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What therapies does a child with Down syndrome need?


Published: Jun. 19, 2025Updated: Aug. 9, 2025

Although every individual with Down syndrome has unique support needs, there are some common concerns for families to be aware of that can be addressed with therapies and other interventions.

  • Some babies have difficulty latching, and children may continue to have challenges when transitioning to solid food or may have food texture aversions; some occupational therapists specialize in working with feeding therapy.

  • Speech development in children with Down syndrome can be impacted in multiple ways, and speech therapy is essential.

  • Most young children with DS will need physical therapy, especially during the infant and toddler stage of development, to learn to sit, crawl, and walk. However, most children with Down syndrome achieve these skills by the time they enter school and are able to participate in active play and sports.

  • Children with Down syndrome may also have sensory challenges affecting proprioception and balance. Their fine motor skills, such as those necessary for self-feeding, writing, and dressing, may be delayed. Occupational therapy can be helpful for both fine motor development and sensory integration.

  • Given these developmental challenges, it is not surprising that children with DS may develop behavioral issues that require intervention. Providing alternative forms of communication can ease frustration, as can using visual prompts and memory aids. In both ABA therapy and alternatives to ABA, proactive praise for good behavior is key as well as setting them up for success, and structuring their environment for positive outcomes.

For more information, see our full article Common Down Syndrome Therapies and Specialists.

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