Speech Activities by Age

10-Minute Speech Practice That Doesn't Require Sitting Still

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Young child turning away from offered food at a kitchen table

Last updated 2026-07-11

TL;DR

Teaching a child to say 'I don't want that' starts with the intent to reject, which most kids already have, then pairing it with one consistent word, sign, or symbol. Kids learn it fastest through short, real practice during daily routines. For children who aren't talking yet, a gesture or AAC works just as well and often speeds up speech.

Why does 'I don't want that' matter so much for child communication?

Rejection is one of the first things humans learn to communicate. Long before a baby says a word, they turn their head away from a spoon, push your hand off, or cry when you hand them something they hate. That is rejection. The trouble starts when a child has no reliable, socially acceptable way to send that message.

When kids can't refuse clearly, one of two things happens. They shut down and go along with everything, which leaves them vulnerable. Or they escalate to behavior that gets the point across anyway: throwing, biting, screaming, bolting. Neither is a good outcome. Teaching a clean refusal signal is one of the highest-payoff moves in early communication.

The American Speech-Language-Hearing Association lists rejection and refusal among the core communicative functions that show up in the first year of life [1]. In kids with language delays, that function often stalls because the form (words, signs, symbols) hasn't caught up to the intent. The intent is usually there. The tool isn't.

So the job isn't to create a desire to refuse. That desire already exists. The job is to hand the child a consistent, conventional tool to express it.

What age should a child learn to say 'no' or 'I don't want that'?

Most typically developing kids start using the word "no" or a head shake as a refusal gesture between 9 and 15 months [2]. Longer phrases like "I don't want that" or "no thank you" usually show up between 24 and 36 months, once two-word and three-word combinations are steady [9].

For late talkers and kids with developmental differences, those timelines shift. A 3-year-old who isn't using words consistently might still be working on single-word refusal. A child who uses a lot of echolalia (see echolalia) might say "I don't want that" by repeating it right after you, without using it as a real request yet. Those two situations call for different teaching moves.

The AAP recommends a speech-language evaluation if a child isn't using at least one word by 12 months, isn't combining words by 24 months, or loses language skills at any age [3]. If your child shows no consistent refusal by age 2 in any form (word, sign, gesture, symbol), raise it with your pediatrician or a speech-language pathologist.

Age matters less than function. The question isn't "is my 4-year-old too old to still be learning this?" The question is "does my child have a reliable, safe way to say no right now?" If the answer is no, start today, whatever the age.

What are the steps to teach a child to refuse verbally?

Here's how this works in practice. None of it needs a therapy room or special materials.

Step 1: Pick one consistent form. Decide the exact word, phrase, sign, or symbol you'll teach. "No." "No thank you." "I don't want that." "All done." Pick one and hold it for at least two weeks before adding variations. Consistency beats perfection.

Step 2: Create real opportunities. You need genuine moments of rejection, or staged ones that feel real. Offer something you're confident your child dislikes. A food they've refused before. A toy they're bored with. Do this during a calm stretch, not when they're already melting down.

Step 3: Wait. Offer the item, hold it out, and wait 3 to 5 seconds without filling the silence. This is harder than it sounds. Most adults jump in to fill the pause, which closes the child's window to initiate.

Step 4: Model the form. If the child doesn't respond, you say (or sign) the target: "No. No thank you. I don't want that." Calm voice. Say it once. Then remove the item right away. That removal is the payoff for communicating. The lesson lands: use the signal, the unwanted thing disappears.

Step 5: Honor every attempt. If the child says "no" or anything close, remove the item immediately and confirm warmly: "You said no. Okay, it's gone." Don't make them repeat it cleaner. Don't negotiate. Honor the attempt 100 percent of the time in the early stages.

Step 6: Repeat across routines. Run this at snack time, bath time, getting dressed, choosing activities. Multiple natural settings help the child carry the word past the one situation where it first clicked [4].

Key milestones and thresholds for communicative refusal When to expect the skill, when to refer, and what the research shows 9 Age range for first 'no' or head-shake refusal 15 Age range upper end for first refusal gesture 36 Age by which multiword refusal phrases typically a… 3 Age 3+ school services under IDEA Part B Source: CDC Developmental Milestones, AAP, IDEA Part C, NIDCD (2023-2024)

What if a child can't say words yet? Can they still learn to refuse?

Yes. This might be the most important point in the whole article.

Refusal is a communicative function, and communication doesn't require speech. The research on augmentative and alternative communication (AAC) is clear. Giving a nonspeaking or minimally speaking child a reliable symbol, sign, or device to refuse does not slow speech down. It usually speeds it up [5]. AAC covers every method used to supplement or replace speech for people with complex communication needs [8].

For kids who aren't speaking yet or are just starting, here are the options, roughly ordered from easiest to introduce:

ToolHow it worksBest for
Head shakeTeach a deliberate, clear head shake as a "no" signalKids who already do some informal version of this
Hand pushA gentle pushing-away gesture for an offered objectKids who already push things away informally
Single sign (NO)ASL sign for "no" (index + middle finger tap thumb)Kids with some motor imitation ability
Picture cardA printed or laminated "no" or "all done" cardKids starting to use picture exchange
AAC app or deviceSymbol-based button the child touches to communicate refusalKids using or beginning AAC devices

Whatever tool you pick, the teaching process holds: offer something unwanted, wait, model the tool, honor the response by removing the item.

If your child has been through early intervention or works with a speech therapist, ask them directly about building a refusal function. It should already be in the plan. If it isn't, ask why.

How do you teach refusal without creating a child who refuses everything?

This is the worry most parents have, and it's a fair one. Here's the reality: children without a reliable refusal signal refuse things anyway. They just use problem behavior to do it. Teaching the word or sign doesn't add more refusal. It makes the refusal that's already happening visible and manageable.

A few things keep it balanced.

Build a strong "yes" at the same time. Teach the child to request what they want, to choose between two options, to show preferences. Refusal is one piece of a bigger communication picture. Kids with good requesting skills refuse less often, because they're getting their needs met before frustration builds.

Only offer choices you can actually honor. If you ask "do you want green beans?" be ready for the answer to be no and for that to be fine. Don't offer a choice you won't respect. Part of this is honesty. Part of it is avoiding the fastest way to break a child's trust in communication: teaching them their "no" doesn't work.

And there's a difference between teaching refusal as a communicative function and setting no expectations at all. Once the skill is reliable (the child uses the form consistently and you honor it consistently), you can slowly stretch tolerance. "You said no to the carrots. Okay, they stay on the plate. You don't have to eat them." That's reasonable, and it doesn't undermine what you taught.

What if a child says 'I don't want that' but parents or teachers don't listen?

This is a real problem, and it matters more than the teaching itself.

Research on functional communication training, the evidence-based approach underneath much of this work, shows that taught communication only sticks when it reliably works [6]. If a child learns to say "no" and adults override it 60 percent of the time (because the carrot is healthy, because shoes have to go on, because there's no time), the child learns the tool is unreliable. They stop using it. Behavior climbs back.

This doesn't mean every refusal gets honored forever. But during the teaching phase, which can run weeks, every refusal needs a response that makes sense. "You said no. I hear you." Then, if the thing genuinely has to happen anyway (shoes have to go on), give a brief explanation and follow through gently. You never pretend the refusal didn't happen.

For kids in school, write the communication expectation into the IEP or behavior plan in plain language. Something like: "When [child] uses the word 'no,' the sign, or the AAC device to indicate refusal, staff will acknowledge the communication before proceeding." That protects the child's signal and gives staff a clear protocol [7].

If you work with a speech therapist, they can help draft that language and consult with the school team. Cross-setting coordination is usually where progress gets locked in.

Does teaching refusal help with meltdowns and behavior?

Often, yes. This is one of the best-studied areas in speech-language research and applied behavior analysis.

Functional communication training (FCT) swaps problem behavior for a communicative alternative that serves the same function [10]. A meta-analysis of FCT published in the Journal of Applied Behavior Analysis found the approach effective at reducing problem behavior across dozens of studies, with refusal and escape among the most common target functions [6].

The logic is simple. If a child throws a plate because that's how they say "I don't want this food," and you teach them to hand you a "no" card instead, the plate-throw becomes pointless. The new form is easier and it works. Problem behavior often drops sharply once the communicative equivalent is in place and reliably honored.

This won't happen overnight. You're competing with a behavior that has a long history of working. But it does happen, usually within weeks of consistent practice when the approach fits the child.

For autistic kids, the link between communication and behavior runs especially deep. Many challenging behaviors in autism carry a communicative message. See autism spectrum speech therapy for how therapists work with that.

How is teaching refusal different for autistic children versus late talkers?

The goal is identical for both: give the child a reliable, conventional signal for rejection. The road there can look different.

For late talkers without other diagnoses, the main barrier is usually just that the spoken word hasn't arrived. These kids often already have the social pieces (turn-taking, eye contact, back-and-forth). The teaching tends to be direct: model the phrase in real situations, and it often clicks within weeks.

For autistic children, a few things complicate the picture. Some have strong intent but very different sensory and social processing. They may not read the typical cues that signal "this is the moment for my word." They may echo the phrase you just modeled instead of using it spontaneously (for the difference, see echolalia meaning). They may have motor planning challenges that make the physical act of speaking hard, which is where apraxia of speech can enter the picture.

For these kids, the approach that works usually means more structure, more repetition across more environments, and visual supports alongside spoken language. AAC is frequently the right first tool, with speech building alongside it rather than as a prerequisite.

The teaching steps are the same. The pacing, tools, and expectations have to fit the individual child. A speech-language pathologist who specializes in autism can help you calibrate that.

What phrases and scripts actually work for teaching this?

Here are scripts that hold up in real life. Use them during the teaching moments above.

When you offer something unwanted and wait: "Do you want this? ... [3-second pause] ... No? You can say no."

When you model the refusal: "No. I don't want that. [remove item immediately]"

When the child approximates the refusal: "You said no! Great. It's gone. Good talking."

When the child refuses with behavior instead of words: "I see you don't want that. Let's try: no. [prompt the word or sign] No." Then remove the item after the communicative attempt, not after the behavior.

One thing to skip: a long verbal correction in the middle of a frustrated moment. "Use your words" is not a teaching strategy. It's an instruction with no support under it. Give the words plus the model, the wait, and the immediate response.

If you use Little Words or another AI speech companion app, the daily practice routines are a good spot to build in refusal work, since the app creates repeated, low-pressure chances to communicate in a format many kids enjoy. Run structured choice games where the child can say "no" to unwanted options.

For longer phrases, a phrase hierarchy helps: start with "no," then "no thank you," then "I don't want that," then eventually "I don't want that, I want [preferred item]." Each step builds on the one before. Don't rush the full phrase. Get "no" solid first.

When should you get a speech therapist involved?

If your child is 18 months or older and has no consistent refusal signal, verbal or nonverbal, see a speech-language pathologist. Not a maybe. That's a concrete gap worth a professional's eyes.

Get an SLP involved if any of these are true:

The child has a refusal signal but it only works in one setting (at home but not at school, or only with one parent).

Refusal-related meltdowns happen multiple times a day and home strategies haven't moved the needle after four to six weeks.

The child refuses mainly through behavior and you can't find a communicative form to replace it.

The child uses AAC but refusal isn't programmed into the device or isn't being prompted.

An SLP can map which communicative functions are present and which are missing, build a plan matched to the child's motor, cognitive, and social profile, and coordinate with schools and other providers.

Early intervention is available in every U.S. state for children under 3 at no cost to the family under the Individuals with Disabilities Education Act (IDEA) Part C [7]. For children 3 and older, services shift to the school system under IDEA Part B. If you haven't connected with your state's early intervention program, that's the first call.

Online speech therapy has grown a lot since 2020 and is a real option when in-person waitlists are long in your area.

What's a realistic timeline for teaching this skill?

Honest answer: it varies a lot. Nobody has clean randomized data on this exact skill in isolation. But here's the clinical picture.

For a neurotypical late talker with most of the communicative groundwork in place, a clear refusal word or sign can show up within one to three weeks of consistent, structured teaching. Two to four weeks to see it generalize across settings.

For kids with more significant language delays, or autistic kids who are minimally verbal, building a reliable refusal function might take two to four months of consistent work across home and therapy. The skill often lands in one setting first, then needs deliberate work to transfer.

What slows it down: inconsistency in honoring refusal attempts, teaching in only one setting, choosing a form that's motorically too hard for the child right now, or jumping to the full phrase before the concept is solid.

What speeds it up: high-motivation moments (using foods or items the child strongly dislikes), an immediate and consistent response every single time, short sessions (five to ten minutes of intentional practice beats an unfocused hour), and everyone in the child's life using the same prompt and the same response.

Frequently asked questions

At what age should a child be able to say no or refuse things?

Most children use a head shake or the word "no" as a refusal gesture between 9 and 15 months. Longer phrases like "I don't want that" typically appear between 24 and 36 months. If your child has no consistent refusal signal, verbal or nonverbal, by 18 months, a speech-language evaluation is worth requesting.

My child can say 'no' but only screams when they don't want something at school. What's happening?

Generalization is a separate skill from learning the word in the first place. A word learned at home doesn't automatically travel to school. The teaching has to happen in both settings, with both sets of adults using the same prompt and honoring the response right away. Ask the school team to add refusal to the child's communication support plan, ideally written into the IEP.

Is it okay to use a picture card or AAC device instead of teaching the spoken word?

Yes. Research consistently shows AAC does not hold speech back and typically supports it. If a child can't reliably produce the spoken word, a picture card, sign, or AAC device that communicates refusal is a completely valid and effective tool. The communicative function matters more than the modality.

What should I do if my child uses the refusal sign or word but I still need them to do the thing (like put shoes on)?

Acknowledge the communication first: "I hear you, you said no. I know you don't want shoes on right now." Then briefly explain the necessity and follow through gently. What you never do is ignore the communication as if it never happened. Acknowledging and then proceeding is different from ignoring. The child learns their signal was received, even when the outcome can't change.

Could teaching my child to refuse make behavior problems worse?

No. The research on functional communication training shows the opposite. Teaching a communicative refusal reduces problem behavior by giving the child a more efficient way to send the same message. Behavior gets worse when the tool is taught but not honored, which is why consistency in responding is the non-negotiable part of this approach.

My child has childhood apraxia of speech and has trouble saying words. How do I teach refusal?

For kids with apraxia, spoken words can be motorically very hard. Starting with a sign, a gesture, or an AAC symbol for refusal is often the right call. Once the communicative function is solid in another modality, speech can be added alongside it. A speech-language pathologist with apraxia experience can guide the motor approach. See childhood apraxia of speech for more.

How is echolalia related to teaching refusal phrases?

Some children with echolalia repeat "I don't want that" right after hearing you model it, without yet using it spontaneously in real refusal moments. That's a meaningful first step, not a sign the approach is failing. Keep pairing the phrase with real rejection moments and honoring every attempt, echoed or not. Spontaneous use usually follows with time and practice.

What's the difference between teaching 'no' and teaching 'I don't want that'?

"No" is a single-word refusal and the right starting point for most children. "I don't want that" is a multiword phrase that carries more detail. For a child just learning to refuse, start with "no" and build from there. For a child already using two-word combinations, the longer phrase is a reasonable next target. Function first, length second.

How many times a day should I practice teaching refusal?

Aim for three to five natural opportunities a day rather than one dedicated drill session. Snack time, toy play, and getting dressed are easy places to create genuine rejection moments. Brief, frequent practice in real contexts beats longer artificial sessions. Five minutes of intentional, natural practice daily moves things faster than a 30-minute weekly drill.

My child is nonverbal and 5 years old. Is it too late to teach refusal?

No. There is no age after which teaching communicative refusal stops being worthwhile. For a 5-year-old nonverbal child, AAC is almost certainly the right first tool. A speech-language pathologist can assess which symbols and which device access method fit the child's motor and cognitive profile. The communicative function can be built at any age.

Should I use positive reinforcement when my child says 'I don't want that'?

The reinforcement is already built in: the unwanted item goes away. That natural consequence is usually the most powerful reward for this skill. You can add warm verbal praise, but the mechanics of the interaction do the heavy lifting. Skip complicated reward systems for this one. Keep the link between the communication and the outcome immediate and clear.

Who qualifies for free early intervention services in the US?

Under IDEA Part C, children from birth to age 3 who have a developmental delay or a diagnosed condition likely to cause one qualify for early intervention at no cost to the family. Each state runs its own program. Services include speech-language therapy among other supports. Contact your state's early intervention program to request an evaluation.

Sources

  1. ASHA, Communication Milestones and Communicative Functions: ASHA identifies rejection and refusal as a core communicative function that emerges in the first year of life
  2. CDC, Developmental Milestones: Most children use a head shake or the word 'no' as a refusal gesture between 9 and 15 months
  3. AAP, Language Delay: The AAP recommends referral if a child isn't using at least one word by 12 months, isn't combining words by 24 months, or loses language skills at any age
  4. ASHA, Principles of Generalization in Language Intervention: Multiple natural contexts help children generalize language forms past the specific situation where they were first learned
  5. Millar, Light & Schlosser (2006), Journal of Speech, Language, and Hearing Research, AAC and speech output: Giving nonspeaking children AAC does not slow down speech development and typically speeds it up
  6. Gerow et al. (2018), Journal of Applied Behavior Analysis, Meta-analysis of Functional Communication Training: FCT is effective in reducing problem behavior with communicative refusal and escape among the most common target functions
  7. US Department of Education, IDEA Part C Early Intervention: Under IDEA Part C, early intervention services are available in every U.S. state for children under 3 at no cost to the family
  8. ASHA, Augmentative and Alternative Communication overview: AAC includes all communication methods used to supplement or replace speech for people with complex communication needs
  9. National Institute on Deafness and Other Communication Disorders (NIDCD), Speech and Language Developmental Milestones: Multiword phrases like 'I don't want that' typically appear in the developmental window of 24 to 36 months
  10. Tiger, Hanley & Bruzek (2008), Behavior Analysis in Practice, Functional Communication Training review: FCT replaces problem behavior with a communicative alternative that serves the same function
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