MyAutismTeam

How do people use the Picture Exchange Communication System (PECS)?

PECS is a communication tool where a person exchanges a picture card representing something they want — like food, a drink, or an activity — to communicate their needs. It's especially helpful for those who are nonverbal.

It works through several phases Show Full Answer

How do people use the Picture Exchange Communication System (PECS)?

PECS is a communication tool where a person exchanges a picture card representing something they want — like food, a drink, or an activity — to communicate their needs. It's especially helpful for those who are nonverbal.

It works through several phases, gradually building toward functional, independent communication. Here's a general overview of how it's used:

- Phase 1–2: Learning to hand over a picture card to request a desired item
- Phase 3: Choosing between pictures to make a specific request
- Phase 4: Building simple sentences using picture cards (e.g., "I want + cookie")
- Phase 5–6: Responding to questions and commenting using the cards

A MyAutismTeam member shared that their son was working on Phase 4 of PECS, and even alongside a digital AAC device, PECS helped him with regulating and communicating at the same time.

Another MyAutismTeam member noted their child went from nonverbal to verbal within five months of using communication support tools including PECS.

It's always worth working with a speech-language therapist to guide which phase is right and ensure the approach is tailored to the individual's needs. 😊

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

Nonverbal Communication Skills and Autism