The aim of this paper is to discuss some of the productive discourse devices and markers noted in 50 spoken narratives elicited from Telugu native speakers. Since most of them are college students and residents of Hyderabad, they are also exposed to English as well as Hindi-Urdu (Dakkhini). After presenting certain salient features of Telugu language, the role of conjunctive participles, relative participles, quotatives, and co-reference in maintaining discourse cohesion is discussed with specific examples from normal adult speakers as well as two neurologically impaired patients. It is argued that future Telugu language assessment tools for clinical population need to incorporate some of these discourse features.