Pediatric Speech Therapy at Big Stone Therapies

Supporting Stronger Communication, One Word at a Time 

When a child struggles to understand language or express themselves, it can impact everything from learning to making friends. At Big Stone Therapies, our pediatric speech-language pathologists specialize in helping children with mixed receptive-expressive language disorder strengthen their ability to communicate clearly and confidently—at home, in school, and in life. 

We’re proud to offer personalized, family-centered care across 50+ communities in Minnesota, North Dakota, South Dakota, and Michigan. 

What Is Mixed Receptive-Expressive Language Disorder? 

Mixed receptive-expressive language disorder means a child has difficulty both understanding what others say and expressing their own thoughts. It’s not a reflection of intelligence—many bright, capable children simply need more support in building these foundational skills. 

Left unaddressed, this disorder can affect reading, writing, academic performance, and social development. With early intervention and expert guidance, however, children can make meaningful progress and gain lasting confidence. 

Signs to Watch For 

Every child is unique, but common signs of mixed receptive-expressive language disorder may include: 

  • Difficulty expressing thoughts, needs, or feelings 
  • Limited vocabulary for their age 
  • Struggles with grammar, verb tenses, or sentence structure 
  • Trouble following directions or understanding new concepts 
  • Appearing uncooperative due to misunderstanding 
  • Relying on a small set of familiar words or phrases 

If your child’s communication seems delayed or different compared to peers, trust your instincts. Early support makes a difference.

Common Causes 

This disorder is often developmental and not linked to cognitive delays. It may also result from: 

  • Neurological injury (e.g., seizures, stroke, TBI) 
  • Co-occurring developmental conditions 
  • Unknown or mixed causes 

Regardless of the cause, what matters most is providing the tools your child needs to succeed.

How Pediatric Speech Therapy Helps 

At Big Stone Therapies, we create fun, engaging, and age-appropriate therapy experiences designed to meet your child where they are—and help them grow. 

Therapy may include: 

  • Vocabulary building and sentence practice through play 
  • Strategies to support comprehension and follow directions 
  • Multisensory reading and writing activities 
  • Social communication training for peer interactions 
  • Parent coaching to reinforce progress at home 
  • School collaboration for classroom success 

Our goal is to help your child thrive in every setting where communication matters—because that’s just about everywhere.

What to Expect 

You’ll start with a one-on-one evaluation from a licensed pediatric speech-language pathologist. From there, we build a plan tailored to your child’s needs, interests, and goals. 

Your child’s journey may include: 

  • Weekly speech therapy sessions 
  • Fun, functional home strategies 
  • Progress tracking and updates 
  • Ongoing support for both child and caregiver 

Early action leads to the best results, so don’t wait—help is here when you need it.

Help Your Child Communicate with Confidence 

No child should feel lost in the conversation. If your child is showing signs of mixed receptive-expressive language disorder, we’re here to guide, encourage, and celebrate every milestone. 

📍 Serving 50+ communities across MN, ND, SD & MI 
📞 Schedule your pediatric evaluation today 
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