Eneida M. Silva, PHD
Neuropsychologist / Licensed Clinical Psychologist
Advanced Psychological Services LLC
24 Goose Lane, Tolland CT 06084
112 Spencer Street, Manchester CT 06040
Phone: (860)- 926-4544 Fax: (866-607-3956)
Anthem (Connecticut only) - children (age 3 and up) and adults
HUSKY A (we accept HUSKY A, but not B) we take HUSKY for children/adolescents ages 3 to 20
Medicare: Please note we do not participate in Medicare
To initiate a referral for an evaluation and download our Referral Information Form above to request an evaluation at our practice, please click on a button above. You may self-refer.
24 Goose Lane, Tolland CT 06084
Anthem of Connecticut only - children and adults
HUSKY A only (we don't accept HUSKY B)- we take HUSKY only for children/adolescents ages 3
- Reading issues / learning disabilities / dyslexia /dysgraphia / dyscalculia
- Nonverbal Learning Disorder (NVLD)
- ADHD (attentional challenges) and executive functioning issues
- Dyspraxia and Dysgraphia
- Trauma based issues and Post Traumatic Stress Disorder
- Autism Spectrum Disorders and social functioning skills
- Reactive attachment
- Academic challenges
- Anxiety and depression
- Behavior and emotional issues (child)
Dyslexia / Reading Evaluations: Our neuropsychologically based evaluations for dyslexia and reading issues are comprised of comprehensive assessments encompassing specific areas, such as: phonemic awareness, processing speed, spelling, processing of sounds, vocabulary knowledge, word sound discrimination, reading comprehension, word retrieval, and visual spatial ability. Judith Weiner, MS, a specialist in reading evaluations and dyslexia (more about Judith Weiner in the About Us and Directions tab) has extensive experience in this area. Children and adults who have dyslexia or a significant reading disability often exhibit the following:
Social pragmatic communication disorder:
Social pragmatic communication disorder (SPCD) refers to marked challenges with both nonverbal and verbal communication skills used in social settings. Social-communication difficulties may be associated with other communication disorders. However, as of 2013, SPCD is now considered its own category as defined by the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5).SPCD is also considered separate from certain neurodevelopmental disorders that may also affect communication skills, including Autism Spectrum Disorder (ASD), even though there is continuing debate about this.
Recently added to the DSM-5’s Communication Disorders section, SPCD refers to a primary deficit in verbal and nonverbal communication used in social situations.
Difficulties may include:
* inadequate communication in certain social contexts
* Issues with using language to socialize
* not knowing how to use and understand both verbal and nonverbal cues
* a lack of understanding with respect to nonliteral language
SPCD symptoms may vary in type and intensity between individuals. Below are some of the signs of SPCD:
* difficulties with adapting communication skills to different social contexts, such as greetings and initiating conversation
* inability to switch between formal and informal language
* problems with taking turns during conversations
* difficulties with using nonverbal communication techniques during social interactions, such as eye contact and hand gestures
* difficulty understanding nonliteral language, such as inferences, sarcasm, metaphors, and idioms made during conversation
* making and/or keeping friends
Having one or more of these symptoms doesn’t automatically mean you have SPCD. To be diagnosed with this communication disorder, the symptoms must significantly interfere with:
How is social pragmatic communication disorder different from autism?
As of the DSM-5, SPCD is considered a separate condition from ASD. However, as mentioned previously, there has been continuing debate about this. It is important to note that some of the symptoms of SPCD may seem to overlap with those associated with ASD, including what is formerly known as Asperger’s. SPCD may not seem completely different from ASD, and may include traits in common. However, at the present time, the DSM-5 has placed SPCD in its own category as those that are not caused by any other underlying developmental disorder or medical condition. Communication difficulties that may be noted in ASD include:
* seeming “lack of attention” in social interactions
* difficulty engaging with back and forth conversations
* talking with others without giving them a chance to respond
How is social pragmatic communication disorder different from ADHD?
SPCD may at times be diagnosed in conjunction with attention-deficit hyperactivity disorder (ADHD). While ADHD may lead to some communication difficulties, the causes and impacts aren’t the same as SPCD.
Communication difficulties that may be seen in ADHD include:
* inability to concentrate on someone talking with you
* excessive talking
* having trouble waiting for your turn to talk
* interfering with others’ conversations
* interrupting others who may be talking with you
These may or may not be present in someone with Social (Pragmatic) Communication Disorder.
How is social pragmatic communication disorder treated?
Treatment for SCPD focuses on speech and language therapy usually given by a speech-language pathologist (SLP). SLP services are available for children in schools who qualify, and you may also obtain speech therapy in private practices.
While individual, one-on-one sessions are essential, group therapy can also help improve social pragmatic skills. Group therapies are also used in school settings. Some private practices may also offer group social skills classes. With these treatment approaches, SCPD is expected over time to significantly improve.