May 2019 By PsychDB.com

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child:communication:social-pragmatic-communication-disorder [May 2019]
PsychDB.com [Differential Diagnosis]
child:communication:social-pragmatic-communication-disorder [May 2019] (current)
PsychDB.com old revision restored (May 2019)
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 ===== Differential Diagnosis ===== ===== Differential Diagnosis =====
-  * **[[child:​asd|]]**+  * **[[child:​asd|Autism spectrum disorder]]**
     * Autism spectrum disorder should be a primary differential diagnosis in individuals with social communication deficits. The presence of restricted/​repetitive patterns of behaviour, interests, or activities should suggest a diagnosis of autism spectrum disorder rather social communication disorder. Since restricted/​repetitive patterns of behaviour, interests, and activities may only occur during the early developmental period, a comprehensive history should be obtained. Even if there is a current absence of restricted/​repetitive symptoms, but they were present in the past, a diagnosis of autism spectrum should still be considered.     * Autism spectrum disorder should be a primary differential diagnosis in individuals with social communication deficits. The presence of restricted/​repetitive patterns of behaviour, interests, or activities should suggest a diagnosis of autism spectrum disorder rather social communication disorder. Since restricted/​repetitive patterns of behaviour, interests, and activities may only occur during the early developmental period, a comprehensive history should be obtained. Even if there is a current absence of restricted/​repetitive symptoms, but they were present in the past, a diagnosis of autism spectrum should still be considered.
-  * **[[child:​adhd|]]**+  * **[[child:​adhd|Attention-deficit/​hyperactivity disorder]]**
     * ADHD symptoms can cause impairments in social communication and functional limitations of effective communication,​ social participation,​ or academic achievement.     * ADHD symptoms can cause impairments in social communication and functional limitations of effective communication,​ social participation,​ or academic achievement.
-  * **[[anxiety:​phobia|]]**+  * **[[anxiety:​phobia|Social anxiety disorder (social phobia)]]**
     * The symptoms of social communication disorder can overlap with social anxiety disorder. The defining feature the timing and onset of symptoms. In social communication disorder, the individual has //never// had effective social communication. In social anxiety disorder, social communication skills have developed appropriately but are not used due to anxiety, fear, or distress about social interactions.     * The symptoms of social communication disorder can overlap with social anxiety disorder. The defining feature the timing and onset of symptoms. In social communication disorder, the individual has //never// had effective social communication. In social anxiety disorder, social communication skills have developed appropriately but are not used due to anxiety, fear, or distress about social interactions.
-  * **[[child:​intellectual-disability|]]** and global developmental delay+  * **[[child:​intellectual-disability|Intellectual disability]]** and global developmental delay
     * Social communication skills can already be deficient in individuals with global developmental delay or intellectual disability. Thus, a separate diagnosis is not given unless the social communication deficits are in excess of what is expected with the intellectual disability itself.     * Social communication skills can already be deficient in individuals with global developmental delay or intellectual disability. Thus, a separate diagnosis is not given unless the social communication deficits are in excess of what is expected with the intellectual disability itself.
 ===== Treatment ===== ===== Treatment =====