Children with expressive language disorders have difficulty expressing themselves using speech. The signs and symptoms vary drastically from child to child. The child does not have problems with the pronunciation of words, as occurs in phonological disorder, or apraxia of speech. The child does have problems putting sentences together coherently, using proper grammar, recalling the appropriate word to use, or other similar problems. A child with expressive language disorder is not able to communicate thoughts, needs, or wants at the same level or with the same complexity as his or her peers. The child often has a smaller vocabulary than his or her peers.