvement in your child’s communication journey that matters. Showing up, asking questions, and being open to what works—that’s what makes the biggest difference.

Still unsure what’s best for your child? Don’t hesitate to bring it up with your therapist. We’re here to help you navigate this journey together.