Social (pragmatic) communication disorder, new DSM-5 diagnostic category, clinical considerations and differential diagnosis apropos of a case
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communication, autism, adolescence, phenotype, socialAbstract
Definition: social (pragmatic) communication disorder is a new diagnostic entity included in the DSM-5. It is characterized by persistent difficulties in the social use of verbal and nonverbal communication, differing from autism spectrum disorder by the absence of restricted interests and/or stereotyped activities1.
Case report: we report the case of a 14-year-old girl, with a family history of autism spectrum disorder (ASD). She was referred to the child and adolescent psychiatry clinic because of reactive anxiety secondary to bulling at school. On examination, her main problem was centered on communication and social relationships. She meets diagnostic criteria for social communication disorder.
Conclusion: adolescence can be considered a critical period for patients with social communication disorder. Early diagnosis is essential, and the mainstay of treatment is a program of social skills training.
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