Tag Archives: Dsm 5

Question?: What Is Autism Spectrum Disorder

Betty asks…

How will Asperger syndrome and PDD be Diagnosed in the future once the definition is Changed?

I heard that instead of 3 being diagnosed with High Functioning Autism (aspergers syndrome), PDD-NOS and Autistic disorder there will only be one type
but, what if the child have mild symptoms of Autism just like Aspergers, how will they be diagnosed? How will Aspergers syndrome and PDD-NOS be diagnosed differently under the dsm-5 if they have symptoms of an autism Spectrum disorder?

admin answers:

Actually there are currently 5 subtypes…also childhood disintegrative disorder and retts

instead of labeling by subtype–they will just use one label for all groups

Autism Spectrum Disorder

Must meet criteria A, B, C, and D:

A. Persistent deficits in social communication and social interaction across contexts, not accounted for by general developmental delays, and manifest by all 3 of the following:

1. Deficits in social-emotional reciprocity; ranging from abnormal social approach and failure of normal back and forth conversation through reduced sharing of interests, emotions, and affect and response to total lack of initiation of social interaction,

2. Deficits in nonverbal communicative behaviors used for social interaction; ranging from poorly integrated- verbal and nonverbal communication, through abnormalities in eye contact and body-language, or deficits in understanding and use of nonverbal communication, to total lack of facial expression or gestures.

3. Deficits in developing and maintaining relationships, appropriate to developmental level (beyond those with caregivers); ranging from difficulties adjusting behavior to suit different social contexts through difficulties in sharing imaginative play and in making friends to an apparent absence of interest in people

B. Restricted, repetitive patterns of behavior, interests, or activities as manifested by at least two of the following:

1. Stereotyped or repetitive speech, motor movements, or use of objects; (such as simple motor stereotypies, echolalia, repetitive use of objects, or idiosyncratic phrases).

2. Excessive adherence to routines, ritualized patterns of verbal or nonverbal behavior, or excessive resistance to change; (such as motoric rituals, insistence on same route or food, repetitive questioning or extreme distress at small changes).

3. Highly restricted, fixated interests that are abnormal in intensity or focus; (such as strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).

4. Hyper-or hypo-reactivity to sensory input or unusual interest in sensory aspects of environment; (such as apparent indifference to pain/heat/cold, adverse response to specific sounds or textures, excessive smelling or touching of objects, fascination with lights or spinning objects).

C. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities)

D. Symptoms together limit and impair everyday functioning.

Aspergers and PDDNOS CAN fit into this definition….instead of listing different types—there will just be one type…they won’t be diagnosed differently.

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Question?: What Is Autism Spectrum Disorder

Laura asks…

How will Asperger syndrome and PDD be Diagnosed in the future once the definition is Changed?

I heard that instead of 3 being diagnosed with High Functioning Autism (aspergers syndrome), PDD-NOS and Autistic disorder there will only be one type
but, what if the child have mild symptoms of Autism just like Aspergers, how will they be diagnosed? How will Aspergers syndrome and PDD-NOS be diagnosed differently under the dsm-5 if they have symptoms of an autism Spectrum disorder?

admin answers:

The proposal would have 3 levels of Autism Spectrum Disorder. The mildest level would probably include many people with PDD-NOS and Aspergers Syndrome. The moderate level and more severe level would probably be more classic autism. The different levels would refer to the amount of support needed at school, at home, or in the community.

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Question?: Pdd Symptoms

Robert asks…

How do I know if I have AS or high functioning autism?

I have most of the symptoms of AS, but I adapt to social situations that I fear, but I still do many social mistakes. How do I know which one do I have?

admin answers:

The major difference is that people with Asperger’s do not have a speech delay, which people with autism do. Because they’re so similar they may be merged (along with PDD-NOS) into one category called autism spectrum disorder in the DSM-5, which comes out in a couple years. Of course, the only way to know for sure if you have either is to be evaluated by an autism spectrum disorders specialist.

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Researchers Examine Impact Of New Autism Diagnostic Criteria

Main Category: Autism
Article Date: 12 Apr 2012 – 1:00 PDT

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Getting an autism diagnosis could be more difficult in 2013 when a revised diagnostic definition goes into effect. The proposed changes may affect the proportion of individuals who qualify for a diagnosis of autism spectrum disorder, according to a study by Yale Child Study Center researchers published in the April issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

The proposed changes to the diagnostic definition will be published in the fifth edition of the American Psychiatric Association’s (APA) “Diagnostic and Statistical Manual of Mental Disorders (DSM-5).”

“Given the potential implications of these findings for service eligibility, our findings offer important information for consideration by the task force finalizing DSM-5 diagnostic criteria,” said Yale Child Study Center director Fred Volkmar, M.D., who conducted the study with colleagues Brian Reichow and James McPartland.

Volkmar and his team performed an analysis of symptoms observed in 933 individuals evaluated for autism in the field trial for DSM-4. They found that about 25 percent of those diagnosed with classic autism and 75 percent of those with Asperger’s Syndrome or pervasive developmental disorder, not otherwise specified, would not meet the new criteria for autism. The study also suggests that higher-functioning individuals may be less likely to meet the new criteria than individuals with intellectual disabilities.

Volkmar cautioned that these findings reflect analyses of a single data set and that more information will be provided by upcoming field trials overseen by the APA. He stressed that it is critical to examine the impact of proposed criteria in both clinical and research settings.

“Use of such labels, particularly in the United States, can have important implications for service,” he said. “Major changes in diagnosis also pose issues for comparing results across research studies.”

Article adapted by Medical News Today from original press release. Click ‘references’ tab above for source.
Visit our autism section for the latest news on this subject. Citation: Journal of the American Academy of Child & Adolescent Psychiatry Vol. 51, No. 4 (April 2012)
http://www.jaacap.com/article/S0890-8567%2812%2900042-1/abstract
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Yale University. “Researchers Examine Impact Of New Autism Diagnostic Criteria.” Medical News Today. MediLexicon, Intl., 12 Apr. 2012. Web.
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posted by Shell Tzorfas on 14 Apr 2012 at 5:02 am

1 in every twenty-nine12 year old boys in NJ now has Autism, Who are well enough to be in Public School. This was taken from the CDC findings of 1 in 49 for both sexes. These findings are FOUR years old. If they researched children from 2 through 10 the numbers would be far worse. Asperger’s kids were Barely included. Why? Because they usually do not qualify for school services and if what they have impacts their ability to learn then they likely have just plain Autism .A sudden 78% increase can NOT be Genetics.Let’s get to the Point. These kids are injured by the point of a needle that includes Aluminum, mercury, embalming fluid, ether, fetal cells-Peanuts-antifreeze and much more. So now after they have been fully injured, the medical community has the audacity to UNdiagnose and take away what minute amounts of services a few get in the first place? I do appreciate that the research in this article shows the truth, that it will be difficult for many affected kids to get help or a diagnosis leading towards help. What is the Point?

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posted by Carol Fowler on 14 Apr 2012 at 6:56 am

This reminds me of how the state of Ohio handles identification and services for other exceptional learners. Students are identifited as gifted on the basis of a 95th percentile on a norm referenced test or a group IQ score of 127 or higher. These scores are valid for 24 months. SO a student may either be identified specific academic, superior cognitive or both for a 2 yr period. While the state requires identification and parental notification;it does not mandate services for the identified child. Furthermore, when the child is retested 24 months later on a norm referenced test, the child should he not meet the required percentile or IQ score is no longer identified gifted.

Should that child reside in a district that provides services for the gifted and talented, the child would no longer qualify for those services. Hence gifted one day, not gifted the next day.
It is this educator’s opinion who is also a parent to 4 daughters, that once gifted always gifted unless a medical condition affects the brains ability to process and function at pre-condition levels.

The analogy here is that there will be children and adults who exhibit symptoms and functions that today would garner them services as an individual on the ASD, but tomorrow even though those same symptoms and functions exist, the individual would no longer qualify for services under the ASD diagnosis. Yet, there has been no change in the neurochemical functioning of the brain or any other changes to the “wiring” of the brain.

What compelling and significant studies in mumber of participants and quality of data is there that suggests it is in the individuals best interst or it is an educational best practice to create new criteria for the DSM V that will eliminate significant numbers of individuals from receiving appropriate services?

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‘Researchers Examine Impact Of New Autism Diagnostic Criteria’

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