Comparison

SmallTalk Pain Scale vs Conversation Therapy Lite

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

SmallTalk Pain Scale

This app offers a visual communication tool with images and spoken descriptions for pain assessment and anatomy. Users can customize the display to prioritize key messages, making it easier for individuals with communication challenges to express themselves.

Highlights
  • Picture-based communication
  • Spoken pain descriptions
  • Anatomy icons
  • Customizable icon order
  • Reset to original settings
Read full description

SmallTalk Pain Scale provides a library of pictures you can tap that speak out loud. This includes pain descriptions and images from the Wong-Baker Faces Pain Scale, as well as icons representing human anatomy. You can easily rearrange the order of the icons or remove others to make it simpler to focus on your most important messages. Then, reset the app to return to original settings. WHO IS THIS APP FOR? + Stroke Survivors + People with Aphasia + Caregivers of People with Aphasia + Speech-Language Pathologists + Speech-Language Pathology Students + Healthcare Providers Learn more about Lingraphica at www.aphasia.com

About

Conversation Therapy Lite

This app facilitates speech therapy by providing conversation starters and tools to practice language and social skills. It helps individuals with speech or language impairments engage in dialogue and carry over therapy lessons at home. The app offers customizable settings and tracks progress for one-on-one or group sessions.

Highlights
  • Conversation starters for various topics
  • Tools to practice language and social skills
  • Progress tracking for sessions
  • Customizable settings for age-appropriateness
  • Audio recording and scoring
  • Emailable session summaries
Read full description

Work more effectively toward your speech therapy goals. Help people who have had a stroke, live with autism, or have a speech or language impairment get talking with an app that sparks conversation. The best way to improve talking is by talking! Download this free sample version of Conversation Therapy to try it for yourself! - Get a tool that helps adults, teens, and children put therapy strategies into practice - Improve language, social skills, speech, and thinking while using this powerful speech therapy app - Carryover the lessons from speech therapy at home with an app that’s easy for everyone to use - Focus on what matters – stop racking your brain for fresh topics and let the app guide you - Take things in any direction with thousands of possible conversation starters - Create the right experience for each person with customizable settings - Talk one-on-one, host groups of up to 4 at a time, and track improvement with ease Coming up with fresh, attention-grabbing conversation starters every day is surprisingly hard, even for speech therapy professionals. Think of this app as your talk facilitator, taking the pressure and planning out of starting and maintaining dialogue while you monitor how your clients use their speech strategies. "This is the app that is going to pave the way for converting speech therapists to the digital age." - Ryan Knoblauch, SLP, The Speech Knob GETTING STARTED IS AS EASY AS 1, 2, 3 Target higher-level expressive language, pragmatic, problem-solving, speech, and cognitive-communication goals with open-ended conversation starters. Here’s how it works. 1) CHOOSE YOUR CATEGORIES. Tailor your experience with specific topics like Food or Health, or select all topics for free-flowing discussion that could go anywhere! You can always change the settings to see only age-appropriate categories for children, teens, or adults. *This free Lite version of the app has 3 photos and 30 questions suitable for all ages* 2) START THE CONVERSATION. Look at the picture, then touch any of the 10 buttons to see a question. The questions on the left are simpler (like “What is…?”) while the ones on the right are more complex (“How do you know…?”). Hear the question aloud, record your own audio, and score answers as you go. 3) USE YOUR STRATEGIES. While taking turns discussing the answers to the questions, use your word-finding strategies, smooth speech techniques, or other personalized therapy approaches to communicate more clearly. ALL DONE? E-mail an automatically generated summary of your results, along with any audio, or share the results to a PDF, file storage, printer, or copy/paste. GET EVERY FEATURE YOU NEED IN THE FULL APP - 275+ vivid photos, with 10 questions per photo, for over 2750 possible questions in the full app; 3 photos in the Lite version - 10 languages: English, Dutch, Filipino, Finnish, French, German, Italian, Portuguese, Spanish, Zulu - 11 categories full of real-world topics including daily life, hobbies, current events, social issues, health concerns, and much more in the full app - Record audio at any time with just a tap - Perfect for treating language, cognitive-communication, pragmatic, and speech disorders - Great as stimulus material to work on fluency, articulation, eye contact, and word-finding strategies in spontaneous speech - No subscriptions, no monthly bills, no Wi-Fi needed BETTER DISCUSSIONS MEAN BETTER PRACTICE. Inspire curiosity and creativity while motivating people to keep improving – DOWNLOAD IT NOW! Once you've had a chance to try this free Lite app, download the full version of Conversation Therapy to get so much more content. Looking for something different in a speech therapy app? We offer a wide range to choose from. Find the right one for you at tactustherapy.com/find

Screenshots

SmallTalk Pain Scale4 screens
Conversation Therapy Lite4 screens

Verdict

The call

The clearest difference is rating: Conversation Therapy Lite at 4.7 against SmallTalk Pain Scale's 4.0. Conversation Therapy Lite also leads on ads (none vs shown) and review sentiment (75% vs 50%). On price, update cadence, in-app purchases and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

Conversation Therapy Lite holds the better App Store score, 4.7 against 4.0. That said, the two scores are not equally well evidenced: Conversation Therapy Lite has 60 ratings behind it against 3, so its average is the more settled of the two. Written reviews point the same way: 50% of SmallTalk Pain Scale's written reviews are positive against 75% of Conversation Therapy Lite's.

UpkeepUpdate frequency

SmallTalk Pain Scale ships an update every 9 months, Conversation Therapy Lite every 7 months. The most recent releases landed on October 16, 2026 and October 23, 2026 respectively.

Scorecard5 real differences · 5 level
SmallTalk Pain Scale versus Conversation Therapy Lite: the parameters behind the verdict, then further details
ParameterSmallTalk Pain ScaleConversation Therapy Lite
PriceFreeFree
Rating4.0 (3 ratings)4.7 (60 ratings) — better
Positive reviews50.0% of reviews75.0% of reviews — better
Number of ratings360 — better
Update frequencyEvery 9 monthsEvery 7 months — better
AdsYesNo — better
In-app purchasesNoNo
MonetizationAd-supportedFree — better
DevicesiPhone, iPad, iPodiPhone, iPad, iPod
Requires iOS9.09.0
Further details — not scored
Size259 MB27 MB
Age rating4+12+
DeveloperLingraphicare, Inc.Tactus Therapy Solutions Ltd.

Customer experience

SmallTalk Pain Scale

All ratings3 ratings
Positive66.7%
Neutral0.0%
Negative33.3%
Written reviews2 reviews
Positive50.0%
Neutral0.0%
Negative50.0%

Conversation Therapy Lite

All ratings60 ratings
Positive91.7%
Neutral3.3%
Negative5.0%
Written reviews8 reviews
Positive75.0%
Neutral12.5%
Negative12.5%

In-app purchases

None

SmallTalk Pain Scale

No in-app purchases

None

Conversation Therapy Lite

No in-app purchases

Questions

Is SmallTalk Pain Scale free?
SmallTalk Pain Scale is free to download, with no in-app purchases.
Is Conversation Therapy Lite free?
Conversation Therapy Lite is free to download, with no in-app purchases.
Which has better reviews, SmallTalk Pain Scale or Conversation Therapy Lite?
Conversation Therapy Lite is rated higher. SmallTalk Pain Scale averages 4.0 out of 5 from 3 ratings, while Conversation Therapy Lite averages 4.7 from 60 ratings.
Do SmallTalk Pain Scale or Conversation Therapy Lite have ads?
SmallTalk Pain Scale shows ads; Conversation Therapy Lite does not.
Which is updated more often, SmallTalk Pain Scale or Conversation Therapy Lite?
SmallTalk Pain Scale ships an update every 9 months, and Conversation Therapy Lite every 7 months. Most recently, SmallTalk Pain Scale was updated on October 16, 2026 and Conversation Therapy Lite on October 23, 2026.

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