]]>Social communication disorder is rarely diagnosed in favor of autism primarily because autism provides access to critical services, insurance coverage, educational support, and legal protections that social communication disorder does not reliably offer, creating strong practical incentives for families and clinicians to prefer the autism diagnosis. Additionally, autism has an established evidence base, validated assessment tools, clear intervention protocols, and a large supportive community with a neurodiversity-affirming culture, while social communication disorder has none of these. It has no community, minimal research, no specific treatments, and little professional awareness since it was only introduced in the DSM in 2013. Service delivery, insurance, and educational systems are built entirely around autism rather than social communication disorder, and since both conditions require similar interventions for social-communication difficulties, there's little practical incentive to make the diagnostic distinction, especially when the boundary between them (whether restricted/repetitive behaviors are truly absent or just subtle) is often unclear and clinicians are often unsure the distinction really matters.