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Makaton, PECS and symbols: which communication support should we use?

What each approach is, how they differ, and how families and schools can choose and combine them.

By The Autism Kit teamUpdated Sep 27, 2026 · 1 min read
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The short answer

Makaton uses signs and symbols alongside speech. PECS (Picture Exchange Communication System) teaches children to communicate by exchanging pictures, in structured phases. Symbol sets like Widgit are used for visual timetables, labels and communication boards. They can be combined, and none of them stops speech developing. A speech and language therapist can help choose.

Key takeaways
  • Makaton: signs and symbols alongside speech.
  • PECS: communicating by exchanging pictures, in structured phases.
  • Symbol sets (like Widgit) for timetables, labels and boards.
  • They can be combined, and don't stop speech.

What's the difference?

Communication supports compared
MakatonPECSSymbol sets (e.g. Widgit)
What it isSigns and symbols used with speechExchanging picture cards to communicateA library of symbols
Main useEveryday communication and understandingStarting to make requests, then sentencesTimetables, labels, boards, adapted texts
Who teaches itFamilies, schools, therapists after trainingTrained staff, following PECS phasesAnyone making visual materials

Sources: Makaton Charity, Pyramid Educational Consultants and Widgit.123

Will they stop speech?

No. A research review found augmentative and alternative communication did not reduce speech, and in many cases speech increased afterwards.4 See Will my autistic child learn to talk?

How do we choose?

Try
  • Asking a speech and language therapist to assess
  • Using the same system at home and school
  • Combining approaches if it helps
  • Treating every point, sign or picture as real communication
Skip
  • Waiting for speech before trying other ways
  • Different symbols in every setting
Free printable: two-choice boardPDF · 2 pages · two picture slots, plus food cards
Download Free printable: two-choice board

What can we try this week?

0 of 3 done

Common questions

No. A research review found augmentative and alternative communication did not reduce speech, and speech often increased afterwards.

Sources

  1. The Makaton Charity. makaton.org
  2. Pyramid Educational Consultants UK (PECS). pecs-unitedkingdom.com
  3. Widgit. widgit.com
  4. Millar DC, Light JC, Schlosser RW. The impact of augmentative and alternative communication intervention on the speech production of individuals with developmental disabilities. JSLHR, 2006. doi.org

This guide shares general information and our team's perspective, based on the sources above. Every child is different, so please talk with your child's doctor or care team about what's right for your family. How we write our guides.

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