Picture Exchange Communication
Practising Picture Exchange Communication (PECS) at home
PECS lets a child communicate by exchanging a picture for something they want. At home, start with pictures of favourite items kept just out of reach, follow the phases gently, and reward the exchange instantly and consistently. A speech therapist should tailor the pictures and pacing for your child.
When a child doesn't yet have words, a single picture handed to you can become their very first sentence — and you can nurture that at home.
In short
Picture Exchange Communication (PECS) teaches your child to start communicating by handing you a picture in exchange for something they want. At home you can begin gently: gather pictures of favourite things, follow the natural order of the phases, and let your child experience the joy of being understood. Done playfully and consistently, these small exchanges build real, motivated communication.How to work on it at home
Set up first- Choose 5–8 things your child genuinely loves — a favourite snack, a bubble tube, a toy car — and make a clear picture or photo of each.
- Keep pictures handy but the actual item just out of reach, so there's a real reason to ask.
- Have a second adult ready when possible — early on, one of you gently prompts while the other receives the picture.
Follow the phases gently
- Phase 1 — the exchange: When your child reaches for, say, a biscuit, help them pick up the biscuit picture and place it in your open hand. The moment they do, say "Biscuit!" warmly and give it instantly. The exchange itself is the lesson.
- Phase 2 — distance and persistence: Slowly move the picture, then yourself, a little further away, so your child learns to travel to you and seek your attention.
- Phase 3 — choosing: Offer two pictures and let them pick the one they truly want, so the choice is meaningful.
- Later phases build sentence strips ("I want…") and commenting — your therapist will guide when your child is ready.
Make it stick
- Reward instantly and exactly — give the very thing the picture shows, every single time at first.
- Keep it short, frequent and fun; many tiny exchanges across the day beat one long session.
- Never withhold or test — PECS should always feel like a win for your child.
When to get guidance
PECS works best when a speech-language therapist tailors the pictures and pacing to your child and coaches you on prompting and fading. If your child is frustrated, losing skills, or not progressing after consistent practice, bring it to your clinician rather than pushing harder at home.The Pinnacle way
At Pinnacle Blooms Network, our therapists set up Picture Exchange Communication within your child's wider speech therapy plan, then show you exactly how to carry it home. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care — this guide supports your home practice, it does not assess or diagnose your child.Trusted sources
Aligned with guidance from the American Speech-Language-Hearing Association (ASHA) on augmentative and alternative communication, and the American Academy of Pediatrics' family resources on supporting early communication.Next step — book a speech assessment so our therapists can build a PECS plan that fits your child, and message the Pinnacle team on WhatsApp: +91 91001 81181.
This is general information, not a diagnosis — a clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care.
What to watch
Watch that exchanges stay joyful and your child gets the exact item the picture shows. If they grow frustrated, stop progressing after consistent practice, or lose earlier skills, bring it to your speech therapist rather than pushing harder at home.
Try this at home
Keep one favourite snack visible but out of reach with its picture beside it. When your child wants it, help them hand you the picture — then give it instantly with a happy word. Tiny, frequent wins teach communication best.
Trusted sources
Developed by SETU Consortium · Pinnacle Blooms Network · Last reviewed 2026-06-11 · reviewed every 365 days
This is general information, not a diagnosis. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care.
Frequently asked
At what age can my child start PECS?
PECS can begin whenever a child shows they want things but doesn't yet have reliable words or signs to ask — often in the toddler and preschool years, though it helps older children too. A speech therapist will confirm whether it suits your child now.
Will using PECS stop my child from talking?
No. PECS is designed to support communication, and many children begin to use more spoken words as the pressure to 'find words' eases and successful communication grows. It gives your child a way to be understood while speech develops.
What if my child won't pick up the picture?
Early on, a second adult gently helps your child's hand to make the exchange, then fades that help. Choose items your child truly wants so there's a real reason to ask. If it stays difficult, your therapist will adjust the setup.
How many pictures should I start with?
Begin with a small set of around 5 to 8 pictures of things your child genuinely loves. Too many at once can overwhelm; a few highly motivating choices teach the exchange faster.