Effective counseling and family involvement is essential in the treatment of various communicative disorders. Clinicians need to develop the skills necessary to enable such understanding and promote changes that are considered appropriate. AIM OF WORK: The aim of this work was to study the role of family counseling in some communicative disorders (speech, voice and language) in order to come up with a better understanding of the role of families in the management of these disorders and also to study the possible relationship between the different socioeconomic standards (SES) and the treatment outcome of the included communicative disorders. SUBJECTS AND METHODS: One hundred and fifty three patients suffering from different communicative disorders were included in the study. They included 60 patients with stuttering, 42 patients with hyperfunctional childhood voice disorder and 53 patients with delayed language development (DLD). Patients in each disease were divided into 3 groups: Group1 (G1): patients in this group received family counseling alone; Group2 (G2): patients in this group received both active intervention and family counseling; Group3 (G3): patients in this group received active intervention alone. Patients were subjected to initial assessment and were then either counseled monthly (G1), given therapy sessions together with involvement of the parents in the therapy program (G2), or were given therapy sessions and the parents were not involved in the therapy program (G3). Patients in the 3 groups were re-assessed (followed up) every 3 months for an interval of 1 year. The socioeconomic standard of each family included was assessed and a score was given. RESULTS: In all of the three disease studied, a highly significant improvement (<0.01) was found in the patients who received counseling and therapy when compared to those who received counseling alone. A significant improvement (P<0.05) was found in the patients who received counseling and therapy when compared to those who received therapy alone. A significant improvement in rate (P<0.05) was noted in patients who received therapy alone when compared to those who received counseling alone. CONCLUSION: Counseling process continues to be an important tool in the management of the different communicative disorders and it might be possible that the combination of both counseling and direct therapy will enhance the treatment effectiveness rather than the exclusive use of either.