Tag: Virtual Speech Therapy

Virtual Speech Therapy Best Practices

Virtual Speech Therapy: Best Practices for SLPs

As more families and schools embrace online solutions, virtual speech therapy has become a vital part of how SLPs deliver care. Below, we explore why this shift matters, and how it’s transforming the profession.

 

Virtual speech therapy is no longer just a backup plan. It has become a powerful, flexible option for delivering high-quality care. For speech-language pathologists (SLPs), this shift brings new opportunities to reach clients, streamline services, and improve outcomes. Let’s take a closer look at why virtual speech therapy is a game-changer for today’s SLPs.

 

Why Virtual Speech Therapy Is a Game-Changer for SLPs

Rise in Demand for Online Speech Therapy After COVID

Teletherapy had been in use well before the pandemic, especially in rural or underserved areas where in-person services were harder to access. But COVID-19 rapidly accelerated its growth and mainstream adoption. As schools temporarily closed and clinics reduced in-person visits, virtual speech therapy became the most practical and immediate option for care.

What began as a temporary solution quickly proved to be both effective and sustainable. Families experienced the convenience firsthand, and many clinicians saw how well their clients responded in online settings. Today, the demand for online speech therapy continues to rise. Parents value the ability to connect from home, while clinicians appreciate the expanded reach and flexibility. Even as in-person sessions resume, virtual speech therapy remains a core part of many therapy programs.

Flexibility and Accessibility in Virtual Speech Therapy

Online speech therapy offers a level of flexibility that in-person sessions often can’t. For example, families no longer have to commute or rearrange their entire day to fit in a 30-minute session. Instead, appointments can happen from any quiet space at home. For working parents, this convenience is a major advantage.

Additionally, clinicians also benefit from a more flexible schedule. They can balance caseloads across different time zones or settings. For speech-language pathologists juggling multiple responsibilities, teletherapy opens up new ways to manage their workload and maintain consistent care.

The Expanding Role of the Speech-Language Pathologist Online

Teletherapy has pushed the role of the speech-language pathologist online in ways that go beyond direct treatment. SLPs are now designing interactive digital activities, collaborating with teachers, colleagues, and families remotely, and using virtual platforms to track progress and document outcomes.

These changes have expanded how SLPs support their clients. With tools like screen sharing, digital visuals, and live annotation, therapy sessions have become more interactive. SLPs can customize their approach in real time to better meet each client’s needs.

Growing Acceptance of Speech Therapy at Home

Before, speech therapy at home was once seen as a backup plan. Now, that perception is changing. Both schools and private practices are recognizing the value of virtual therapy as part of regular service delivery.

Home-based sessions allow for natural practice in familiar environments. Children can work on skills where they use them most, such as their kitchen, playroom, or family room. Parents and caregivers can observe or participate more easily, which strengthens carryover and builds trust.

School teams have also adapted. Many school systems now include virtual options in IEP meetings and therapy planning. What was once a workaround is becoming a standard offering.


Best Tools for Virtual Speech Therapy Sessions

Must-Have Speech Therapy Telepractice Tools

To run effective virtual speech therapy sessions, speech-language pathologists need a few basic tools. To start, a reliable headset with a built-in microphone helps ensure clear audio and minimizes background noise. This is especially helpful when working on articulation, where precision matters. Second, you’ll need a good webcam, which is equally important. Clear video is also important as it allows both the student and therapist to observe facial movements and model accurate sound production.

In addition to equipment, a secure, HIPAA-compliant video platform is essential. Whether working in schools or private practice, therapists must protect student information. While some platforms are built specifically for healthcare, general options like Zoom can also be used safely when the correct privacy settings and agreements are in place.

Comparing Online Speech Therapy Platforms

There are several widely used platforms for conducting speech therapy online, and each offers different features. Zoom remains a common choice, particularly in schools, because of its ease of use, screen sharing, and accessibility across devices. For many clinicians, it simply works without much setup.

However, some SLPs prefer tools designed with therapists in mind. TheraPlatform, for example, includes features like session notes, billing support, and a client portal, all in one place. These extras can make workflow smoother, especially in private practice.

Meanwhile, options like SimplePractice or Doxy.me also meet compliance standards, though they may lack interactive tools that support therapy activities. Ultimately, the right platform depends on your setting, your budget, and how much integration you want between therapy and administration.

Favorite Digital Resources for Online Speech Therapy

Every clinician develops a few go-to resources that make therapy planning easier and sessions more engaging. As more therapy happens online, digital versions of those tools have become essential.

At Lighthouse Therapy, Founder Janet Courtney, MS, CCC/SLP has shared a few of her most-used, free digital resources. These are tools she continues to return to because they consistently support student engagement and make planning more efficient.

One standout is TweenTribune, a news site from the Smithsonian Institute. It offers a wide range of current articles in both English and Spanish, sortable by topic, grade level, and reading level. The site also allows educators to create classroom groups, assign articles, and track progress through built-in quizzes. In a therapy session, letting a student choose an article based on interest can lead to stronger engagement and more natural conversation.

Another favorite is epic! Books, a digital reading platform for children under 12. With access to thousands of books, audiobooks, and read-along videos, epic makes it easy to tailor reading selections to each student’s needs. Many of the texts come with built-in comprehension quizzes, which can be used to track growth or reinforce specific skills. Educators can sign up for free, with the option to upgrade for more access.

YouTube, when used with care and discretion, can also enhance virtual sessions. While some school filters limit access, many educational channels offer short, relevant videos that bring language concepts to life. Janet recommends previewing any video in advance and relying on curated lists like YouTube Channels for Elementary Students (available on Teachers Pay Teachers) to avoid time-consuming searches.

In addition to those tools, many SLPs turn to Boom Cards for interactive practice. These digital decks allow students to click, drag, and answer in real time, giving therapists valuable insight into progress. Google Slides is another staple, useful for organizing visuals and creating reusable lesson plans. Some therapists also use Jamboard, a virtual whiteboard that supports collaborative work like labeling, sequencing, and brainstorming.

Organizing Materials for Quick Session Prep

When sessions are back-to-back, staying organized becomes essential. Digital therapy requires a different kind of preparation, but the need for efficiency remains the same.

Many clinicians create folders in Google Drive or on their desktop, sorting them by theme, age group, or goal area. Having clear file names and consistent organization will help to streamline planning. Others use tools like Wakelet or Padlet to group links, videos, and slide decks by topic. Spreadsheets with clickable links are also a simple but effective solution.

At Lighthouse Therapy, we also maintain a Resources Page with more than 60 curated tools and materials. It’s updated regularly and open to community contributions. While tools may change over time, the rise of AI has been a game changer, offering faster planning, smart suggestions, and new ways to engage students. Still, keeping a system in place to track what works (and why) makes prep smoother and sessions more effective.

 

How to Conduct Online Speech Therapy Sessions Effectively

Step-by-Step Workflow for Speech Therapy Online

To begin, it helps to have a consistent workflow in place for each session. Having a structured routine not only supports student engagement, it also helps you stay focused on therapy goals.

Start by reviewing the student’s objectives and opening any materials you plan to use. These might include digital worksheets, Boom Cards, or reading passages. Test your audio and video ahead of time to avoid delays.

Next, greet the student and ease into the session with a brief check-in. A few minutes of casual conversation can help build rapport and set the tone. After that, clearly outline the plan for the session, using visuals if needed. Knowing what to expect can reduce anxiety and keep students on task.

As the session unfolds, aim to rotate activities every few minutes to maintain attention. Use a variety of input such as visuals, games or reading passages to keep the format fresh. Then, close out with a quick review and preview of what’s ahead.

Finally, take a few minutes right after the session to record what you covered, any progress observed, and notes for the next visit. Keeping this process consistent ensures better continuity of care.

Using Session Templates and Visuals for Engagement

One of the easiest ways to improve session quality is to rely on templates. A well-made template serves as both a guide and a timesaver.

In general, templates include a simple opening routine, one or two main tasks, and a closing reflection. You can tailor these based on goal areas, such as articulation, grammar, or social language, and reuse them across clients.

To support attention and understanding, visuals are also important. These might include illustrated vocabulary cards, virtual timers, or step-by-step charts. Even a digital visual schedule can help students stay oriented. Templates and visuals together create a predictable rhythm that reduces distractions and increases participation.

Privacy and Compliance in Remote Speech Therapy

Just as important as engagement is maintaining student privacy and compliance with legal standards.

Start with the platform itself. Make sure you’re using a secure, HIPAA-compliant video tool such as Zoom for Healthcare, Doxy.me, or TheraPlatform are widely used. Before beginning services, obtain informed consent from families. This should explain how sessions will be delivered, what privacy measures are in place, and how data will be handled.

It’s also worth checking the physical environment. Encourage caregivers or school staff to find a quiet, private spot where the student can focus without interruptions. Remind families and schools not to record the session unless it’s part of an agreed-upon therapy plan.

These small steps go a long way in protecting the integrity of your services.

Using Progress Monitoring Tools to Stay On Track

Once sessions are running smoothly, the next priority is tracking student progress. Ongoing monitoring ensures that therapy is effective and that students are moving toward their goals.

There are a variety of digital tools that can help. Some SLPs use progress-monitoring spreadsheets, while others rely on apps like SLP Now or Babcock’s SLP Toolkit. During the session, keep data collection straightforward. You might tally correct responses, use a quick rubric, or jot notes in real time.

To make this easier, many clinicians use split screens or two monitors – one for presenting materials and the other for data. At the end of each week, a short review of your notes can help you adjust your approach and prepare for any IEP updates or parent meetings.

Tips for Managing Screen Sharing and Tech Setup

Finally, a good session depends on clean, dependable tech. The more prepared you are, the smoother the experience will be for both you and the student.

Before each session, close out extra browser tabs, silence notifications, and double-check your internet connection. Have a backup plan in place. This could be an alternate device or even a phone hotspot in case your primary setup fails.

When sharing your screen, choose simple, uncluttered materials. Zoom in to highlight the part you’re discussing and pause frequently to check for understanding. Invite students to interact using drag-and-drop activities or drawing tools, if the platform allows.

And when something goes wrong (as it inevitably will) model calm problem-solving. Shift to a backup activity or reconnect using a simpler tool. The goal is to keep the session moving forward, even when the tech doesn’t cooperate.

 

Strategies for Engaging Children in Virtual Speech Therapy

Tailoring Teletherapy Engagement by Age Group

To begin with, understanding the developmental needs of different age groups can help guide how you structure and deliver virtual speech therapy sessions. What works for a preschooler may not hold the attention of a middle school student. That’s why adapting engagement strategies by age is an essential part of delivering effective online speech therapy.

For younger children, short bursts of activity work best. Sessions may include songs, movement games, and simple visuals to support comprehension. Frequent changes in activity every few minutes help maintain attention. Therapists working with this age group often benefit from a mix of play-based techniques and familiar routines.

In contrast, older students may benefit more from structured tasks and goal-oriented activities. They’re often more responsive to visuals with embedded text, real-world content, and a clear purpose. While you can still incorporate games, older learners typically respond well when they understand the “why” behind each task.

Adolescents, in particular, may need space to feel some autonomy. Providing choices or asking for their input can support buy-in and accountability. Across all ages, pacing matters and so does knowing when to pivot.

Using Gamified Tasks and Movement Breaks

Once a session begins, sustaining attention becomes the next challenge. Gamifying therapy activities can improve engagement and help students stay focused longer.

Adding simple game mechanics, such as earning points, choosing a virtual reward, or unlocking a bonus round, can transform basic tasks into motivating challenges. Sound effects, digital spinners, and interactive timers also create an immersive experience without requiring complex tools.

In addition, regular movement breaks are essential, especially for younger students or those with sensory needs. A short stretch, a freeze dance, or a quick scavenger hunt can refresh focus. Many therapists plan these breaks into the session flow so they feel purposeful, not disruptive.

Research also supports the use of visual reinforcement systems, such as token boards or checklists. These tools offer a concrete sense of progress and help students self-monitor their behavior and participation.

Personalizing Virtual Speech Therapy Activities

In many cases, a child’s engagement improves significantly when the content feels familiar or personally meaningful. For this reason, incorporating a student’s interests into therapy is a simple but effective way to build connection and attention.

For example, if a child loves animals, you might use animal-themed vocabulary decks or videos. A student who enjoys cooking might respond well to sequencing tasks built around recipes or meal prep steps. Even small customizations, like using the student’s name in sample sentences, can create a sense of ownership.

Moreover, letting students choose between two or three tasks gives them a voice in the session while still keeping you in control of the direction. Personalization doesn’t require fancy resources; it simply means noticing what matters to the student and weaving that into the work.

Involving Families in Online SLP Sessions

Another important engagement strategy involves the family or school staff/facilitators. In teletherapy, caregivers are often just a few feet away. With thoughtful communication, they can become active partners in the therapy process.

Start by explaining the purpose of each activity. Share how it connects to broader goals and offer simple suggestions for follow-up during the week. Some families may benefit from modeled strategies or a short list of phrases they can reinforce at home.

When families and facilitators know what to look for, they’re more likely to notice progress and support generalization. Over time, this can increase carryover of skills from therapy to daily life.

That said, it’s important to stay flexible. Some caregivers are eager to be involved; others may be managing multiple responsibilities. Offering different levels of involvement ensures that support feels collaborative, not burdensome.

When to Switch Things Up: Off-Screen and Hands-On Activities

Despite your best planning, every therapist has sessions where things begin to fall flat. When that happens, it’s often a sign to shift gears.

Incorporating off-screen or hands-on activities can make a big difference. Ask students to find a real object, draw a picture, or act something out. These tasks reduce screen fatigue and increase sensory engagement.

For example, a student working on prepositions might place toys around the room while following your verbal directions. Another might draw a character from a story and use it to retell key details. These low-tech strategies are especially helpful when working with students who struggle with sustained attention or benefit from tactile learning.

Knowing when to adjust your approach comes with experience. Still, building flexibility into your session plan allows you to meet the student where they are—whether they’re tuned in and ready or tired and restless.

 

Improving Client Outcomes in Virtual Speech Therapy

Tracking Progress and Updating Goals in Online Speech Therapy

To improve outcomes in virtual speech therapy, it helps to begin with clear progress tracking. Regular data collection ensures that therapy remains goal-driven and responsive to the student’s needs. Whether you’re using tally sheets, digital rubrics, or an online platform, having a consistent method allows you to measure small changes over time.

At the same time, goals should be reviewed and updated regularly. If a student is mastering a target more quickly than expected, or if a goal is no longer appropriate, it’s important to adjust your plan. Scheduling brief check-ins with caregivers or case managers can also support alignment and transparency. When progress is documented clearly, decisions about next steps become easier and more collaborative.

Building Consistency Through Visuals and Repetition

Alongside tracking, consistency plays a key role in helping students retain and apply new skills. One way to build that consistency is through the use of visuals. Digital schedules, icons, anchor charts, and cue cards provide structure and reduce cognitive load. They also support students who benefit from visual learning and routine.

In addition to visuals, repetition is essential. Rather than introducing something new every session, revisit key targets in slightly different formats. For example, a student practicing /s/ blends might work on the same words in a game one day and during a story retell the next. Over time, this layered exposure builds familiarity and confidence.

Coaching Families to Extend Speech Therapy at Home

Beyond the session itself, involving families can have a major impact on student success. In virtual settings, caregivers are often close by and can be part of the process in meaningful ways.

Start by offering simple, practical suggestions that fit easily into daily routines. This might include pointing out speech sounds during a bedtime story, practicing target words while brushing teeth, or using a visual cue during transitions. Even just a few minutes of intentional practice at home can reinforce the skills introduced during therapy.

To support this, consider sending short follow-up emails after sessions or sharing a quick recap video. These touches keep families in the loop and provide them with tools to help their child in between sessions.

Encouraging Carryover Between Sessions

Of course, one of the ongoing challenges in speech therapy (whether in-person or virtual) is carryover. Helping students apply their skills outside of therapy takes time and planning. However, it’s possible to build this into your routine with small adjustments.

For instance, you might end each session by asking the student where they’ll try using a new skill that week. A child working on conversation starters might plan to practice during lunch or at recess. You can also introduce “home challenges,” which are simple, one-step tasks that students complete before the next session.

By anchoring practice in real-life settings, students begin to generalize their progress more naturally. These small steps add up over time and help bridge the gap between structured therapy and everyday communication.

Setting Realistic Expectations for Online Speech Therapy Goals

Finally, keeping expectations realistic helps both you and your clients stay grounded. Virtual speech therapy has many advantages, but it also has limits. Some students may need more time to reach milestones due to attention challenges, technology issues, or the need for frequent breaks.

Rather than aiming for rapid gains, focus on steady growth. Set goals that are achievable and clearly defined. This builds momentum and helps students and families see progress.

In addition, recognize that therapy online may require different pacing than in person. A student who might manage a full 45-minute session in a clinic could need shorter, more targeted segments on a screen. Adjusting to the rhythm of virtual work ensures that students stay engaged without becoming overwhelmed.

 

Common Challenges in Virtual Speech Therapy and How to Solve Them

Managing Tech Issues in Virtual Speech Therapy

One of the most common hurdles in virtual speech therapy is managing technical issues. Unstable internet connections, audio delays, or software glitches can interrupt the flow of a session and make communication harder for both the client and the clinician.

To reduce disruptions, it’s helpful to have a clear tech routine. Begin each session with a quick audio and video check. If a problem arises, try switching to a lower-bandwidth option, like turning off the camera briefly or using a phone call as a backup. Keeping instructions for caregivers on hand, such as how to reconnect to the platform, can also save time during a session.

When possible, prepare a low-tech activity that doesn’t rely heavily on screen sharing. Having a printable backup or a simple verbal game allows the session to continue even when the platform isn’t cooperating. Over time, these routines make tech issues easier to navigate.

Addressing Short Attention Spans and Screen Fatigue

Another challenge in online speech therapy is keeping students engaged, particularly when attention spans are short. Screen fatigue can build quickly, especially for younger learners or those with executive functioning difficulties.

To help with this, vary the pace of your sessions. Alternate between passive and active tasks. For example, after a listening activity, follow up with something interactive—like a drawing prompt or a game involving movement. Even a one-minute physical break can help reset focus.

Additionally, keep the visual layout of your materials clean and simple. Cluttered slides or overly complex games can lead to frustration. When sessions feel manageable and structured, students are more likely to stay engaged.

Therapists often find that starting with a short, familiar routine like a greeting song or visual schedule, helps anchor students and provide a sense of comfort. Building in small choices can also give students a sense of control, which supports focus.

Supporting Sensory and Behavioral Needs Virtually

Virtual settings pose unique challenges when supporting clients with sensory sensitivities or behavioral needs. The lack of physical proximity means therapists must rely more heavily on observation and coaching.

Begin by discussing with caregivers or facilitators what typically works at home or in the classroom. Knowing which strategies help with regulation, whether that’s a weighted blanket, a fidget tool, or a specific calming phrase, can shape your approach.

You can also create a shared visual regulation chart with the student. This lets them point to how they’re feeling and what might help. For some students, offering choices during the session can reduce stress and support behavior. For example: “Do you want to start with the story or the game?”

In cases where a student becomes overwhelmed, it’s important to model flexibility. Pause the session, offer a sensory break, and calmly revisit the task when the student is ready. Over time, these practices build trust and predictability.

Handling No-Shows, Cancellations, and Last-Minute Tech Issues

Logistical disruptions, such as last-minute cancellations or no-shows, can affect both productivity and progress. Although some unpredictability is part of working with families, having clear procedures can help reduce its impact.

Start by setting expectations early. Share your cancellation policy up front, along with contact information for emergencies. Confirm sessions the day before when possible, especially for families navigating complex schedules.

When a cancellation does happen, try to use the time productively. You might document recent sessions, prepare materials, or follow up with families. For repeated no-shows, consider scheduling a brief meeting to understand the root of the problem and offer flexible solutions if needed.

If tech issues are the cause, work with the caregiver to troubleshoot during a non-session time. Offering a short “practice session” for setup can prevent problems during actual therapy.

Turning Common Challenges into Opportunities: Case Examples

Even when things go wrong, virtual speech therapy sessions often present unexpected opportunities. For instance, one therapist shared a story about a student whose internet cut out mid-session. Instead of ending early, they finished the lesson by phone, using household items for a scavenger hunt articulation activity. The student stayed engaged, and the caregiver gained a new way to support carryover at home.

In another case, a student became overstimulated during screen-based activities. Rather than pushing through, the therapist shifted the focus to guided breathing and co-created a visual calm-down chart. That chart later became part of every session, giving the student a way to advocate for their needs.

These moments remind us that flexibility, communication, and trust are central to success in virtual therapy. When clinicians respond with calm, creative solutions, challenges can turn into meaningful progress.

 

Telepractice Guidelines for Speech-Language Pathologists

Understanding Licensing and Location Rules for SLP Teletherapy

To begin with, speech-language pathologists must ensure they are properly licensed in any state (or country) where their clients reside. In most cases, licensure depends not on the clinician’s location, but on the client’s physical location during the session.

This requirement can complicate service delivery, especially for families who travel or move across state lines. Therefore, it’s essential to confirm where the client will be during each session and maintain records that reflect this information. The use of temporary practice permits or interstate compacts, such as the ASLP-IC (Audiology and Speech-Language Pathology Interstate Compact), can help streamline licensing for SLPs practicing in multiple states. However, this compact is still in progress and not yet fully implemented in all jurisdictions.

To stay compliant, check with the relevant state boards before providing services. When in doubt, it’s better to verify the rules than risk practicing without proper authorization.

Documentation and Billing Best Practices in SLP Telepractice

In addition to meeting licensing requirements, maintaining accurate and timely documentation is a core part of effective teletherapy practice. Whether you work in schools, private practice, or a healthcare setting, your session notes should clearly reflect the goals targeted, the methods used, and the student’s response to each activity.

For billing purposes, it’s important to indicate that services were delivered via telepractice. Many payers, including Medicaid and private insurers, require specific billing codes or modifiers for virtual sessions. Failing to include the correct information can lead to denied claims or compliance concerns.

Moreover, documentation should also include details about any technical issues that impacted the session. If part of a session was missed due to connectivity problems, noting that in the record helps clarify service delivery and supports accurate billing.

Staying organized with templates or digital forms can simplify this process. By streamlining documentation, SLPs can focus more time on planning quality sessions and less time managing paperwork.

Using HIPAA-Compliant Tools and Workflow Tips

Security remains a top priority in virtual care. All platforms used for teletherapy must meet HIPAA standards for privacy and data protection. This means selecting tools that include encryption, secure login procedures, and access controls.

Platforms such as Zoom for Healthcare, Doxy.me, and TheraPlatform are commonly used by SLPs and meet these requirements when configured correctly. It’s also important to use secure systems for storing client records, sending email communications, and completing documentation.

In terms of workflow, creating a checklist for each session can help maintain compliance. This might include steps such as confirming client identity, documenting verbal consent, or logging session times. These small details help create a routine that supports both clinical quality and legal protection.

Setting Professional Boundaries and Communicating with Families

In teletherapy, the lines between personal and professional environments can sometimes blur. For this reason, clear communication and firm boundaries are essential.

Start by outlining expectations during the intake process. Let families and schools know when and how you can be reached, how cancellations should be handled, and what your policy is for joining late. If your sessions are being recorded or monitored, be transparent about that from the start.

It’s also helpful to create a virtual “therapy space.” Even if you’re working from home, using a neutral background and dressing professionally can help set the tone. For students, encourage the use of a quiet, consistent space that supports focus and privacy.

When families know what to expect and feel informed, they’re more likely to support the process. In turn, this allows the therapist to maintain their professional role while fostering strong working relationships.

Key Telepractice Guidelines from ASHA for SLPs

Finally, the American Speech-Language-Hearing Association (ASHA) offers clear guidelines for telepractice that all clinicians should follow. These guidelines emphasize that teletherapy must meet the same standards of care as in-person therapy. This includes everything from accurate assessment and goal setting to ethical behavior and cultural responsiveness.

ASHA also stresses the importance of using evidence-based practices and ensuring that telepractice is appropriate for the individual client. Not every student may benefit from virtual services in the same way, and part of the clinician’s role is to evaluate whether the format is effective.

Additionally, ASHA recommends that SLPs complete training or coursework in telepractice before delivering services. This helps ensure that clinicians are familiar with the technology, privacy rules, and best practices unique to online therapy.

By staying aligned with ASHA’s guidance, SLPs can feel confident that their teletherapy practices are ethical, effective, and defensible.

 

Final Tips and Resources for Virtual SLP Success

As you continue to refine your approach to virtual speech therapy, it helps to revisit the core best practices that support meaningful progress. Clear session planning, consistent data tracking, personalized engagement strategies, and compliance with licensing and privacy rules all form the foundation of effective online care. Equally important is flexibility: both in how you deliver therapy and in how you respond to the unique needs of each student.

Staying connected to a professional community can also make a difference. Many SLPs working in virtual settings find support and new ideas through online groups, local meetups, or professional networks. Sharing resources, asking questions, or simply hearing from others who understand the challenges of remote work can help reduce isolation and strengthen your practice.

If you’re looking for tools to support your work, there are many free and low-cost digital resources available. Sites like Boom Learning, epic! Books, and TweenTribune offer content that’s easy to adapt for different age groups and goal areas. You can also explore curated lists from organizations like Lighthouse Therapy or check platforms like Teachers Pay Teachers for ready-made visuals, games, and lesson plans.

Finally, continued learning is essential. ASHA and other professional organizations offer telepractice training, webinars, and CEU courses to help you stay current with research and regulations. As the field evolves, investing time in your own growth ensures that you can continue providing high-quality care—no matter where or how you work.

Although virtual therapy comes with its own set of challenges, it also offers real opportunities. With the right tools and a thoughtful approach, speech therapy online can be just as impactful as in-person sessions, sometimes even more so. By staying grounded in your clinical expertise and open to new possibilities, you can thrive in this evolving space.

If you’re looking for support along the way, companies like Lighthouse Therapy offer built-in community, mentorship, and access to resources designed specifically for virtual clinicians. To learn more about joining a team that prioritizes flexibility, quality care, and clinician well-being, visit our Careers page and explore current opportunities.

 

 

Virtual vs. In-Person Speech Therapy: Pros and Cons for SLP Career Decisions

Virtual vs. In-Person Speech Therapy: Pros and Cons for SLP Career Decisions

Navigating the Future of Speech Therapy: Virtual vs. In-Person SLP Care

The field of speech-language pathology (SLP) is evolving, with teletherapy playing an increasingly prominent role in how services are delivered. While in-person therapy has long been the traditional approach, virtual speech therapy has gained significant traction, especially in the past decade.Advances in technology, evolving educational models, and the growing shortage of speech-language pathologists (SLPs) in schools have all contributed to the rise of telepractice as a critical solution for providing speech therapy services. With many school districts struggling to fill SLP positions, virtual therapy has become an essential tool for ensuring that students receive the intervention they need, regardless of geographic barriers.

For SLPs, especially those who are newly entering the field, deciding between virtual and in-person therapy can be a critical career choice. Each setting comes with its own set of advantages and challenges, influencing not only therapy effectiveness but also long-term career satisfaction. Understanding these differences is essential for professionals looking to build a sustainable and rewarding practice.

Several key factors should be taken into account when weighing these options. Effectiveness is a primary concern, as certain clients and disorders may respond better to one modality over the other. Career opportunities also vary depending on whether an SLP chooses telepractice or a traditional in-person role, with differences in job availability, work settings, and required licensure. Salary can differ based on employment structure, geographic location, and whether an SLP is working for a private practice, school district, or telehealth provider. Work-life balance is another major consideration, as teletherapy offers increased flexibility but may also present challenges related to screen fatigue and engagement. Finally, client outcomes are a central factor, as the ability to connect with and effectively treat clients can depend on whether therapy is conducted virtually or in person.

As the demand for speech therapy continues to grow, SLPs must navigate these choices with a clear understanding of what each option entails. Whether seeking stability and hands-on interaction in a clinical or school setting or embracing the flexibility and innovation of teletherapy, SLPs must consider their personal preferences, professional goals, and the needs of their clients. This article explores the pros and cons of both virtual and in-person speech therapy to help SLPs make an informed decision about their career path.

Understanding Virtual vs. In-Person Speech Therapy

Virtual Speech Therapy (Telepractice)

Virtual speech therapy, commonly referred to as telepractice, involves delivering speech-language pathology services through telecommunication technologies. This approach enables clinicians to provide assessment, intervention, consultation, and education remotely, connecting with clients via real-time audio and video platforms. Telepractice has become an integral model of service delivery, offering flexibility and expanded reach to diverse populations.

In-Person Speech Therapy

In-person speech therapy entails face-to-face interactions between the speech-language pathologist (SLP) and the client within a shared physical space. This traditional method allows for direct observation, hands-on techniques, and immediate environmental feedback, fostering a dynamic therapeutic environment. In-person sessions are particularly beneficial for clients requiring tactile cues or those with complex needs that benefit from physical presence.

Emerging Trends in Telepractice

The adoption of telepractice has accelerated, driven by technological advancements and the need for accessible healthcare solutions. Emerging trends include the integration of remote patient monitoring, virtual reality, and artificial intelligence to enhance therapeutic outcomes. These innovations aim to address challenges such as clinician shortages and to provide personalized, real-world therapy experiences.

However, it’s essential to recognize that telepractice may not be suitable for all clients or clinical scenarios. Factors such as the client’s technological access, specific disorder characteristics, and personal preferences play a crucial role in determining the appropriateness of virtual therapy. SLPs must assess each case individually to ensure that the chosen mode of service delivery aligns with the client’s needs and promotes optimal outcomes.

In summary, both virtual and in-person speech therapy offer valuable avenues for service delivery. Understanding the nuances, benefits, and limitations of each approach empowers SLPs to make informed decisions tailored to their clients’ unique circumstances.

Pros and Cons of In-Person Speech Therapy for SLPs

Pros of In-Person Speech Therapy

  1. Stronger Client Engagement & Interaction
    In-person speech therapy sessions offer a unique advantage in terms of client engagement and interaction. Being physically present allows SLPs to observe body language, facial expressions, and subtle communication behaviors that might be less noticeable during virtual sessions. This enables therapists to provide immediate feedback and adjust their approach based on real-time observations. Additionally, tactile tools, physical prompts, and hands-on techniques can be incorporated into therapy sessions to enhance learning and skill acquisition. These elements are especially valuable for clients who benefit from sensory-based approaches or kinesthetic learning.
  2. More Effective for Certain Populations
    In-person therapy tends to be more effective for certain populations, particularly young children, individuals with severe speech and language disorders, or those requiring physical prompting and direct feedback. For example, toddlers often respond better to face-to-face interactions that incorporate play-based activities, which are easier to facilitate in an in-person setting. Likewise, individuals who require techniques such as PROMPT therapy (Prompts for Restructuring Oral Muscular Phonetic Targets) benefit from the physical cues and tactile feedback that can only be provided during in-person sessions.
  3. Better Collaboration with Teams
    In clinical, school, or healthcare settings, in-person speech therapy allows for seamless collaboration with other professionals, such as teachers, occupational therapists, physical therapists, and caregivers. Direct communication and observation of the client’s interactions with their support team can provide valuable insights into the client’s overall progress and needs. Additionally, the ability to participate in team meetings, observe classroom dynamics, and consult with other specialists on-site fosters a more holistic approach to intervention planning and implementation. This type of collaboration can be challenging to replicate in a virtual environment.

Cons of In-Person Speech Therapy

  1. Less Flexibility
    One of the primary drawbacks of in-person speech therapy is the lack of flexibility in scheduling and work environment. SLPs working in traditional settings, such as schools, hospitals, or clinics, are often required to adhere to fixed work hours, limiting their ability to customize their schedule. Commuting to and from the workplace can add additional time constraints, making it harder for SLPs to balance work with personal responsibilities or pursue part-time or freelance opportunities. In contrast, teletherapy offers more control over work hours and location.
  2. Higher Costs
    In-person speech therapy can involve higher costs for both SLPs and clients. For SLPs working in private practice, expenses related to office rental, equipment, utilities, and administrative support can be significant. Additionally, travel expenses and time spent commuting can add up over time, particularly for SLPs providing home-based services. For organizations, maintaining physical spaces for therapy and covering associated overhead costs can be a financial burden. These factors can make in-person therapy less cost-effective compared to telepractice.
  3. Limited Geographic Reach
    In-person speech therapy is inherently limited to clients within a specific geographic area. This can pose challenges for SLPs looking to expand their client base or those living in regions with limited demand for speech-language services. It may also be difficult for clients in rural or underserved areas to access in-person services due to a lack of local providers. In contrast, telepractice allows SLPs to connect with clients across multiple locations (within licensure limits), expanding their reach and opening up more opportunities for professional growth and service delivery.

Overall, in-person speech therapy remains a vital and effective mode of service delivery for many clients, particularly those who require hands-on support, direct interaction, and collaborative team-based approaches. However, SLPs must consider factors such as cost, flexibility, and geographic reach when deciding whether in-person therapy aligns with their professional goals and the needs of their clients. Understanding both the advantages and challenges of this approach is crucial for making informed decisions about how to structure a sustainable and rewarding career in speech-language pathology.

Pros and Cons of Virtual Speech Therapy for SLPs

Pros of Virtual Speech Therapy

  1. Flexibility & Work-Life Balance
    One of the most significant advantages of virtual speech therapy is the increased flexibility it provides for speech-language pathologists. Telepractice allows SLPs to work from home, eliminating long commutes and giving them greater control over their schedules. This flexibility can be especially beneficial for those balancing professional responsibilities with personal obligations, such as childcare, continuing education, or other career pursuits. Additionally, teletherapy often allows for more part-time or contract-based opportunities, giving SLPs the ability to tailor their workload to their individual needs and preferences.
  2. Increased Job Opportunities
    Virtual therapy removes geographic barriers, enabling SLPs to serve clients from multiple locations rather than being limited to a specific region. This expanded reach is particularly valuable for SLPs who live in areas with limited job opportunities or those looking to work with niche populations. However, licensure considerations still apply, meaning SLPs must ensure they are properly credentialed in any state they provide services. Despite this, telepractice opens up career opportunities that may not be available in traditional settings, including positions with nationwide teletherapy providers, remote school contracts, and private telepractice businesses.
  3. Cost Savings
    Teletherapy can significantly reduce costs for both SLPs and clients. For therapists, working from home eliminates commuting expenses, professional wardrobe costs, and other in-office expenditures. Those operating a private practice benefit from lower overhead costs since they do not need to rent office space or purchase materials for an in-person setting. From the client’s perspective, telepractice may reduce transportation expenses and time constraints, making therapy more accessible and convenient.
  4. Technology-Driven Engagement
    Many teletherapy platforms integrate interactive tools, digital games, screen sharing, and virtual whiteboards, which can enhance engagement for certain clients. These features allow SLPs to create customized, interactive experiences that may not always be possible in traditional settings. Additionally, the use of recorded sessions and data tracking can help both therapists and clients monitor progress over time. For school-aged children and tech-savvy clients, the novelty and interactivity of teletherapy can be a motivating factor, keeping them engaged in the learning process.

Cons of Virtual Speech Therapy

  1. Client Engagement Challenges
    While technology can enhance engagement, it can also present challenges—especially for younger children or clients with attention difficulties. Keeping a child engaged through a screen requires different strategies compared to in-person sessions, where an SLP can use physical prompts, movement-based activities, and hands-on materials. For children with sensory processing difficulties or those who struggle with sustained attention, virtual therapy may not be as effective as traditional face-to-face interaction. Therapists must be creative in their approach, utilizing digital tools, parent involvement, and structured breaks to maintain focus.
  2. Technology Barriers
    Reliable internet access, high-quality video and audio, and familiarity with teletherapy platforms are crucial for successful virtual sessions. However, not all clients—or even all therapists—have access to the necessary technology. Internet disruptions, lagging video, or poor sound quality can interfere with communication and affect the effectiveness of therapy. Additionally, ensuring compliance with HIPAA and other privacy regulations requires secure platforms, which may involve additional costs and training for SLPs who are new to telepractice.
  3. Limited Hands-On Interaction
    One of the biggest drawbacks of virtual speech therapy is the inability to provide hands-on support. Many therapy techniques, such as PROMPT (which relies on physical touch for articulation training) or oral-motor exercises, are difficult or impossible to implement in a virtual setting. While some therapists involve parents or caregivers in sessions to help with physical cueing, this may not always be a viable option. Clients who require tactile feedback, modeling, or in-person reinforcement may not experience the same level of progress in a virtual format.
  4. Licensing & Reimbursement Issues
    Although telepractice expands job opportunities, it also comes with licensing and reimbursement challenges. SLPs must be licensed in any state where they provide services, which can involve additional fees and administrative work. Regulations surrounding telehealth vary by state, and navigating these requirements can be complex. Additionally, insurance reimbursement for teletherapy services is not always consistent, with some providers or state Medicaid programs having restrictions on what is covered. This can impact the financial stability of SLPs who rely on insurance-based payments for their practice.

Overall, virtual speech therapy provides increased flexibility, cost savings, and expanded career opportunities, making it an appealing option for many SLPs. However, it also presents challenges related to client engagement, technology, hands-on interaction, and licensing regulations. SLPs considering telepractice should weigh these factors carefully, ensuring that their skills, professional goals, and client needs align with the benefits and limitations of virtual therapy.

Key Career Considerations for SLPs

Speech-language pathologists (SLPs) have a range of career options, with both virtual (telepractice) and in-person settings offering unique advantages and challenges. When deciding which path to pursue, SLPs must consider several key factors, including salary differences, job satisfaction, burnout risk, and the best settings for career growth. Each of these elements plays a crucial role in shaping long-term career fulfillment and financial stability.

Salary Differences: Telepractice vs. Traditional Therapy

One of the biggest considerations for SLPs choosing between virtual and in-person therapy is salary and overall financial benefits. Earnings can vary significantly depending on the setting, employer, and geographic location. Another important factor to consider is the difference between 1099 contract work and W-2 employment opportunities, both of which are available in telepractice and traditional in-person settings.

While contract positions often offer higher hourly rates, they may not cover all indirect time, such as documentation, meeting attendance, or consultation hours. In some cases, contractors may not be compensated for any indirect work at all, which can impact actual earnings. It is important to research companies to see if they pay for indirect time, as this can significantly affect overall compensation. Additionally, access to a full battery of assessment tools and materials may be more limited in contract positions, requiring SLPs to invest in their own resources. W-2 employment, on the other hand, typically includes benefits such as health insurance, retirement contributions, and access to employer-provided assessment materials and professional development.

When comparing rates and wages, SLPs must evaluate not only the hourly pay but also the additional expenses and potential gaps in compensation for indirect time. Understanding these differences can help professionals make informed decisions about which employment model aligns best with their financial goals and work preferences.

Telepractice Salaries

SLPs working in telepractice typically earn competitive salaries, but their income can fluctuate based on employment structure. Many virtual SLPs work as independent contractors rather than salaried employees, meaning their earnings depend on session volume, reimbursement rates, and client demand. Contract-based positions often provide higher hourly rates but may lack benefits like health insurance, retirement contributions, or paid time off.

Telepractice also allows SLPs to serve multiple states (with proper licensure), expand their client base, and potentially increase earnings compared to being restricted to a single geographic area. However, reimbursement for teletherapy services can be inconsistent across insurance providers and Medicaid programs, which may impact financial stability.

In-Person Therapy Salaries

SLPs in traditional settings, such as schools, hospitals, and private clinics, often receive stable salaries with benefits. Those employed by school districts typically receive a fixed annual salary, health benefits, retirement contributions, and paid time off. Salaries for in-person roles can vary based on location, with urban areas and medical settings generally offering higher pay compared to rural school-based positions.

Private practice owners can potentially earn more than salaried employees, but they also take on overhead costs such as office space rental, administrative expenses, and insurance billing fees. The financial security of in-person roles largely depends on the setting and whether the SLP is an employee or self-employed.

Which Pays More?

On average, telepractice and in-person therapy offer comparable earnings, but financial stability differs depending on the employment structure. SLPs seeking a consistent salary and benefits package, including health insurance and retirement contributions, may prefer traditional roles in schools, hospitals, or clinics. These positions provide a steady income and job security, which can be appealing for those who prioritize financial stability.

On the other hand, telepractice often provides higher hourly rates and greater flexibility, particularly for SLPs working as independent contractors under a 1099 tax status. Unlike traditional W-2 employment, 1099 contractors can deduct business-related expenses such as home office costs, internet services, professional development, and teletherapy software subscriptions, potentially reducing their taxable income. While independent contractors are responsible for handling their own taxes and securing private benefits, the ability to write off work-related expenses can provide a financial advantage that salaried employees do not receive.

For SLPs who value flexibility, autonomy, and the potential for increased earnings, teletherapy as an independent contractor may be an appealing choice. However, it is important to factor in the need for self-employment tax planning, healthcare costs, and retirement savings when comparing the financial benefits of telepractice versus traditional employment.

Job Satisfaction & Burnout: Workload, Flexibility, and Stress Levels

Job satisfaction is a major factor in long-term career sustainability, and burnout is a common challenge among SLPs. Workload, flexibility, and daily stress levels can vary greatly between telepractice and in-person roles.

Telepractice: Increased Flexibility, But Potential Isolation

Many SLPs appreciate telepractice for its greater work-life balance and autonomy. The ability to work from home eliminates commuting stress and provides more control over scheduling. This can lead to reduced burnout for those who struggle with long workdays and high caseload numbers in clinical or school settings.

However, teletherapy also comes with challenges. Isolation can be a concern, as virtual SLPs miss out on the social aspects of working in a collaborative, in-person environment. Additionally, screen fatigue and engagement difficulties can contribute to stress, particularly when working with younger clients who struggle to focus in virtual sessions.

Some teletherapy companies recognize these challenges and offer support systems to help their therapists feel more connected and supported. At Lighthouse Therapy, every therapist receives a mentor in their discipline, providing guidance and professional development opportunities. Additionally, Clinical Coordinators and Clinical Directors are available to assist with case management and clinical questions. Lighthouse Therapy also provides multiple chat forums where therapists can find answers to questions, share experiences, and engage with colleagues. These types of support structures help reduce the sense of isolation that can come with telepractice and foster a sense of community among virtual therapists.

In-Person Therapy: More Client Interaction, But Higher Workload

SLPs in traditional roles often report higher job satisfaction due to face-to-face client interaction and stronger professional relationships. Many therapists find hands-on therapy more rewarding, particularly when working with populations that benefit from direct engagement. Team collaboration in schools, hospitals, and clinics also allows for better peer support and shared workload management.

However, burnout can be higher in in-person roles, especially in schools and healthcare settings where caseloads are often large. Furthermore, many states have no “cap” on caseload maximums. School-based SLPs may juggle high student-to-therapist ratios, heavy documentation demands, and limited session time per student, while hospital-based SLPs often face demanding schedules and medically complex cases. The physical demands of in-person therapy, such as traveling between sites or working long hours, can also contribute to fatigue.

Which is Better for Avoiding Burnout?

  • Telepractice offers more flexibility but may lead to isolation and screen fatigue. Therapists also have more say in caseload numbers and types of cases.Â
  • In-person therapy allows for better client engagement and team support but can come with higher caseloads and physical stress. Additionally, many therapists usually have no say in caseload numbers, assignments, or types of cases.Â
  • Hybrid models (a mix of telepractice and in-person therapy) may provide the best balance for newer SLPs.

Best Settings for New SLPs

For new graduates or early-career SLPs, choosing the right work setting is crucial for gaining experience and career growth.

Schools

  • Pros: Stable salary, summers off, strong team collaboration, predictable schedule.
  • Cons: High caseloads, limited session time per student, administrative workload.
  • Best for: SLPs who enjoy working with children, prefer structured schedules, and value job security with predictable pay structure.Â

Hospitals & Medical Facilities

  • Pros: Opportunities to work with diverse populations (stroke patients, traumatic brain injuries, swallowing disorders), higher salaries than schools.
  • Cons: Intensive workload, physically demanding, requires additional medical training.
  • Best for: SLPs interested in medical speech-language pathology and complex cases.

Private Practice (In-Person or Telepractice)

  • Pros: Potential for higher earnings, control over caseload, flexible scheduling.
  • Cons: Requires business skills, marketing, and handling insurance reimbursement.
  • Best for: SLPs who want autonomy, entrepreneurship, or specialization.

Telepractice (Full-Time or Hybrid)

  • Pros: Flexible hours, ability to work from home, lower stress from commutes.
  • Cons: Technology barriers, engagement challenges, potential for isolation.
  • Best for: SLPs who value remote work, tech-driven therapy, flexible schedules, and want to achieve a better work/life balance.Â

Final Thoughts

When choosing between virtual and in-person speech therapy, SLPs should consider their career goals, salary expectations, work-life balance needs, and preferred client interaction style.

  • Those prioritizing flexibility and autonomy may thrive in telepractice.
  • Those who enjoy hands-on therapy and team collaboration may prefer in-person settings.

Ultimately, the best path is the one that aligns with an SLP’s personal strengths, professional aspirations, stage of their career, and lifestyle needs.

How to Decide: Virtual vs. In-Person Therapy as an SLP

Choosing between virtual and in-person speech therapy is a significant decision for speech-language pathologists (SLPs), especially for those early in their careers or considering a transition. Both settings offer unique advantages and challenges, so it is important to assess which aligns best with your professional goals, lifestyle preferences, and the needs of the clients you wish to serve.

The following key factors can help guide your decision-making process.

Factors to Consider

  1. Your Preferred Work Environment
    One of the first questions to ask yourself is where you feel most comfortable working and where you will receive the most support. Some SLPs thrive in structured, face-to-face settings like schools, hospitals, or clinics, where they can collaborate directly with clients and colleagues. These environments provide opportunities for hands-on therapy, immediate feedback, and a sense of community with other professionals.

On the other hand, telepractice allows SLPs to work from home, eliminating commuting time and offering more flexibility in setting their own schedules. This can be a great option for those who value autonomy and work-life balance. However, working remotely requires discipline, organization, and the ability to manage sessions independently without the daily in-person support of a team.

  1. Your Comfort with Technology and the Importance of OrganizationÂ

Successful teletherapy goes beyond just having a strong grasp of technology—it requires a high level of organization to ensure smooth and effective sessions. Telepractice relies on video conferencing platforms, digital therapy tools, and interactive software, making it essential for SLPs to stay organized with lesson planning, material preparation, and technical troubleshooting. Those who enjoy structuring their sessions in advance and maintaining digital resources will likely find teletherapy to be a good fit. Many platforms offer features such as digital worksheets, interactive games, and data-tracking tools that, when used efficiently, can enhance engagement and streamline progress monitoring.

However, if managing multiple virtual tools feels overwhelming or if you prefer the flexibility of hands-on, in-person activities, a traditional setting may be more suitable. Additionally, some clients—particularly young children or individuals with severe speech and language disorders—may struggle with virtual platforms, requiring therapists to have a well-organized plan for adapting sessions to maintain engagement. Success in teletherapy is not just about comfort with technology but also about having structured systems in place to manage digital resources, session flow, and client communication effectively.

  1. The Types of Clients You Want to Serve
    Certain client populations may be better suited for one format over the other. Telepractice is often effective for school-aged children, older students, and adults who can stay engaged with virtual activities. It is also an excellent option for individuals in remote or underserved areas who may not have access to in-person services.

However, some clients benefit more from face-to-face therapy. Young children, especially toddlers, often require hands-on, play-based therapy that can be challenging to replicate through a screen. Clients who need physical cues, tactile feedback, or oral-motor therapy may also respond better to in-person sessions. Additionally, individuals with severe cognitive or developmental disabilities may require more direct interaction than telepractice allows.

These challenges can often be addressed through a consultative model, where the SLP collaborates closely with teachers, caregivers, or other professionals to implement therapy strategies in the child’s daily environment. With the right guidance and structured support, many skills can still be developed effectively in a virtual setting. Having a well-trained paraprofessional or aide present during teletherapy sessions can also make a significant difference, ensuring that the client receives necessary hands-on support while the SLP provides instruction and feedback remotely. This team-based approach allows for more effective intervention while maintaining the flexibility and accessibility of telepractice.

  1. Your Career Goals and Long-Term Opportunities
    SLPs should consider their long-term professional aspirations when deciding between virtual and in-person therapy.
  • If you are looking for stable, salaried positions with benefits, in-person settings like schools, hospitals, and rehabilitation centers typically provide more predictable employment structures.
  • If you value flexibility and autonomy, telepractice may be a better fit, as it allows for part-time, contract, or even private practice opportunities.
  • If you plan to specialize in medical speech-language pathology, in-person experience is essential for working with patients recovering from strokes, traumatic brain injuries, or swallowing disorders.
  • If you want to expand your reach and work across multiple states, telepractice offers a broader client base, though it requires additional licensure considerations.

Some SLPs find that a hybrid model—a mix of in-person and telepractice work—provides a balance of flexibility and professional fulfillment.

Questions to Ask Yourself Before Making a Decision

To further clarify which path aligns with your skills and preferences, consider the following questions:

  • Do I enjoy hands-on therapy, or do I prefer using digital tools and interactive virtual platforms?
  • Am I comfortable troubleshooting technology issues and ensuring a smooth teletherapy experience?
  • Do I need a consistent salary and benefits, or do I prefer the flexibility of contract work?
  • What types of clients do I want to work with, and which therapy format will best serve their needs?
  • Am I comfortable working independently, or do I thrive in a team-based, collaborative environment?
  • How important is work-life balance to me, and does telepractice or in-person therapy better support my lifestyle?
  • Am I willing to obtain multiple state licenses if I choose telepractice?

Final Thoughts & Next Steps

Deciding between virtual and in-person speech therapy is an important step in shaping a fulfilling and sustainable career as a speech-language pathologist. Both approaches offer unique benefits and challenges, and the best choice will depend on individual preferences, career goals, and the populations an SLP wishes to serve.

Throughout this discussion, we have explored the key differences between telepractice and traditional in-person therapy. Virtual therapy provides flexibility, expanded job opportunities, and reduced overhead costs, making it an appealing choice for many SLPs. However, it also presents technology barriers, engagement challenges, and limitations in hands-on therapy. In contrast, in-person therapy offers stronger client interaction, more effective treatment for certain populations, and greater collaboration with multidisciplinary teams, but it comes with higher costs, commuting requirements, and potential burnout from heavy caseloads.

For SLPs still weighing their options, shadowing both teletherapy and in-person therapy sessions can be a valuable way to gain firsthand experience. Observing sessions in different settings can help clarify which approach aligns best with personal strengths and professional aspirations. Many schools, clinics, and teletherapy providers allow prospective SLPs to observe experienced clinicians, providing insight into session dynamics, client engagement, and workflow differences.

Resources for SLPs Exploring Telepractice

For those interested in pursuing telepractice, understanding training, licensing, and job opportunities is essential. Below are some key resources:

  • Telepractice Training and Certifications: Organizations like the American Speech-Language-Hearing Association (ASHA) and online continuing education platforms offer telepractice-specific training, covering topics such as technology use, client engagement strategies, and ethical considerations.
  • Licensing Requirements: Teletherapy requires SLPs to be licensed in each state where they provide services. Checking state-specific regulations through ASHA’s State-by-State Licensure Guide or individual state licensing boards is a crucial step.
  • Job Opportunities: Many teletherapy providers, school districts, and healthcare organizations offer remote positions. Job boards such as ASHA’s Career Portal, Indeed, and LinkedIn regularly post openings for telepractice SLPs.

Explore Teletherapy Career Opportunities

For SLPs interested in flexible, rewarding teletherapy careers, Lighthouse Therapy offers exciting opportunities to work with diverse client populations in a remote setting. Each therapist is given a mentor and provided with ongoing support, no matter the challenges they face. We encourage therapists to ask questions and seek guidance so they can find solutions to engagement challenges, limitations in hands-on therapy, and other obstacles that may arise in telepractice.

At Lighthouse Therapy, we understand that teletherapy requires innovative strategies to maintain high-quality intervention. That’s why we offer live chat and interactive tech support from 8 AM to 8 PM EST, ensuring that therapists always have access to immediate assistance when they need it. Additionally, we provide training on how to effectively implement more hands-on therapy in a virtual setting. Through structured support and the use of aides or paraprofessionals, SLPs can successfully facilitate hands-on learning even from a distance. We also offer interactive training in augmentative and alternative communication and assistive technology services, empowering therapists to enhance their sessions with cutting-edge tools.

If you are ready to explore a career in telepractice, visit Lighthouse Therapy’s career page to learn more about available positions, licensing support, and training resources. Our team is here to help you build a successful, rewarding career in teletherapy while ensuring that you never feel isolated or unsupported.