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CAMHS Neurodiversity: Communication

Communication happens when one person sends a message to another person. This can be verbally or non-verbally. Interaction happens when two people respond to one another – two-way communication.

(National Autistic Society 2017)

Some people with Neurodevelopmental conditions may have difficulties with speech and / or language and may find aspects of understanding language at the level usually expected for their age.

Some people with ASC are entirely non-verbal or may use language in some situations and not others which is sometimes described as selectively mute. This is caused by anxiety and is not a deliberate choice.  Further information is available here.

Some people with ASC can speak with no issue and have no challenges in using language. However, some may struggle to use or understand language if they feel anxious or stressed which may be due to being overwhelmed by the situation or their environment.

You should never assume that a person with a neurodevelopmental condition who uses high level language will understand everything you say or assume that someone who is non-speaking or finds it challenging to speak clearly does not understand you.

Many people with ASC can find non-literal language challenging; hints, rhetorical questions, sarcasm and using  metaphors / idioms can cause confusion and frustration. Using clear specific language is better.

More information around communicating to young people with neurodevelopmental conditions are available at the following links:

If a child or young person has significant communication difficulties, they may benefit from a Communication Passport.

Visual Support is useful for young people with communication difficulties to help provide structure and routine, support understanding and avoid frustration and anxiety. Further information is available here.

Social stories and comic book conversations are designed to teach appropriate behaviours, social skills and prepare for help prepare for particular situations, events and activities. Additional information is available at  www.thewatsoninstitute.org/resources/behavior-stories/

Challenges in communication can lead to young people feeling socially isolated – the National Autistic Society  ‘too much information’ campaign offers advice. Teenagers are especially impacted by this and further Resources for autistic teenagers (autism.org.uk) may be helpful.

 

Additional information and advice on speech and language development is available here

Further information on supporting speech, language and communication  at all ages is available from Livewell Community Speech and language Service