Expressive language refers to the way that a child communicates with others. A child may have difficulty verbalizing his/her wants and needs or asking questions. Children may struggle with constructing sentences using age appropriate vocabulary and syntax. Sometimes the challenge lies in the area of pragmatics and a child might not know how to start a conversation or adjust the way he or she speaks depending on who the listener is. Our speech therapists use both structured and unstructured approaches depending on the specific age and need of each child. At times augmentative communication devices may be recommended when verbal communication is insufficient.