If a family is concerned about their child’s expressive language skills, I often begin to ask questions about ways their child is initiating communication, or how the child independently and intentionally communicates a message to their communication partner. Remember that a child doesn’t have to be talking to initiate communication! Children can initiate communication using eye contact, directed facial expressions (e.g., looks of excitement, surprise, curiosity, frustration, etc.), body movements, vocalizations, gestures, signs, Augmentative and Alternative Communication (AAC) use, and/or words. Think about how much a look of frustration or excitement communicates.
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