Social Communication Difficulties

Local Providers for Social Communication Difficulties

What social communication difficulties are

Social communication difficulties affect how a person uses and understands language in social situations.
This can include challenges with conversation, interpreting tone or body language, and forming friendships.

These difficulties can appear on their own or as part of another condition such as autism, ADHD, or developmental language disorder (DLD).

Related guidance

  • Autism Spectrum Disorder (ASD)
  • Language Disorder
  • ADHD
  • Selective Mutism
  • SEN Wellbeing

    Signs and characteristics

    Children and young people with social communication difficulties may:

    • find it hard to start or maintain conversations

    • talk mainly about their own interests

    • misunderstand humour, sarcasm or idioms

    • struggle with turn-taking or eye contact

    • find group work or social rules confusing

    • appear socially withdrawn or anxious

    Check signs of social communication difficulties
    Learn how to recognise when conversation and interaction skills need support.

    Causes and related conditions

    Social communication differences may be linked to:

    • Autism Spectrum Disorder (ASD)

    • Language disorders or delayed language development

    • Hearing impairment or sensory processing issues

    • Emotional or environmental factors, such as anxiety or trauma

    Early assessment and consistent support can help children build confidence and understanding in social settings.

    Learn what causes social communication difficulties
    Understand how language, emotion and environment interact in communication.

    Getting assessed and diagnosed

    Assessment is usually led by a Speech and Language Therapist (SLT) and may include:

    • observation of interaction in school and home

    • language and social understanding assessments

    • teacher and parent questionnaires

    • input from educational psychologists or autism specialists

    Diagnosis may identify Social (Pragmatic) Communication Disorder (SCD) or overlapping needs.

    Support in education

    Schools and tutors can help by:

    • teaching social rules explicitly through stories and role-play

    • supporting understanding of non-verbal communication

    • using visual prompts for turn-taking and conversation topics

    • creating calm, structured environments to reduce social stress

    • modelling clear and supportive communication

    Pupils with significant needs may require SEN support or an EHCP including therapy sessions.

    Strategies for communication and interaction

    Helpful strategies include:

    • Social skills groups or circle of friends programmes

    • Comic strip conversations or social stories

    • Speech and language therapy for pragmatic skills

    • Video modelling to show positive social examples

    • Visual schedules and emotion regulation tools

    Get support for social communication needs

    Search for therapists, tutors and communication experts who help children build confidence and social understanding.