One of the most common challenges I see in early ABA therapy sessions is not necessarily behavior—it’s communication barriers. When a child cannot effectively express needs, frustration can build quickly.
I’ve worked with children who cry, grab objects, or pull adults across the room simply because they don’t yet have a reliable way to communicate what they want.
This is where the picture exchange communication system (PECS) often becomes a valuable part of therapy. The picture exchange communication system is an evidence-based augmentative communication approach that teaches individuals to communicate by exchanging pictures for desired items or activities.
At Little Champs ABA, we often focus on communication development as a foundation for learning and independence. By integrating tools like PECS within ABA therapy programs, therapists can help children discover that communication is something they can initiate and use successfully in everyday life.
Understanding the Picture Exchange Communication System
Before implementing PECS in therapy, it’s important to understand how the system is designed and why it is so widely used in autism intervention. The picture exchange communication system was created to teach communication in a way that is structured, motivating, and accessible for learners with limited verbal language.
The Origins of PECS
PECS was developed in the 1980s by Andy Bondy, Ph.D., and Lori Frost, M.S., CCC-SLP. Their goal was to design a system that would help children with autism communicate effectively even if they were not yet speaking.
Traditional communication training often relied on prompting children to imitate words or gestures. PECS approached the problem differently by focusing on communication initiation.
Instead of waiting for a child to respond to prompts, PECS teaches the learner to start the interaction independently.
This shift is significant because initiating communication is a critical life skill that supports social engagement and independence.
The Core Principles Behind PECS
Several key principles guide the picture exchange communication system.
First, communication must be functional and meaningful. Children learn to request things they actually want rather than responding to artificial prompts.
Second, learning is driven by motivation. Preferred items are used to create natural opportunities for communication.
Third, PECS relies on clear reinforcement. When a child exchanges a picture correctly, they receive the item immediately.
Finally, skills are taught in structured phases, allowing children to gradually build more complex communication abilities.
How PECS Fits Into ABA Therapy
In ABA therapy, communication skills are often a central focus. Many challenging behaviors occur because a child does not yet have the tools to express needs effectively.
PECS integrates well with ABA because it uses behavioral teaching strategies such as:
- Reinforcement
- Prompting and prompt fading
- Skill shaping
- Data-driven decision making
By combining these principles with visual communication, PECS can help children develop communication skills that are both functional and adaptable.
The Six Phases of the Picture Exchange Communication System
PECS is taught through six structured phases. Each phase builds upon the previous one, gradually expanding the learner’s communication abilities.
Progression through these stages depends on consistent mastery rather than a fixed timeline.
Phase 1: Learning the Physical Exchange
The first phase focuses on teaching the basic mechanics of communication.
The child learns to:
- Pick up a picture representing a desired item
- Hand the picture to a communication partner
- Receive the item immediately
Two adults are typically involved during early instruction. One adult acts as the communication partner, while the other provides physical prompting to guide the child through the exchange.
The goal is for the child to quickly recognize that handing over the picture results in receiving the desired item.
Phase 2: Increasing Spontaneity
Once the child understands the exchange, therapy focuses on encouraging independent communication.
In this phase, we gradually increase the distance between:
- The child
- The communication board
- The communication partner
The child may need to walk across the room to retrieve the picture or approach the therapist independently.
This helps develop persistence and reinforces the idea that communication works even when some effort is required.
Phase 3: Picture Discrimination
At this stage, children begin learning that different pictures represent different objects.
Instead of having only one picture available, the child now chooses between multiple images.
For example, a communication board might include pictures of:
- Snacks
- Toys
- Activities
The child must select the correct picture for the item they want. This stage strengthens symbol discrimination, which is essential for more advanced language development.
Phase 4: Sentence Structure
Phase four introduces sentence building.
Children learn to combine pictures on a sentence strip, typically beginning with the phrase:
“I want.”
A request might look like:
“I want” + picture of a toy car.
This stage begins to mirror the structure of spoken language and helps expand communication beyond single symbols.
Phase 5: Responding to Questions
By this phase, children can answer the question:
“What do you want?”
The child uses the sentence strip to respond appropriately.
This stage introduces more conversational elements, allowing the child to respond to social prompts while still maintaining independence in communication.
Phase 6: Commenting and Expanding Language
The final phase focuses on communication beyond requesting.
Children learn to comment on their environment using phrases such as:
- “I see”
- “I hear”
- “I have”
This stage broadens the child’s communication skills, encouraging interaction and shared attention rather than only requesting items.
What PECS Looks Like in Real Therapy Sessions
Descriptions of PECS in manuals or training materials can sound highly structured, but real therapy sessions involve a lot of flexibility. Every child approaches communication differently, and therapy must adapt to those differences.
Early Learning and Prompting
When PECS is first introduced, many children require physical prompting.
For example, I might guide a child’s hand toward the picture and help them complete the exchange. At first, the child may not fully understand the purpose of the picture.
But once the exchange consistently leads to receiving something they want, understanding begins to develop quickly.
Prompting is gradually reduced as the child gains independence.
Recognizing the First Independent Exchange
One of the most rewarding moments in PECS training is the first independent exchange.
I remember working with a young learner who initially relied on hand-over-hand assistance. After several sessions, he suddenly walked to the communication board, picked up the picture of his favorite toy, and handed it to me without any prompts.
That moment showed that communication had become intentional.
The child understood that he could control the interaction.
Expanding Communication Opportunities
As children progress through PECS phases, therapy sessions include more opportunities for communication.
We might:
- Rotate different preferred items
- Introduce new pictures
- Practice communication in different environments
These experiences help ensure that communication skills generalize beyond the therapy setting.
Why the Picture Exchange Communication System Is Effective
The success of PECS often comes from how well it aligns with natural learning processes. The system uses behavioral principles that make communication both rewarding and understandable.
Motivation as the Driving Force
PECS begins with items that the child genuinely wants.
This creates natural motivation for communication and increases engagement during therapy.
When children see that communication consistently leads to preferred outcomes, they are more likely to participate actively.
Clear Cause-and-Effect Relationships
One strength of PECS is the clarity of its reinforcement system.
The sequence is simple:
- Exchange picture
- Receive item
This immediate cause-and-effect relationship helps children understand the purpose of communication quickly.
Encouraging Independent Initiation
Many communication systems rely heavily on adult prompts.
PECS specifically teaches the child to start interactions independently, which is essential for real-world communication.
Over time, this independence supports broader social and learning opportunities.
When the Picture Exchange Communication System Is Recommended
Although PECS can be very effective, it is not the right solution for every learner. Deciding whether to implement PECS requires careful assessment and collaboration among professionals.
Signs a Child May Benefit from PECS
PECS is often considered when a child:
- Has limited or no functional speech
- Struggles to initiate communication
- Becomes frustrated when needs are not understood
- Responds well to visual learning supports
These characteristics often appear during early developmental assessments.
The Importance of Individualized Assessment
Before implementing PECS, clinicians typically conduct a comprehensive evaluation of the child’s communication skills, learning style, and motivation.
This helps determine whether PECS or another communication strategy would be most appropriate.
At Little Champs ABA, communication goals are developed through individualized assessments designed to identify each child’s strengths and needs.
Collaboration With Families and Professionals
Successful communication programs often involve collaboration between multiple professionals.
These may include:
- ABA clinicians
- Speech-language pathologists
- Educators
- Parents and caregivers
Consistent strategies across settings help children practice communication skills in everyday situations.
Supporting Long-Term Communication Development
PECS is often a starting point rather than a final destination. As communication skills grow, therapy programs typically expand to include additional strategies.
Transitioning Toward Verbal Communication
Many children who begin with PECS eventually develop verbal speech.
This does not happen automatically, but the presence of a reliable communication system can reduce frustration and create more opportunities for language learning.
Integrating PECS With Other Communication Supports
PECS may also be combined with other tools such as:
- Speech-generating devices
- Visual schedules
- Functional communication training
These supports help create a comprehensive communication system tailored to the child’s needs.
Encouraging Communication Across Settings
The ultimate goal is for communication skills to work beyond the therapy room.
Children practice using PECS at home, school, and community settings so that communication becomes a natural part of daily life.
Final Thoughts on the Picture Exchange Communication System
The picture exchange communication system remains one of the most practical tools used in ABA therapy to teach functional communication.
What makes PECS powerful is its simplicity. A child learns that by exchanging a picture, they can influence their environment and express their needs.
In my experience, the most meaningful progress happens when a child realizes they no longer have to rely on frustration or guesswork to be understood.
That realization opens the door to greater independence, social interaction, and learning.
For families exploring communication support, working with experienced clinicians can help determine whether PECS or another approach is the best fit. At Little Champs ABA, communication development is a central part of helping children build skills that extend well beyond the therapy session and into everyday life.
FAQs
1. How does the Picture Exchange Communication System work?
PECS teaches a child to give a picture representing an item or activity to another person in exchange for that item or activity.
2. What skills does PECS help develop?
PECS helps develop communication initiation, symbol recognition, requesting skills, and eventually more complex language structures.
3. Is PECS evidence-based?
Yes. PECS is widely recognized as an evidence-based communication intervention used in autism therapy.
4. Can PECS be used with other therapies?
Yes. PECS is often used alongside speech therapy, occupational therapy, and educational supports.
5. What materials are needed for PECS?
PECS typically uses picture cards, a communication book or board, and sentence strips for building requests.
Sources:
- https://pecs.com/picture-exchange-communication-system-pecs/
- https://education.illinoisstate.edu/downloads/asi/PictureExchangeCommunicationSystem.pdf
- https://afirm.fpg.unc.edu/ebp-module/picture-exchange-communication-system-pecs/
- https://nationalautismresources.com/the-picture-exchange-communication-system-pecs/
- https://www.kennedykrieger.org/sites/default/files/library/documents/patient-care/centers-and-programs/center-for-autism-and-related-disorders/card-picture-exchange-communication-system-factsheet.pdf