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The Hidden Developmental Risks of Screen Time in Children Ages 2–5

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Families across Surrey, South Surrey, White Rock, Burnaby, Langley, Delta, and North Vancouver are navigating a world where screens are woven into daily routines. Tablets, YouTube, educational apps, children’s shows, and phones can feel like a harmless way to keep kids entertained, especially during busy moments of parenting. Yet research is increasingly clear: excessive screen time during early childhood carries real developmental risks that affect language, attention, emotional regulation, behaviour, and sleep.
 
At My Empower Therapy, our interdisciplinary team sees these trends daily. Many families seek support for delayed speech, sensory overload, short attention span, emotional outbursts, or rigid behaviour—often without realizing that high screen exposure is contributing to or amplifying these concerns. This article outlines what the science shows, cites peer-reviewed research, and offers realistic, family-friendly ways to create healthier routines.
 
 
Why Early Childhood Is Extra Sensitive to Screen Exposure
 
Ages two to five represent a critical window for brain growth. Neural pathways involved in speech, social understanding, emotional regulation, executive functioning, and motor development are forming at extraordinary speed.
These pathways strengthen through:
 
•⁠  ⁠Face-to-face interactions
•⁠  ⁠Play
•⁠  ⁠Sensory exploration
•⁠  ⁠Imitation
•⁠  ⁠Movement
•⁠  ⁠Problem solving
•⁠  ⁠Emotional co-regulation with adults
 
Screens interrupt many of these processes when used excessively. They replace interaction with passive intake, overstimulate developing neural circuits, and shift the child’s sensory and behavioural baseline.
 
For this reason, developmental clinicians—including our team—recommend fewer than 30 minutes of screen time per day for children ages 2–5, and ideally with an adult present to guide language and understanding.
 
 
What the Research Shows: Peer-Reviewed Evidence
 
1.⁠ ⁠MRI Research Linking Screen Time to Brain Wiring (Hutton et al., 2019 – JAMA Pediatrics)
 
A peer-reviewed study published in JAMA Pediatrics examined the brains of preschool children using advanced MRI techniques. Children with higher daily screen exposure showed:
 
•⁠  ⁠Lower white-matter integrity in regions responsible for language, early literacy, and executive functioning
•⁠  ⁠Reduced expressive and receptive language scores
•⁠  ⁠Slower processing speed
 
White matter is the communication network of the brain. When its development is disrupted, children may struggle with real-time conversation, problem solving, self-regulation, and academic readiness. The authors emphasized that excessive screen use displaces the interactive, back-and-forth communication that builds healthy neural pathways in early childhood.
 
2.⁠ ⁠Longitudinal Study on Infant Screen Exposure and Later Attention Problems (Madigan et al., 2019 – JAMA Pediatrics)
 
In another peer-reviewed study, researchers followed children from infancy to later childhood. Higher screen exposure at 12 months predicted:
 
•⁠  ⁠More attention problems at ages 4 and 5
•⁠  ⁠Weaker executive functioning, including impulse control
•⁠  ⁠Reduced cognitive flexibility
•⁠  ⁠Poorer behavioural regulation
 
These effects remained even after accounting for sleep, parental education, and socioeconomic factors.
The message is clear: early and heavy screen exposure predicts long-term challenges in focus, behaviour, and learning.
 
 
Negative Effects of Screen Time We Commonly See Across the Lower Mainland
 
Our clinics in Surrey, South Surrey, White Rock, Delta, Burnaby, Langley, and North Vancouver see consistent clinical patterns among children with elevated screen exposure.
 
1.⁠ ⁠Delayed Speech and Language Development
 
Children learn speech through real interaction. Screens reduce the number of conversational turns, which directly affects vocabulary growth, sentence formation, articulation, and social communication. Many children begin scripting lines from shows instead of generating meaningful language.
 
2.⁠ ⁠Shorter Attention Span and Difficulty Sustaining Tasks
 
Fast-paced digital content overstimulates the nervous system. Children conditioned to rapid visual stimulation often find real-world tasks “too slow” and struggle to attend to reading, play, therapy tasks, or instructions.
 
3.⁠ ⁠Emotional Dysregulation and Meltdowns
 
Screens become a primary soothing tool.
When removed, children often display:
 
•⁠  ⁠Rigidity
•⁠  ⁠Tantrums
•⁠  ⁠Aggression
•⁠  ⁠Overwhelm
•⁠  ⁠Impulsivity
 
This is not defiance; it reflects an underdeveloped regulation system.
 
4.⁠ ⁠Sleep Disruption and Overstimulation
 
Blue light suppresses melatonin.
Even short evening screen use can lead to:
 
•⁠  ⁠Late bedtimes
•⁠  ⁠Difficulty falling asleep
•⁠  ⁠Night waking
•⁠  ⁠More daytime behavioural problems
 
5.⁠ ⁠Reduced Imagination, Play Skills, and Social Development
 
Play builds cognitive and emotional strength. Children who rely heavily on screens often show:
 
•⁠  ⁠Limited pretend play
•⁠  ⁠Reduced creativity
•⁠  ⁠Difficulty engaging peers
•⁠  ⁠Lower frustration tolerance
•⁠  ⁠Avoidance of interactive play
 
6.⁠ ⁠Sensory Overload and Behavioural Escalation
 
Fast visuals and dopamine-driven content can heighten arousal. This leads to hyperactivity, impulsivity, irritability, and difficulty transitioning between activities.
 
 
Why “How Screens Are Used” Matters as Much as the Daily Time Limit
 
Not all screen use is equal.
Higher developmental risk occurs when:
 
•⁠  ⁠Screens are introduced before age 2
•⁠  ⁠Children watch alone
•⁠  ⁠Autoplay and algorithm-driven videos are used
•⁠  ⁠Screens are part of meals or bedtime
•⁠  ⁠There is “background TV” always on
•⁠  ⁠Screens are used for emotional calming
•⁠  ⁠Parents are distracted by their own devices during child routines
 
Even small adjustments to these patterns can significantly improve speech, behaviour, and sleep.
 
 
Practical Strategies to Reduce Screen Time in a Busy Household
 
Our goal is not perfection—it’s balance. Families across the Lower Mainland benefit most from predictable routines and simple, sustainable changes.
 
1.⁠ ⁠Screen-Free Zones That Make a Big Impact
 
Start with four high-yield areas:
1.First hour after waking
2.All mealtimes
3.Short car rides
4.The hour before bedtime
 
These periods are essential for bonding, language, and regulation.
 
2.⁠ ⁠Replace Screens With Sensory-Rich Alternatives
 
For movement-driven children:
 
•⁠  ⁠Swings
•⁠  ⁠Scooters or balance bikes
•⁠  ⁠Trampolines
•⁠  ⁠Bubbles
•⁠  ⁠Obstacle courses
 
For calming needs:
 
•⁠  ⁠Weighted lap pads
•⁠  ⁠Stress balls
•⁠  ⁠Play-Doh, kinetic sand, or stickers
•⁠  ⁠Quiet books
•⁠  ⁠Deep pressure activities like blanket burritos
 
Replacing—not just removing—screens helps the child succeed.
 
3.⁠ ⁠Co-Viewing and Narration When Screens Are Used
 
This reduces passive watching and increases language learning.
 
Try:
•⁠  ⁠Labeling what is happening
•⁠  ⁠Pausing to ask simple questions
•⁠  ⁠Connecting content to real life
•⁠  ⁠Describing emotions shown on screen
 
4.⁠ ⁠Support Smoother Transitions Off Screens
 
Many meltdowns happen due to sudden removal.
 
Use:
•⁠  ⁠Timers
•⁠  ⁠Visual schedules
•⁠  ⁠Countdowns
•⁠  ⁠A consistent phrase: “Show is done. Now it’s time for….”
•⁠  ⁠Pairing the transition with a preferred sensory activity
 
 
How My Empower Therapy Supports Healthy Development Across the Lower Mainland
 
Families across Surrey, South Surrey, White Rock, Burnaby, Langley, Delta, and North Vancouver rely on My Empower Therapy for comprehensive, evidence-based assessment and intervention.
Our team includes:
 
•⁠  ⁠Speech-Language Pathologists
•⁠  ⁠Behaviour Therapists and Clinical Counsellors
•⁠  ⁠Occupational Therapists
•⁠  ⁠Social Communication Specialists
•⁠  ⁠Parent Coaches
 
We provide:
 
•⁠  ⁠Developmental assessments
•⁠  ⁠Screen-time reduction plans tailored for neurodivergent children
•⁠  ⁠Strategies for improving speech, behaviour, and emotional regulation
•⁠  ⁠Collaborative family coaching
•⁠  ⁠Sensory and motor development programs
•⁠  ⁠Home-friendly routines that reduce reliance on screens
•⁠  ⁠Grandparent and caregiver training
 
Our approach is grounded in neuroscience, child development, and practical family systems.
 
 
For Parents Across Surrey, Burnaby, Langley, Delta, and Beyond: Early Changes Make a Big Difference
 
Screens are part of modern life. The goal is not elimination—it’s balance. The right boundaries, paired with meaningful play and interaction, allow children to thrive emotionally, socially, and cognitively.
 
If you are noticing changes in your child’s speech, attention, mood, sleep, or ability to self-regulate, our team can help determine whether screen exposure is contributing and provide a step-by-step plan to support healthier development.
 
SOURCES :

Association Between Screen Time and Child Development (Madigan et al., 2019, JAMA Pediatrics

Screen-time is associated with inattention problems in preschoolers: results from the CHILD birth cohort study (Tamana et al., 2019, PLOS ONE)
Association of Screen Time Exposure at Age 1 Year and Developmental Delay at Ages 2 and 4 Years (Takahashi et al., 2023, JAMA Pediatrics)

The Impact of Screen-based Media Use on Attention in Early Childhood: A Systematic Review (Jourdren et al., 2023)

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Mandi

BC Registered Kinesiologist and OTA/PTA at My Empower Therapy

Mandi K. is a BC Registered Kinesiologist and OTA/PTA at My Empower Therapy, with over 15 years of pediatric therapy experience supporting children across the Lower Mainland. She specializes in pediatric kinesiology, Occupational Therapy through sensory integration therapy, and corrective exercise programs designed to improve movement, coordination, and functional independence.

Mandi has advanced expertise in toe walking correction, hand strengthening, sensory stimulation, coordination training, and motor planning, including intervention strategies to reduce hand flapping and repetitive motor behaviors. She works extensively with children diagnosed with Autism Spectrum Disorder (ASD), Global Developmental Delay (GDD), and cerebral palsy, delivering individualized, evidence-based therapy programs aligned with occupational and physical therapy goals.

As part of the multidisciplinary team at My Empower Therapy, Mandi collaborates closely with occupational therapists, physiotherapists, and behavior specialists to support optimal developmental outcomes for children and families.

Mary

REGISTERED OCCUPATIONAL THERAPIST | SENSORY INTEGRATION SPECIALIST

With over 18 years of experience in pediatric occupational therapy and rehabilitation, I am passionate about helping children overcome developmental challenges and reach their fullest potential through evidence-based, individualized care.

I hold a Master’s Degree in Occupational Therapy, a PhD in Sports Rehabilitation, graduated from Iran University of Medical Sciences, and am a Registered Occupational Therapist with the College of Occupational Therapists of British Columbia (COTBC).

My primary area of expertise is Sensory Integration Therapy, helping children who struggle with sensory processing develop the skills needed to feel more regulated, confident, and successful in everyday life. I work closely with families to understand each child’s unique sensory profile and create personalized treatment plans that improve participation at home, school, and in the community.

I have extensive experience supporting children with:

  • Autism Spectrum Disorder (ASD)
  • ADHD
  • Sensory Processing Disorder
  • Global Developmental Delay (GDD)
  • Cerebral Palsy (CP)
  • Developmental Coordination Disorder (DCD)
  • Fine and gross motor delays
  • Emotional regulation and behavioural challenges

 

My clinical areas of focus include:

  • Advanced Sensory Integration Therapy
  • Emotional regulation and self-regulation
  • Fine and gross motor development
  • Motor planning and coordination
  • Balance and postural control
  • Handwriting and school readiness
  • Activities of daily living and functional independenc
  • Play-based intervention
  • Parent coaching and home programming

 

I believe every child learns differently. My therapy sessions are engaging, play-based, and individually tailored to each child’s strengths, interests, and goals. By combining advanced sensory integration techniques with evidence-based occupational therapy, I help children improve regulation, attention, confidence, independence, and functional skills that carry over into everyday life.

My greatest passion is empowering children to participate more fully in the activities they love while giving families the tools, education, and support they need to continue their child’s success beyond the therapy room.

Tanvir S.

PROVISIONAL OCCUPATIONAL THERAPIST

I have completed my Masters of Occupational Therapy at Curtin University in Australia. Experienced with pediatrics.

Jessica F.

Senior Registered Occupational Therapist

M.Ed., BCBA

20+ years experience.
– RASP provider COTBC registered OTR/L
Certified Hypnotherapist
Certified Viome Nutrition Coach
Certified SOMA Level 1 Breath Work Facilitator

Tanya M.

BEHAVIOR ANALYST / BCBAS

RASP Certified – Registered Autism Service Provider

M.Ed., BCBA

Tanya McCarthy has been working in the field of applied behavior analysis for over 20 years. She has provided services to children and youth between the ages of 2 and 19 in home settings, schools, and the community. Tanya is a board-certified behavior analyst since 2020 and holds a master’s degree in special education with a concentration in autism and developmental disabilities from the University of British Columbia and has also received an advanced citation diploma in disability and applied behavior analysis from Douglas College. Tanya is passionate about using the science of behavior analysis to promote meaningful changes to improve the lives of her clients and their families.

Mei W.

RASP CERTIFIED – REGISTERED AUTISM Services provider AFU funding
Board Certified Behavior Analyst BCBA

– BCBA Nearly ten years of service experience in children with autism, developmental delays, and other conditions

  • Serves hundreds of special needs children aged 2-14.
  • Skillful use of VB-MAPP and ABLLS-R
  • Helps children with autism and other developmental delays

Annie

REGISTERED FAMILY BEHAVIOR THERAPIST- RCC

Masters of Psychology 7 years clinical experience Working as a Behaviour Therapist.

Jeyameena D

BEHAVIOR ANALYST / BCBAS

Bernadette M.

BEHAVIOR ANALYST / BCBAS

Highly experienced BCBA – Behavior Consultant specializes in developing daily living skills, independence and self regulation plans.

Sahar F.

RASP Provider as Family Therapist RCC /R-SLP / Behavior Consultant / Play Therapist

Sahar is a Registered Speech-Language Pathologist and Registered Clinical Counsellor (RCC) with over 20 years of pediatric experience supporting children and families. She is a full-time member of My Empower Therapy’s multidisciplinary team, working across the Panorama, Newton, and Morgan Crossing clinics within both the Speech and Behaviour Departments.

Known for her warm, playful, and highly engaging approach, Sahar has a natural ability to build strong connections with children while creating sessions that are fun, motivating, and meaningful. Families often appreciate her ability to make children feel comfortable, confident, and excited to participate in therapy.

Education/ Certifications:
BA in Speech and Language Pathology
MA in Family counselling
PhD in the Psychology of Special Ed.

Sahar has extensive experience supporting children with Autism Spectrum Disorder, ADHD, speech and language delays, social communication challenges, emotional regulation difficulties, learning disabilities, hearing loss, Down syndrome, stuttering, articulation difficulties, and developmental delays.
In addition to her clinical experience, Sahar has advanced training in play-based intervention, family support strategies, behaviour consultation, and child development. Her approach is individualized, compassionate, and focused on helping every child build communication, confidence, connection, and independence in everyday life.

Working with children has always been Sahar’s passion, and she is deeply committed to helping each child reach their fullest potential in a supportive and engaging environment.

Levy Stewart

RSLP / RASP Provider – Speech Language Pathologist

RSLP – Full Registered Speech Language Pathologist

Levy received his Master of Health Science in Speech-Language Pathology from the University of Toronto in 2021. Before that, he studied Music with a specialization in Vocal Performance from Briercrest College in Saskatchewan.

He is a member in good standing with Speech-Language & Audiology Canada (SAC,) Speech and Hearing BC, and is registered with the College of Speech and Hearing Professionals of BC (CSHBC) and the Registry of Autism Service Providers (RASP).

Levy enjoys working with children through a play-based approach. Levy has experience with parent-coaching, early intervention, and providing services to clients of various backgrounds (ASD, Down Syndrome, CP etc). Levy enjoys incorporating music into his sessions and tries his best to make sessions fun, engaging, and neurodiversity affirming. Extra training includes SCERTS and Meaningful Speech, Gestalt Language Processing and The Ultimate Play Based Speech Course.

Mary

Speech Language Pathology Assistant (SLPA)

Mary is a Speech Language Pathology Assistant with over 20 years of clinical experience in speech therapy. She graduated in 2005 from the Faculty of Rehabilitation Sciences at Iran University of Medical Sciences, where she specialized in Speech Language Pathology. Her clinical focus includes speech delay, childhood apraxia of speech, intervention for children with hearing impairment, autism rehabilitation, ADHD, infant feeding and swallowing disorders, stuttering, and articulation disorders. Since 2025, Mary has been practicing as an SLPA in British Columbia with two organizations in Canada while actively working toward the transfer and recognition of her professional credentials.

Vijitha T.

RSLP / RASP Provider – Speech Language Pathologist

RSLP – Full Registered Speech Language Pathologist

My Empower Therapy RASP approved provider SLP with over 8 years experience Speech Delay, language Disorders, Fluency Disorders, Voice, Autism, Apraxia of Speech, stuttering, voice disorder, communication disorders

Sharon D.

Senior Clinical Associate

Sharon Dhaliwal, our Executive Director, has been instrumental in shaping the vision and direction of My Empower Therapy. Her leadership ensures that our center not only meets but exceeds the standards of care expected by our families and the community. Sharon also offers private equine therapy services which promotes positive outcomes for our patients.

Dr. Farah R.

Clinical Director & Faculty of Rehabilitation Medicine – Affiliated Clinical Educator
PhD in Child Development, Psychology, and Neuroscience Rehabilitation

Farah  is our esteemed Clinical Director, bringing a wealth of knowledge and experience in rehabilitation medicine. As an affiliated clinical educator, Farah oversees our therapy programs and ensures that all treatments are aligned with the latest research and best practices in child development and rehabilitation. She brings forward over 15 years of experience and expertise and has positively impacted hundreds of families.

🏆Leadership That Inspires: Capilano University Alumni Recognition

Congratulations to Dr. Farah Rattansi on being honoured by Capilano University as the 2026 Open Award recipient at the Alumni Awards of Excellence. This recognition celebrates her leadership in pediatric care and her dedication to empowering children and families through early intervention, inclusive support, and family-centred autism care.

As founder of My Empower Therapy, Dr. Rattansi continues to create meaningful community impact through services designed to help children grow, participate fully, and thrive in everyday life. Her recognition by Capilano reflects not only professional excellence, but also a deeper commitment to building systems of care that are thoughtful, inclusive, and truly empowering for families.

🏆 Honored in The Times of Canada

We are proud to congratulate Dr. Farah Rattansi for being featured in The Times of Canada’s IGNITE Special Power Edition, a publication that celebrates strong women from our community who uplift, empower, and contribute meaningfully to the betterment of other women and society as a whole. This recognition reflects her leadership, vision, and continued commitment to making a difference through compassionate and purpose-driven care.

Through My Empower Therapy and Neuro Brain Treatment Vancouver, Dr. Farah Rattansi has helped build trusted spaces of support for children and families, with a strong focus on pediatric therapy, neuro-rehabilitation, and inclusive care. Her work continues to create meaningful impact in the community and reflects the kind of leadership and service this special edition was created to honour.

🏆 Women in Business Award: Leadership & Impact

Dr. Farah Rattansi’s recognition by the Surrey & White Rock Board of Trade in the Entrepreneur, Large Business category highlights the strength of her leadership and the growing impact of the organizations she has built. Through My Empower Therapy and Neuro Brain Treatment Vancouver, she has created services that combine clinical excellence with a strong commitment to children, families, and community care.

This recognition speaks to more than business growth alone. It reflects a vision rooted in inclusion, innovation, and meaningful service, with a continued focus on expanding access to high-quality pediatric and neuro-focused support across the region.

🏆 Regional Leadership: Business Excellence Awards Finalist

We are proud to be recognized as a top finalist in the Surrey & White Rock Business Excellence Awards, positioning My Empower Therapy among the most influential and high-performing healthcare organizations in the region

This distinction reflects:

  • Strong community impact and family trust
  • Rapid growth and operational excellence
  • Leadership in inclusive pediatric healthcare services

🏆 Community Impact & Leadership Recognition

Our work extends beyond the clinic into the broader community, where we have been recognized for:

  • Supporting families through accessible, culturally inclusive care
  • Partnerships with schools, organizations, and advocacy groups
  • Contributions to early screening, parent education, and developmental support programs

🏆 Global Recognition: Stevie®️ Award-Winning Excellence

My Empower Therapy has been honoured with multiple Stevie®️ Awards for Women in Business, one of the most prestigious global business award programs recognizing innovation, leadership, and impact at an international level.

These awards highlight:

  • Leadership in neurodevelopmental and autism care
  • Innovation in early intervention and multidisciplinary therapy models
  • Measurable impact on children’s developmental outcomes and family quality of life