How Do Social Difficulties in Autism Relate to Unusual Play Patterns?

PostedDecember 15, 2025

UpdatedDecember 15, 2025

ByMy Patient Advice

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

There is a strong link between social difficulties and play in autism. Many autistic children show unusual play patterns, such as repetitive actions, limited imagination, or preference for solitary activities. These behaviours often reflect underlying challenges with communication, flexibility and reading social cues.

In early development, play is one of the main ways children connect with others. It teaches them how to share, take turns and respond to another person’s ideas. But when a child experiences social difficulties and play in autism is affected, they may find it hard to join in or follow the unwritten rules of group games. This can make peer relations more complicated and reduce opportunities for friendship-building.

Understanding the Link in Daily Play

Recognising the overlap between play and social development helps adults support children more effectively. Here are some common patterns and what they reveal:

Limited or no pretend play

A child might struggle to use objects symbolically or imagine different roles. This often signals difficulties with flexible thinking and shared imagination.

Repetitive or highly focused play

Repeating the same action or obsessing over one toy can be calming but may block opportunities for interaction. Encouraging gentle shifts and small group play can widen experiences.

Avoidance of shared play

Children may not know how to approach others or manage back-and-forth play. Supporting communication through visuals or scripts can build confidence and reduce anxiety.

By addressing both social difficulties and play in autism, families and educators can help children move towards more meaningful interactions.

For personal consultation or targeted intervention strategies, visit providers like Autism Detect.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Unusual Play Patterns.

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve 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 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.