Why Do Some Autistic Individuals Struggle with Turn-Taking in Conversations?

PostedDecember 5, 2025

UpdatedDecember 5, 2025

ByMy Patient Advice

Author: Hannah Smith, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Autism and turn-taking in conversations are often linked, as many individuals with autism face challenges in the natural flow of dialogue. Turn-taking is a key social skill, and for those on the autism spectrum, difficulties in this area can arise from differences in communication skills and social understanding.

In autism, challenges with turn-taking in conversations often stem from difficulty recognising when it’s their turn to speak or listen. This may result in interruptions, long pauses, or talking over others. These issues can hinder effective communication, making it hard to maintain a balanced conversation and build relationships.

Common Struggles with Autism and Turn-Taking in Conversations

Here are some common struggles autistic individuals face with turn-taking, and how therapy can help improve communication flow.

Difficulty with Social Cues

Many individuals with autism find it difficult to recognise subtle social cues, such as body language or vocal tone, that indicate when to speak or listen. Therapies focused on communication skills can help individuals learn these cues, improving their ability to engage in balanced conversations.

Challenges with Conversation Flow

Some autistic individuals may struggle with following the natural flow of conversation, especially in group settings. This can lead to speaking out of turn or missing cues to respond. Speech therapy and social skills training can help improve dialogue skills, making it easier to navigate turn-taking.

Social Anxiety

Social anxiety can also contribute to challenges with turn-taking. Autistic individuals may feel overwhelmed, leading them to either avoid or dominate conversations. Therapies that address social anxiety can help build confidence in turn-taking and enhance social interactions.

Visit providers like Autism Detect for personal consultations to learn more about autism and turn-taking in conversations and how improving communication skills can lead to better social participation.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Nonverbal Communication Differences.

Hannah Smith, MSc

Author

Hannah Smith is a clinical psychologist with a Master’s in Clinical Psychology and over three years of experience in behaviour therapy, special education, and inclusive practices. She specialises in Applied Behavior Analysis (ABA), Cognitive Behavioural Therapy (CBT), and inclusive education strategies. Hannah has worked extensively with children and adults with Autism Spectrum Disorder (ASD), ADHD, Down syndrome, and intellectual disabilities, delivering evidence-based interventions to support development, mental health, and well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.