NVLD vs. Autism: Decoding Neurodevelopmental Differences

NVLD vs. Autism
Dr. Roseann Capanna-Hodge

Dr. Roseann Capanna-Hodge

Nonverbal Learning Disorder (NVLD) and Autism Spectrum Disorder (ASD) are two different disorders, although they may use similar therapies as forms of treatment. ASD involves a range of symptoms that often overlap with the signs of other neurodevelopmental and learning disorders, including attention deficit hyperactivity disorder. 

Although NVLD doesn't have an official clinical diagnosis in the Diagnostic and Statistical Manual (DSM), kids meeting the diagnostic criteria for NVLD have a learning issue that impacts academic and social learning. Here's a closer look at these two disorders and their unique needs.

What is NVLD?

What is NVLD

NVLD causes difficulties with one's visual-spatial, social, and motor skills. Children and teens with a non-verbal learning disability may speak and write well. They also may have a great vocabulary and expressive speech and language skills. However, they struggle with reading nonverbal social cues and have trouble understanding abstract concepts, especially in mathematics. Their visual-spatial skills are typically much weaker than their strong verbal skills. 

The symptoms of NVLD may impact a child's output and learning skills. They experience unique challenges, particularly when it comes to social interaction struggles. For example, children with a nonverbal learning disability struggle to learn language and math concepts and notice visual and social patterns.

Symptoms of NVLD


Children with NVLD will suffer from specific symptoms, such as 

  • Ability to remember concepts but can't understand their importance
  • Noticing the details but failing to see the big picture
  • Reading comprehension issues
  • Struggling with mathematical problem solving
  • Uncoordinated and physically or socially awkward 
  • Messy handwriting
  • Thinks literally and concretely
  • Misreads situations and social cues 
  • Oblivious to the reaction of other people
  • Changes conversation subjects abruptly 
  • Can't adjust to changes
  • Problems organizing thoughts

What is Autism?


What is Autism


Children with ASD learn, communicate, interact, and behave in different ways than neurotypical kids. While autistic children may get the same diagnosis of ASD, their abilities and disabilities vary significantly. Hence, the pattern of assets and deficits occurs along a spectrum. 

Some autistics may exhibit advanced conversational skills, while others display poor nonverbal learning. Unfortunately, there's a good number of children and teens with ASD that require significant support with their everyday tasks. 

Some children with autism struggle with motor control, attention, and learning in all areas, and others have strengths that allow them to compensate in most areas. That means some autistics can live, learn and work with minimal support. There are even those that don't need any academic assistance at all.

For most children, the signs and symptoms of ASD start before they reach three years old and often impact a person throughout their life in some way, shape, or form. Treatment is necessary to improve their symptoms over time, and the earlier the treatment, the better the outcomes. 

Common in autism is a pattern that these children tend to learn new skills and achieve developmental milestones up to 2 years of age. After this, they may stop learning new skills and may lose the ones they have. It is unclear why this happens, but recent research points to the overdevelopment of the emotional and visual systems of the brain, which causes the sensory system to overload. 

Asperger's Syndrome


Of all the different variations of ASD, Asperger's Syndrome is the one closest to NVLD. Since 2013, Asperger's Syndrome is now classified as a form of autism after being a separate developmental disorder that affects a child's behavior and social communication skills. 

Kids with Asperger Syndrome may have exceptional cognitive functioning skills but struggle when relating to others. They also exhibit rigid thinking patterns and repetitive behaviors. Most of the time, they feel like outsiders who are always trying to fit in but failing.

Mental health professionals refer to Asperger's Syndrome as high-functioning autism. Children with this syndrome usually have higher IQs than other kids who also belong to this broad spectrum. Their higher cognitive skills allow them to function efficiently at home, do school work, and contribute to their communities. Autistics can have areas of exceptionality that can make them highly valued employees in their areas of expertise.  

Symptoms of Autism


Children diagnosed with ASD may exhibit several of the following symptoms: 

  • Minimal or inappropriate interaction in social situations
  • Frequently talk about themselves or things that they are very interested about 
  • Bluntness or verbal impulsivity 
  • Can't understand emotions well
  • Uses lesser facial expressions than other kids
  • Unusual tone of voice, such as high-pitched, flat, loud, robotic, or quiet 
  • Failure to understand nonverbal communication, particularly body language, facial expression, and gestures
  • Intense interest in particular subjects
  • Gets upset at small changes in their routines
  • Quickly memorize facts and information that interest them
  • Uncoordinated, clumsy, and messy handwriting
  • Problems managing emotions, leading to behavioral and verbal outbursts, self-injury, and tantrums
  • Can't understand the perspectives and feelings of other people
  • Hypersensitivity to textures, lights, and sounds 

Similarities: NVLD vs. Autism


A non-verbal learning disorder is regarded as the cousin of autism, with one of its core areas being social difficulties, particularly reading nonverbal cues.

  • Cognitive inflexibility
  • Poor social skills
  • Impulsivity 
  • Has a hard time making and keeping friends
  • Disorganization
  • Anxiousness
  • Forgetfulness
  • Gets easily distracted
  • Difficulty with transitions
  • Needs more time to complete tasks

Differences: NVLD vs. Autism


Differences NVLD vs. Autism


Parents often get very concerned about their kids getting the ASD diagnosis instead of NVLD. However, the important differences between these two disorders are: 

  • Children with NVLD have good verbal skills but poor visual processing, while autistic kids often have excellent visual processing.
  • ASD is characterized by delays in learning, while NVLD involves academic problems or difficulties
  • Motor skills issues in NVLD are caused by difficulties in their visual-spatial organization, while it is more of sensory processing difficulties in autism.
  • Autistic kids are primarily visual learners, while children with NVLD learn better by listening.
  • Teens with NVLD may have a higher level of social intelligence than autistic teens, although both experience social anxiety.  

Overlapping Features: Nonverbal Learning Disabilities vs. Autism


Children with NVLD and those on the spectrum often exhibit overlapping features, which pose challenges for accurate diagnosis and appropriate intervention. While NVLD and Autism are distinct conditions, these shared characteristics are crucial for conducting thorough assessments and providing targeted support.

Social Communication Difficulties


One of the key areas of overlap between NVLD and Autism is social communication difficulties. Children with both conditions may struggle with understanding and interpreting non-verbal cues, such as facial expressions, body language, and tone of voice. As a result, they may find it challenging to engage in reciprocal social interactions and establish meaningful connections with peers and adults.

Executive Functioning Challenges


NVLD and Autism often involve difficulties in executive functioning, encompassing a range of cognitive processes essential for planning, organizing, and executing tasks. Children with both conditions may exhibit time management, organization, and problem-solving challenges, impacting academic performance and daily routines.

Rigid Thinking and Resistance to Change


NVLD and Autism can manifest in a preference for routine and resistance to change. Children with these conditions may find comfort in predictability, and experience heightened anxiety or frustration when faced with unexpected or unfamiliar situations.

Sensory Sensitivities


Another shared aspect is sensory sensitivities. Children with NVLD and Autism might be more sensitive to sensory stimuli, such as certain textures, sounds, or bright lights, leading to sensory overload and meltdowns.

Speech and Language Differences


While children with NVLD typically have strong verbal skills, they may still struggle with pragmatics, such as understanding sarcasm, jokes, or implied meanings. Similarly, individuals with autism might face challenges in communication, ranging from speech delays to difficulties in maintaining back-and-forth conversations.

Support for Children and Teens with NVLD

Support for Children and Teens with NVLD

Children and teens with autism and NVLD need support and treatment options. However, the first step is to get a proper diagnosis. Kids with this disorder need help to improve their nonverbal skills and manage their severe social impairment. Schools may also support kids while in class to help address their learning challenges. 

Cognitive Behavioral Therapy 


Cognitive behavioral therapy, or CBT, helps kids deal with anxiety and other symptoms associated with these disorders. CBT is considered a widely accepted contemporary treatment. It is a very effective method for treating people with learning disabilities. In addition, evidence shows that it can help persons suffering from learning disabilities (Bekirogullari, 2018). 

Occupational Therapy 


Occupational therapy helps build one's tolerance to enhance a child's fine motor skills while improving coordination and outside experiences. Aside from gross and fine motor skills and coordination challenges, children with NVLD also experience writing and sensory processing issues. Occupational therapists can help significantly in these important areas (Schatz, 2013). 

Social Skills Training 


Social skills training and groups teach children and kids to handle their social problems, like greeting other people, joining conversations, responding to teasing, and recognizing social cues.

PEMF Therapy


PEMF or Pulsed Electromagnetic Field Therapy. PEMF promotes cellular communication, which fosters self-healing and a calm, regulated nervous system. It reduces stress and supports secondary issues of autism, including anxiety, obsessions, compulsions, and rigidity. 

A study by Harman (2019) on a series of five cases where kids with ASD were treated using transcranial PEMF revealed statistically significant improvements in total Autism Treatment Evaluation Checklist (ATEC) scores. Qualitative symptom improvements were also reported after pre- and post-treatment assessment. 

As we navigate the complexities of these conditions, embracing neurodiversity and advocating for a world where every child can thrive regardless of their neurodevelopmental profile is crucial. 

Through a combination of evidence-based therapies, brain-based interventions, and personalized care, the BrainBehaviorResetTM Program addresses the unique needs of each child to foster their brain health, resilience, and progress. With the right treatment plan, we can envision a world where our children's potential is limitless, and their brightest futures lie within reach.

Parent Action Steps 

  • Educate yourself on the characteristics of NVLD and Autism
  • Observe your child's behavior in various settings for potential signs
  • Seek professional assessment from qualified healthcare professionals
  • Collaborate with educators and therapists to create a support plan
  • Provide a structured and predictable environment at home and school
  • Enroll your child in social skills training for NVLD challenges
  • Foster emotional intelligence through discussions and activities
  • Support alternative communication methods if verbal communication is challenging
  • Encourage positive peer interactions and friendships
  • Nurture your child's strengths and interests to boost confidence
  • Practice patience and empathy throughout their journey
  • Take the Solutions Matcher to find the right treatment for your family
  • Learn more about the Neurotastic Multi-Mag Brain FormulaTM for brain health


Bekirogullari, Z. (2018). Cognitive Behavioural Therapy in treating persons with learning disabilities. Journal of Educational Science and Psychology. https://files.eric.ed.gov/fulltext/ED593577.pdf

Harman, J. (2019). Treating Autism Spectrum Disorder Using Pulsed EMF Therapy: A Case Series Report peer-review by the editorial board of Asia Pacific Journal of Neuro therapy (APJNT). Asia Pacific Journal of Neurotherapy (APJNT), 1(2), 21-026. https://apjnt.org/wp-content/uploads/2019/12/Joe_Harman_APJNT_Journal_Vol1_No2_2019.pdf

Schatz, R. (2013). The Role of the Occupational Therapist. Treating NVLD in Children, 29–51. https://doi.org/10.1007/978-1-4614-6179-1_3

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She is the founder and director of The Global Institute of Children’s Mental Health and Dr. Roseann Capanna-Hodge. Dr. Roseann is a Board Certified Neurofeedback (BCN) Practitioner, a Board Member of the Northeast Region Biofeedback Society (NRBS), Certified Integrative Medicine Mental Health Provider (CMHIMP) and an Amen Clinic Certified Brain Health Coach.  She is also a member of The International Lyme Disease and Associated Disease Society (ILADS), The American Psychological Association (APA), Anxiety and Depression Association of America (ADAA) National Association of School Psychologists (NASP), International OCD Foundation (IOCDF) International Society for Neurofeedback and Research (ISNR) and The Association of Applied Psychophysiology and Biofeedback (AAPB).

© Roseann-Capanna-Hodge, LLC 2023

Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.

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