Expressive language not only includes a measure of the form and content of language, but it also measures the third aspect of language, the use. Successful and effective communication depends on adequate expressive language skills and pragmatic language skills. Verbal and nonverbal pragmatic deficits may negatively influence social and academic communication. Pragmatic language is using language socially. It is the ultimate application of one’s language abilities to effectively communicate in order to express wants and needs and to develop and maintain relationships with peers and adults. There are three major components necessary for successful pragmatic language skills. One must understand the use for language for different purposes, changing and adjusting one’s language according to the needs of the listener, and following rules for conversations and storytelling. Students who perform poorly on measures of pragmatic language have either not experienced the use of pragmatically appropriate language or have not been able to generalize, from the world around them, the information needed to develop competence and skills for effective communication.