
📍 Location: hyderabad (Uppal)
🧠 Service: Social-Pragmatic Delay / Autism Spectrum / Self-Talk Regulation
📞 Call to Action: AbilityScore©® Social Communication Screening + TherapeuticAI©® Plan
“She Spoke All Day.
But Not To Us.
To Herself.
To Her Toys.
To The Air.”
Avika, 4 years old, never stopped talking.
- She narrated every move.
- Repeated cartoon lines.
- Whispered full monologues into her cup.
But:
- Never said “Look, Amma!”
- Never asked “What are you doing?”
- Never invited anyone into her speech.
“She was talking — but never with us.
She was always talking alone.”
🧠 Why Constant Self-Talk Isn’t Just Imagination
At Pinnacle® hyderabad (Uppal), speech-language pathologists explain:
“Children on the autism spectrum often engage in continuous self-talk as a form of sensory regulation and mental rehearsal.
It isn’t imaginative play — it’s a self-soothing mechanism that replaces interaction.”
Clinical warning signs:
- Talking to oneself for long durations
- Speaking aloud while playing alone
- No initiation of shared speech
- Constant narration, but no conversation
- Repeating lines without context or audience
“It’s not pretend.
It’s processing — in isolation.”
📞 The Moment They Realized It Wasn’t Just Being Talkative
At a relative’s birthday:
- Avika stood near a wall, whispering animatedly.
- While children laughed, played, joked — she monologued.
- Not one child joined her.
- She didn’t notice.
- She didn’t mind.
“That night, we asked:
Is she social — or is she surviving through sound?”
They called 9100 181 181.
The counselor said:
“She’s not just talking.
She’s hiding inside her language.
Let’s help her come out.”
They booked a free AbilityScore©® Social-Communication Screening.
📊 Avika’s AbilityScore©® Speech Profile
- Verbal Fluency: 🟢 Green (930/1000)
- Shared Conversation Skills: 🔴 red (440/1000)
- Initiation of Dialogue: 🔴 Red
- Response to Questions: 🔴 Red
- Eye Contact While Speaking: 🔴 Red
She wasn’t speech delayed.
She was socially disconnected — while sounding fluent.
🤖 How TherapeuticAI©® Helped Her Speech Become Shared
Her therapy focused on turning self-talk into shared thought.
Plan included:
- “Say it to me” games (redirecting monologue to dialogue)
- Social scripting with real interaction (“Let’s pretend we’re cooking!”)
- Partner play speech goals (“Ask him for the red block”)
- Visual prompts: Question-Answer, Take-Turn boards
- Parent coaching: Enter her world → slowly invite her out
By week 5:
- Avika turned to her cousin and said, “Play shop with me?”
- Told her mother, “Look! I made this!”
- Said her favorite cartoon line — then laughed when Amma responded in character
“She didn’t stop talking to herself.
But she finally started talking to us too.
And that changed everything.”
💬 What Her parents Say Now
“We thought she was expressive.
But she was actually alone, behind a wall of words.
Now we hear her — and she hears us back.”
🌍 This Autism Awareness Month — Listen Beyond The Words
If your child:
✅ Talks to themselves frequently
✅ Narrates play without involving others
✅ Repeats tv lines or phrases out of context
✅ Speaks but rarely engages in real conversation
…it’s time to screen for pragmatic communication delay — and bring them into conversation, not just language.
📞 Book Your Child’s Social Communication Screening in hyderabad (Uppal)
📞 Call the Pinnacle® National Autism Helpline: 9100 181 181
🌐 www.Pinnacleblooms.org
📍 uppal | LB nagar | Habsiguda | Boduppal
✅ Free AbilityScore©® Social Communication Report
✅ TherapeuticAI©® Conversation Connection Plan
✅ telugu + english Therapists
✅ home Conversation Starters Toolkit
⚠️ Disclaimer
This article is for informational and awareness purposes only. It is not a substitute for professional diagnosis or therapy. For help, contact 9100 181 181.