In May 2013 the American Psychiatric Association published its most recent edition of the Diagnostic and Statistical Manual (DSM). The DSM is used by clinicians and psychiatrists to diagnose mental health disorders. Included in this latest edition (DSM-V) is the new diagnostic category of Social Communication Disorder (SCD). It is targeted to children who have difficulty in the social use of language (pragmatics) that impacts comprehension and social skills. In order to meet the criteria for SCD, the difficulty cannot be the result of delayed cognition or other language delays. Unlike children diagnosed with Autism Spectrum Disorder (ASD) who also present with language pragmatics deficits, children diagnosed with SCD will not have met the criteria of restricted interests or repetitive behaviors necessary for a diagnosis of ASD.