Decision Making Opportunities for those with a Communication Disorder

Making little choices is an important daily function. We make decisions about what to wear, what to eat, and what to do daily. Imagine if someone else was making these decisions for you. Would you be happy with their decision? Despite the insignificance of these decisions, not making these decisions yourself can be demoralizing and limiting. 

It’s important to recognize how this may affect those with a communication disorder. Helping them to express their needs and wants through giving options could dilute a potential frustrating situation for them. While they may not know how to respond to open ended questions, giving choices can help them give an appropriate answer while practicing recall. For example, “Would you like to eat a banana or an orange?” instead of "What would you like to eat?"

Giving them the option to make these decisions gives them a sense of independence and empowerment. This also demonstrates that you respect their desires and needs.

Benefits of giving choices:

• Allowing children to make decisions demonstrates the role communication plays in making requests in a concrete, immediate way. For example, “Would you like to tie your shoes or would you like me to do it for you?”

• Giving them choices creates opportunities to model and expand language.

• Offering choices helps to set expectations when giving directions. Phrasing a command as two choices can give you a quicker response while helping the child to feel independent and as if it was their idea. For Example, “Would you like to put your socks or shirt on first?” This questions has an underlying command saying “It’s time to get ready.”

Also, it can help to make the child feel in control of their environment. Giving two choices can help them to maintain predictability and reduce the uncertainty of their environment.