(2-minute read)
(2-minute read)

Does a Child with Social Challenges
Automatically Have Autism?
As parents or teachers, it can be concerning when we notice a child struggling socially. Maybe they interrupt others often, miss subtle social cues, or have a hard time managing their emotions around peers. One question I often get is:
“Does this mean the child has autism?”
The short answer: Not necessarily—and sometimes, not at all.
While social difficulties are a core feature of autism, they aren’t exclusive to it. In fact, there are many reasons a child may struggle socially—and one of the most common is ADHD.
Today, let’s take a brief look at how ADHD can impact a child’s social development
How ADHD Can Impact Social Skills
ADHD doesn’t just affect focus in the classroom—it also plays a big role in how a child connects with others. Here are a few common patterns:
🗣 Impulsivity
Kids with ADHD may blurt things out, interrupt conversations, or even hurt a peer’s feelings—sometimes physically or emotionally—simply because they act before thinking. This can make it difficult to build smooth, back-and-forth friendships.
👀 Inattention
When a child isn’t fully tuned in, they might miss key social cues—like a friend’s facial expression, tone of voice, or body language. These misreads often lead to confusion or miscommunication.
💥 Big Emotions
Many children with ADHD have trouble managing frustration or disappointment. A small issue with a teacher or peer can quickly spiral into a bigger emotional reaction or outburst.
What Can We Do?
If a child is struggling socially, don’t jump to conclusions. Instead, step back and ask:
Are there signs of impulsivity? Difficulty regulating emotions? Trouble staying focused?
Getting a thorough evaluation can help clarify what’s truly going on—and more importantly, how to help.
With the right support, guidance, and practice, children with ADHD can absolutely build strong, meaningful friendships and grow in their social confidence.
Wishing you a wonderful week—and stay dry in the rainy weather! ☔
Warmly,
Dr. Devora
P.S. Here is a free podcast on ADHD and Social Skills in which I discussed this topic with Rabbi Shmuel Reich.
Episode 20: The ADHD Heroes Podcast
Dr. Devora Samet – Social Skills Challenges Related to ADHD and Red Green Behavior Therapy