Social pragmatic communication disorder: 4 signs your child may have this disorder

If your child has Social Pragmatic Communication Disorder, it is essential to get in touch with a therapist or a professional. (Image via Freepik/ Freepik)
If your child has social pragmatic communication disorder, it's essential to get in touch with a therapist or a professional. (Image via Freepik/Freepik)

The term social pragmatic communication disorder (SPCD), also referred to as social communications disorder (SCD), describes significant difficulties with verbal and nonverbal social communication abilities, generally in children.

While it's natural for kids to occasionally struggle in social circumstances, youngsters with social pragmatic communication disorder (SPCD), also known as social communication disorder, may encounter these challenges more frequently.

SPCD can make it more difficult to understand the meaning of the language we use, but treatment strategies like consulting with a speech-language therapist can help manage symptoms.

Communication is a basic function, what happens when there are difficulties associated with it? (Image via Freepik/ Freepik)
Communication is a basic function, what happens when there are difficulties associated with it? (Image via Freepik/ Freepik)

What is social pragmatic communication disorder, and what causes it?

Deficits in communication may also hamper development. (Image via Freepik/Freepik)
Deficits in communication may also hamper development. (Image via Freepik/Freepik)

SPCD refers to a primary deficit in social communication, which includes both verbal and nonverbal cues.These challenges could consist of, inappropriate social communication in some situations, social issues when using language, not being able to recognize, use, and comprehend both nonverbal and verbal signals and ignorance of nonliteral language.

Communication difficulties with others are a part of SPCD. As they may comprehend grammar rules and the meaning of individual words, people with SPCD may struggle with pragmatic language. The term pragmatic language describes the way we utilize language to connect with one another in everyday social situations.

The symptoms may appear similar to autism, but they are two different disorders. (Image via Freepik/Freepik)
The symptoms may appear similar to autism, but they are two different disorders. (Image via Freepik/Freepik)

SPCD is a relatively recent diagnosis that only recently included the diagnostic and statistical manual of mental disorders, or DSM-5.

As your kid grows up, social pragmatic communication disorder tends to be more apparent, as pragmatic language issues are easier to identify when children interact in more challenging social contexts. Although children shouldn't be diagnosed with SPCD till they're four or five years old, several specialists advise against doing so.

Autism spectrum disorder (ASD) is distinct from social pragmatic communication disorder. These are two distinct diagnoses even though they both include communication problems. So, what causes social pragmatic communication disorder?

While the precise origin of social pragmatic communication disorder is unknown, some experts think it might have a hereditary component. Moreover, it might occur in families where pragmatic language problems have a history. There may be some overlap between SPCD symptoms and neurodevelopmental problems. ASD and ADHD are two of them.


Social communication disorder - 4 signs to watch out for

Look out for these signs and symptoms. (Image via Freepik/Freepik)
Look out for these signs and symptoms. (Image via Freepik/Freepik)

According to the DSM-5, a person must exhibit the following symptoms to meet the diagnostic criteria for social pragmatic communication disorder:

1) Communication challenges in social settings, both verbal and nonverbal

  • Difficulty adjusting communication to context
  • Difficulties comprehending social conventions
  • Difficulty interpreting non-literal and explicit communication

2) Communication-related restrictions

Communication, interpersonal connections and academic performance can all be negatively impacted by a person's communication and social skills deficits.


3) No additional diagnoses

Autism or an intellectual handicap are not better explanations for the symptoms than a different diagnosis.


4) Early symptoms of development

This might not be noticeable, though, till the child reaches the stage of development when the required amount of social contact exceeds their capacity.

Moreover, social pragmatic communication disorder can only be diagnosed in someone who's able to communicate and comprehend language. Youngsters who never exhibit either behavior could require a separate diagnosis. As a result, rather than as an infant or toddler, most kids receive their diagnosis around the age of four or five.


How is social pragmatic communication disorder diagnosed?

A diagnosis can protect your child from potential harm. (Image via Freepik/Freepik)
A diagnosis can protect your child from potential harm. (Image via Freepik/Freepik)

Parents are advised to wait till their child is four or five before obtaining a diagnosis, according to experts. A speech-language pathologist gathers information about a patient's health and behavior, works with their parents and teachers and administers many diagnostic tests.

To provide an appropriate diagnosis, screening for social pragmatic communication disorder entails observations, interviews, hearing tests and questionnaires. Other neurological abnormalities and illnesses that could affect speech, like intellectual development problems, global developmental delays or other mental issues, are ruled out by doctors.

There isn't a single drug that can treat social pragmatic communication disorder. Nonetheless, a person may use medicine to treat unrelated symptoms or deal with particular SPCD problems like social anxiety.


Although and autism are different, they do have some characteristics in common. This suggests that some individuals who were previously given an autism diagnosis may have SPCD. Finding the appropriate help depends on getting the proper diagnosis.

Social interaction can have an effect on the entire family. Those who work with a speech-language therapist can acquire techniques to lessen the effect SPCD has on their social life.

The earlier you learn about the long-term efficacy of therapy, the better, but further study is required. Those with a socially pragmatic communication disorder can gain insight into managing social circumstances with the aid of a specialist.


Janvi Kapur is a counselor with a Master's degree in applied psychology with a specialization in clinical psychology.


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