I have an almost 3 and a half year old son who has some form of a speech and language delay. 6 months ago he barely put together 2-3 words at a time, and as a result was extremely uncomfortable and mostly anti-social with the kids at his school. I have a special ed. teacher who is working with him 2 days a week (one hour each time) to help him focus better (circle time is a challege) and gain better social skills. It has definitely helped. My son has also started speech therapy and his therapist recently commented to me about my son's problems with "pragmatics". This is definitely an area of difficulty for him. It's very hard for him to sustain any kind of conversation and he tends to get a bit off topic. The kids at his school see this and I think they just get bored with him after a bit and walk away. It breaks my heart! He is no longer "anti-social". In fact, he's a bit too social in my opinion! He wants to talk to everyone and I've started to explain to him that it's not good to talk to strangers. Besides his speech/language concerns and slightly "off" social skills, there are no other major concerns. Still, because his problems lie in the speech and social aspects, I keep having concerns of some form or autism? From everything I have read and researched on the internet, it seems these two deficit areas in itself will place a child somewhere on the spectrum. My question: is it at all possible to have language and social awkwardness and NOT be on the spectrum? Has anyone else gone through something similar with their child? What was their final diagnosis. I'm scheduled to see a ped. Neurologist this week and I'm worried. Thanks to all who reply.