They may lack eye contact, have little interest in receiving or exchanging non verbal communication, or have a lack ability to understand the emotions or affect of others. For example, you may notice a child who has abnormal social engagement. For the first category, you must see a persistent deficiency in social communication and interaction.
For the purposes of the exam, these changes make it a bit simpler as there are no longer four separate diagnoses to differentiate between. The change was made in hopes of greater reliability and consistency in the diagnosis of Autism Spectrum Disorder and with general agreement that these four conditions all fall within one condition with varying levels of severity.įor a DSM 5 diagnosis of Autism Spectrum Disorder there must be deficits in BOTH social communication/interaction as well as restricted/repetitive patterns, with the severity in each of the areas being specified based on the levels of support required.
These four disorders no longer exist independently and are all captured within the Autism Spectrum Disorder diagnosis. The DSM 5’s Autism Spectrum Disorder diagnosis encompasses four separate DSM-IV-TR diagnoses that were previously under the category of Pervasive Developmental Disorders: Asperger’s Disorder, Childhood Disintegrative Disorder, Autism Disorder, and Pervasive Developmental Disorder NOS. This DSM 5 diagnosis represents one of the major shifts between the DSM-IV-TR and the DSM 5. This month we’ve decided to take on one of the most talked about changes to the DSM 5: the new Autism Spectrum Disorder diagnosis. Last month we discussed the removal of the multiaxial system between the DSM-IV-TR and the DSM 5.
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