Social Communication Therapy

Build meaningful connections through stronger social skills

Social communication therapy develops pragmatic language skills—reading social cues, engaging in conversation, taking turns, understanding perspectives, and navigating the unwritten rules of social interaction.

At a Glance

Session Length

45-60 minutes

Typical Duration

12-24 weeks typical

Availability

In-Person & Virtual

For

Children with autismChildren and teens with ADHDIndividuals with social anxietyAdults seeking social skill development
Social Communication Therapy therapy session

About

Social Communication Therapy

Effective communication goes far beyond vocabulary and grammar—it requires understanding the social context of language. Pragmatic language skills include knowing how to start and maintain a conversation, reading facial expressions and body language, understanding sarcasm and humor, taking another person's perspective, adjusting communication style for different audiences, and following the unspoken rules of social interaction. When these skills are challenging, it can lead to social isolation, difficulty making and keeping friends, misunderstandings at school or work, and significant anxiety around social situations.

At Horizon Speech Therapy, our social communication program uses evidence-based approaches to systematically teach and practice these critical skills. We employ Social Thinking methodology to help clients understand the 'why' behind social expectations, video modeling to demonstrate and analyze social interactions, social stories to prepare for specific situations, and peer-mediated intervention to practice skills with real social partners. Our program is available for children, teens, and adults, and can be delivered individually or in small groups. Group sessions are particularly powerful because they provide a safe, structured environment to practice social skills with peers and receive real-time coaching from our therapists.

What We Treat

Conditions

Social Pragmatic Communication Disorder
Autism Spectrum Disorder
ADHD-related social challenges
Social anxiety
Nonverbal communication difficulties

Methods

Treatment Approaches

Social Thinking Methodology

A cognitive-behavioral approach that teaches clients to observe, interpret, and respond to social situations by understanding what others are thinking and feeling.

Video Modeling

Using video recordings to demonstrate appropriate social behaviors, then analyzing and practicing the skills shown in real-life scenarios.

Social Stories

Short, personalized narratives that describe social situations, expected behaviors, and perspectives of others to prepare clients for specific interactions.

Peer-Mediated Intervention

Structured activities with trained peers that provide natural opportunities to practice social skills with real-time coaching and feedback.

Process

How It Works

1

Social Communication Assessment

Evaluate pragmatic language skills, social cognition, and identify specific areas of challenge across different social contexts.

2

Personalized Social Goals

Collaborate with the client and family to set meaningful social communication goals relevant to their daily life and priorities.

3

Skill Building Sessions

Teach and practice social skills through structured activities, role-play, video analysis, and real-time coaching.

4

Group Practice

When appropriate, participate in small group sessions to practice skills with peers in a safe, supportive environment.

5

Generalization & Confidence

Transfer skills to real-world settings—school, work, community—with ongoing support and strategy reinforcement.

Results

Expected Outcomes

Improved ability to read and respond to social cues
Stronger conversation and friendship skills
Better understanding of others' perspectives
Increased confidence and reduced anxiety in social settings

FAQ

Common Questions

Is social communication therapy only for children with autism?

Not at all. While social communication therapy is commonly associated with autism, it benefits a wide range of individuals. Children and adults with ADHD, social anxiety, learning disabilities, traumatic brain injury, or anyone who struggles with the social aspects of communication can benefit greatly. We see clients of all ages who want to improve their ability to connect with others, navigate workplace dynamics, or build stronger relationships.

How do group sessions work, and are they better than individual therapy?

Group sessions typically include 3-5 clients of similar age and skill level, guided by a therapist who structures activities, facilitates practice, and provides real-time coaching. Groups offer something individual therapy cannot—the opportunity to practice social skills with real peers in a safe environment. However, many clients benefit from a combination of individual and group sessions: individual sessions to learn and prepare, and group sessions to practice and generalize. We'll recommend the best format based on your specific needs and goals.

Ready to Start?

Book your free 15-minute consultation to discuss your needs.