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Social (Pragmatic) Communication Disorder

A a neurodevelopmental disorder characterized by persistent difficulties in the social use of verbal and nonverbal communication. Individuals with SCD struggle with using language appropriately in social situations, understanding social cues, and engaging in effective social interactions. This can impact their ability to form and maintain relationships, succeed in school or work, and participate fully in social activities.

1. Problems with Social Use of Language

Struggles to start or carry on conversations

Difficulty using language to greet, request, or inform appropriately

Trouble changing language for different people or settings (e.g., too formal or too casual)

Doesn’t take turns in conversation properly

2. Difficulty Following Conversation Rules

Interrupts or talks over others

Misses cues like body language, tone of voice, or facial expressions

Doesn’t understand personal space or when a topic is inappropriate

3. Trouble Understanding and Using Nonliteral Language

Struggles with jokes, idioms, sarcasm, or metaphors

Takes things too literally

4. Impact on Daily Life

Hard to make or keep friends

May seem awkward or off-topic when speaking

Difficulty participating in group activities (classroom, games, discussions)