Pragmatic social skills and the ability to regulate emotions are necessary for healthy interactions between children and other children and between children and adults. They are especially important in the school setting. School encompasses more than academic challenges. For many children, it can be difficult to manage expectations and independently complete assignments, follow routines, and keep a calm, alert body throughout the school day. A delay in any area can affect a child’s performance at school, regardless of a child’s intelligence level. This discrepancy can cause school avoidance and difficulty with social skills.