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Why isn't my child communicating with me?

Rogers Bridge » Receptive vs Expressive Language Delays

One of the main reasons families seek speech therapy is because their child is unable to communicate.

Lack of communication causes frustration for the parents and for the child. Parents want to hear their child say their first words like "mama" or "dada", to tell them when they are hurt, or talk about an exciting event that happened to them.


Without the ability to communicate, children struggle to express their needs and ideas. This struggle results in increased frustration in the form of tantrums, lack of interest, or using physical means to communicate.

We're passionate about

your child's needs.

"At 6, 12, and 18 months, I honestly wasn't sure if she would ever talk. Hearing her express her ideas, have conversations, and sing (!) now at 3.5 regularly brings tears to my eyes." — Gina D. (full review lower)

Jessie and Cute Child.jpg

At Rogers Bridge Pediatric Therapy,

we believe that all children

can learn to communicate effectively.

We will work with your child and family to determine

warm and effective strategies which,

incorporated into your daily life, will serve to improve receptive and expressive language skills.

The first step is an easy conversation about your child's needs.

We'd like to prove we're a good fit with a free consultation.


"Jessie is such a loving and caring therapist. Her passion for helping her patients and families show every visit. She is open to what works for each patient while being effective and productive. She is responsive and able to adapt to her patient's moods. Speech therapy has never been my son's favorite, and he has been to known to be a bit difficult, but it never slowed Jessie down. She was always so loving and made the sessions fun for him. I would recommend her to anyone looking for a great therapist." – Belinda

Receptive Language vs Expressive Language

Receptive language (the ability to understand) and Expressive language (the ability to express thoughts) are fundamental to the communication process. When a breakdown occurs in one or both areas, it results in a communication disorder.


The receptive or expressive delay may vary in severity, can be caused by a variety of factors, and can occur across all ages. There are many signs that a child may struggle with their receptive/expressive language skills. Below we have included the common signs of a communication disorder in toddlers and children.


  • Not responding to name

  • Limited or no eye contact

  • Unable to interact with another person during play

  • Unable to follow directions

  • Minimal babbling or vocalizations

  • Not producing words by 12 months old

  • Not using 2-word combinations by 18 months


  • Unable to follow multistep directions

  • Unable to answer questions or answers questions incorrectly

  • Unable to remember things

  • Not interested in communicating with others

  • Limited or below average vocabulary

  • Using incorrect word order in sentences

  • Incorrect word tenses

Does your child demonstrate any of these signs?

We're happy to provide more insights. Reach out to us to learn more.

"Jessie was my sons therapist for well over two years and she is incredible! You can’t go wrong choosing her as your SLP or her other therapist because she hires SLPs with an extraordinary amount of talent and professionalism. My daughter was also lucky enough to have worked with Melissa and she was wonderful. She was engaging, intelligent, funny, easy to work with, and extremely professional. I highly recommend Rogers Bridge Pediatric Therapy." – Holly W

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Gina D's Full Review

"My 8 month-old daughter was struggling to feed (bottle/solids) and was only forming vowel sounds (aah), no consonants (i.e. mama). Jessie began working with her immediately on muscle tone and coordination. Her bottle feeding, eating, and speech have improved so significantly over the past three years, it is nothing short of miraculous. Our daughter eats independently now and is saying full sentences. At 6, 12, and 18 months, I honestly wasn't sure if she would ever talk. Hearing her express her ideas, have conversations, and sing (!) now at 3.5 regularly brings tears to my eyes. Jessie is an amazing speech therapist. She brings the ideal balance of patience, strategy, intentionality, and play to every session with our daughter and we could not be more delighted with her approach. Through our diagnosis journey in discovering our daughter's super rare genetic disorder, she has been a supportive, consistent advocate for our daughter's progress. She is a trusted member of our daughter's special needs team, and we are beyond grateful for her role in our daughter's life!" – Gina D.

Gina D Full Review
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