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Though controversial, this effectively and officially does away with the diagnosis of “asperger’s disorder.” The DSM-5 dictates that persons with a well-established DSM-IV-TR diagnosis of autistic disorder, asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of ASD. Finally, the specifier “with catatonia” can also be used but the additional code 293.89 (F06.1) catatonia associated with autism spectrum disorder should be used. Other specifiers include with or without accompanying intellectual impairment and/or accompanying language impairment.Ĭounselors should also specify whether the diagnosis is associated with a known medical or genetic condition or environmental factor (If the diagnosis is associated with a medical/genetic/environmental condition or factor, a separate code should be used to identify the issue). For example, a child who meets the criteria for ASD and needs intense support for deficits in social communication, but only moderate support for restrictive repetitive behaviors, would be diagnosed as:į84.0 Autism Spectrum Disorder, requiring very substantial support for deficits in social communication and requiring substantial support for restrictive repetitive behaviors. These would be listed with the severity level indicated as well as for which impairment (e.g., social communication and/or repetitive patterns of behavior). Level 3 – requiring very substantial support.Level 2 – requiring substantial support.Severity for both criterion A and B are listed at three different levels: Severity specifiers are given for social communication impairments (criterion A) and restricted repetitive patterns of behavior (criterion B). Are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay (These are criterion C through E).Must cause clinically significant impairment in social, occupational, or other important areas of current functioning.Must be present in the individual’s early developmental period.Other criteria also include that symptoms: and/or hyper- or hypo reactivity to sensory input (criterion B).Highly restricted, fixated interests that are abnormal in intensity or focus.Ritualized patterns or inflexible adherence to routines.Restricted, repetitive patterns of behavior, interests, or activities such as stereotyped or repetitive motor movements.Developing, maintaining, and understanding social relationships.Īutism spectrum disorder (ASD) also requires:.Nonverbal communicative behaviors (e.g., abnormalities in eye contact and body language).Social-emotional reciprocity (e.g., back and forth conversation).The purpose of this revision in the DSM-5 is to improve diagnostic efficacy, accuracy, and consistency.Ī general overview of diagnostic criteria, per the DSM-5, is persistent (i.e., regular) deficits in social communication and social interaction across multiple contexts (criterion A). Level of severity for each of the two domains may be used to refine diagnosis: Level 1: Requiring support Level 2: Requiring substantial support Level 3: Requiring very substantial support.As it relates to the DSM-5, the most important thing to understand about diagnosing Autism is that it’s now “Autism Spectrum Disorder.” This means that Autism (as described in the DSM-IV), Asperger’s disorder, childhood disintegrative disorder, and pervasive developmental disorder have been replaced with one umbrella diagnosis: autism spectrum disorder 299.00 (F84.0).ASD may occur with or without medical, genetic, neurodevelopmental, mental, or behavioural disorders, or an intellectual or language impairment.Symptoms are not better explained by intellectual disability or developmental delay.Symptoms interfere with everyday functioning.Clinical symptoms may not be fully evident until later stages, as they may be masked by learned strategies.Unusual reactions (e.g., distress with smells, sounds, textures, sights, and tastes) to sensory stimulus.Wearing the same clothes every day eating the same food daily Transient stiff posturing of hands or whole body.Repetitive body, arm, hand, or finger movements (e.g.
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Repeats words, phrases (e.g., from movies).Abnormal and restricted, repetitive behaviours, interests, and activities.Difficulty engaging in imaginative play with friends.Reduced or very minimal facial expressions.Reduced use of gestures (e.g., pointing, waving).May use someone’s hand to get a desired object without making eye contact. Reduced eye contact during communication.Reduced sharing of interests, achievements, or emotions.Deficits in initiating and responding to social interactions.Social interaction and communication impairments.