The social interactions of dyssemic adults tend to be immature and complex, even though their non-relational reasoning ranges from normal to gifted. Dyssemic individuals exhibit varying degrees of social awkwardness and various types of nonverbal communication difficulties. Some might only have trouble with reception or expression alone, while others struggle with both. Severity fluctuates among individuals; difficulty does not necessarily equate to total inability, nor occur in all situations. Occasionally, expressive difficulty may only be a delay between the emotion and the facial muscles. Socially awkward adults suffering from nonverbal shortcomings often report feeling "a little out of it socially" or feeling "left out."