Common therapies, counseling, and training for young people with Down syndrome

People with Down syndrome usually have some level of independence by the time they become adults. Different types of specialized therapies, counseling, and training can help them learn necessary skills and manage emotional issues.

The common types of therapy and training include:

  • Speech and language therapy. Children with Down syndrome usually learn to talk but do so later than other children. Typically, they understand speech (receptive language) much better than they are able to speak (expressive language). Structural abnormalities of the mouth or tongue may make it difficult for children with Down syndrome to talk. Sign language can help bridge this gap to enhance their communication.
  • Physical therapy. Early motor skills, such as sitting, standing, or walking, develop more quickly in children with Down syndrome who have physical therapy. A physical therapist usually shows parents techniques that they can practice at home with their child.
  • Occupational therapy. Occupational therapy seeks to improve functional skills in small motor skill areas, such as eating or handling objects. Also, fine motor skills are taught, such as buttoning and unbuttoning clothing.
  • Nutritional counseling. Children with Down syndrome tend to become overweight because they usually burn calories more slowly than normal and are not able to participate in some regular physical activities because of health concerns. A registered dietitian can help create a nutritious diet plan and offer helpful ideas for feeding your child.
  • Vocational training. This usually is provided by school districts and often begins in high school. Teens and young adults are evaluated and trained for jobs that match their strongest skills. This helps them be independent and reach their full potential.


Author: Debby Golonka, MPHLast Updated: August 9, 2007
Medical Review: Adam Husney, MD - Family Medicine
Michael J. Sexton, MD - Pediatrics
David Smith, MD - Family Medicine

© 1995-2008 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

Click here to learn about Healthwise
Click here to learn about Healthwise