In which condition would you expect a patient to exhibit impaired communication skills due to social discomfort?

Impaired communication skills due to social discomfort is most closely associated with autism. Individuals with autism spectrum disorder (ASD) often face challenges in understanding social cues, non-verbal communication, and engaging in conversations. This can lead to social discomfort, making it difficult for them to interact with others effectively.

People with autism may have difficulty interpreting body language or understanding the nuances of language, resulting in communication barriers. They may prefer routines and familiarity, which can make social situations feel overwhelming and lead to anxiety or discomfort. This characteristic plays a significant role in their struggle with social interactions as compared to individuals with ADHD, schizophrenia, or multiple sclerosis, who may have different communication barriers or social challenges that do not arise primarily from social discomfort.