
📍 Location: Pune
🧠 Service: Receptive-Expressive Gap / Autism Spectrum / Speech Delay
📞 Call to Action: AbilityScore©® Communication Screening + TherapeuticAI©® Speech Plan
“She Followed Every Instruction.
She Understood Every Story.
She Smiled At Every Joke.
But She Rarely — If Ever — Spoke.”
Riya was 4 years old.
She:
- Followed directions perfectly
- Understood cartoon plots
- Pointed to everything she wanted
- Nodded yes or no clearly
But her words?
- One-word replies, if any
- No sentences
- No questions
- No comments on her own
“Everyone said she was understanding everything.
So why wasn’t she speaking?”
🧠 When Comprehension Hides Expression Delays
At Pinnacle® Pune, speech-language therapists explain:
“Some children have excellent receptive language —
they understand words, tone, instructions —
but cannot initiate or form expressive language on their own.
And this gap often goes unnoticed until it widens dangerously.”
Key signs of a receptive-expressive gap:
- Strong comprehension but limited speaking
- Rare use of spontaneous phrases
- Answers mostly non-verbally (nods, gestures)
- No storytelling, questioning, or imaginative speech
- Quiet compliance mistook for emotional maturity
“Silence isn’t understanding.
Silence often hides the need for help.”
📞 The Moment Her parents Realized It Wasn't Just Shyness
At a family gathering, everyone praised Riya:
“Such a calm child.”
“So obedient.”
“No tantrums like other kids!”
But when her cousin, aged 3, started chattering non-stop —
asking, explaining, imagining —
her parents realized:
“Our daughter listens.
But she never speaks her world.”
That night, they called 9100 181 181.
The counselor said:
“Shyness is temporary.
Persistent silence needs exploration.”
They booked a free AbilityScore©® Screening the next morning.
📊 Riya’s AbilityScore©® Communication Profile
- Receptive Language: 🟢 Green (920/1000)
- Expressive Language: 🔴 red (440/1000)
- Functional Communication: 🔴 Red
- Social Interaction in Play: 🟡 Yellow
She wasn’t lacking understanding.
She lacked expression channels.
🤖 How TherapeuticAI©® Helped Her Voice Find Its Way Out
Her personalized therapy was gentle. Structured. Empowering.
Her AI-guided plan included:
- Imitation games (copy words in action)
- Picture-exchange verbal prompts
- “I want” → “I see” → “I feel” starter sentences
- Verbal routines around meals, play, dressing
- Parent coaching: How to elicit, not demand, speech
By week 4:
- Riya said, “Juice Amma” instead of pointing
- Used two words, “Big ball!” during play
- Started whispering “Me first” during game circle
“Her first real sentence wasn’t loud.
It was a whisper.
But it was her world finally opening.”
💬 What Her Family Wants Every Parent To Know
“Don’t confuse quiet with complete.
If your child understands but doesn’t speak — it’s not enough.
They deserve the tools to share their minds with the world.”
🌍 This Autism Awareness Month — Listen To What’s Missing Between The Smiles
If your child: ✅ Follows directions but doesn’t speak
✅ Points and nods without words
✅ Doesn’t ask, question, or describe
✅ Seems content but doesn’t express
…it’s time to screen expressive language.
Because understanding isn't a conversation — and every child deserves both.
📞 Book Your Child’s Free Speech Screening in Pune
📞 Call the Pinnacle® National Autism Helpline: 9100 181 181
🌐 www.Pinnacleblooms.org
📍 pune | Pimpri-Chinchwad | Kothrud | Baner
✅ Free AbilityScore©® Expressive language Report
✅ Weekly TherapeuticAI©® Communication Plan
✅ Marathi + hindi + english Speech Therapists
✅ Parent Training on Expression Elicitation
⚠️ Disclaimer
This article is intended for informational and awareness purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. For expert guidance tailored to your child’s needs, please consult a qualified healthcare provider or contact the Pinnacle® national autism helpline at 9100 181 181.