Therapy in early childhood is facilitated through toys and play. While mainstream toys are designed for children, therapeutic toys need to satisfy requirements from clinicians, caregivers, and children. The study presented in this paper investigated the challenges that 22 international toy designers encounter during the design process and whether support is required when developing products for speech and language therapy, through a mixed-method approach. Results show that considerable challenges are encountered during the early design stages. Nonetheless, the toy design process remains unsupported, while no support is available for designers to consider therapeutic needs. Based on the feedback received, eleven requirements were identified upon which a user-centred design support framework was proposed to assist toy designers during the task clarification stage, taking into account the affordances that therapeutic toys should have without inhibiting the creative process.