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New criteria for ASD diagnosis

Posted by on Feb. 18, 2014 at 7:49 AM
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I know there have been lots of rumors, some true and some untrue, going around about the new way they will diagnosis Autism and what they will and won't call it.

Brady had a neuro-developmental checkup last week, and his doctor (the one that diagnosed him with Autism at 18 months old) told me she went to a conference at the local children's hospital the week before about all the new requirements for diagnosing Autism.  She told me with the new changes, it is almost impossible to diagnose a child with Autism under the age of 2.  The new criteria, questions, characteristics are just not realistic for a child that young.  Some of the things the children would have to do or exhibit are things a 2 year old just can't quite do yet.  

Have any of you heard this?  What have you heard about the new stuff with diagnosing Autism?

by on Feb. 18, 2014 at 7:49 AM
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Replies (1-10):
by Niki on Feb. 18, 2014 at 8:13 AM
I don't know.. They used the DSM 5 to diagnose Xavier and he had just turned two a month before.
by Bronze Member on Feb. 18, 2014 at 8:51 AM

Sorry i have no info. Jacob was 3 years old when found out he has autism. But that was it never went back cause that was just to let parents know and that it.
by Janine on Feb. 18, 2014 at 8:56 AM
I haven't heard what the new requirements are yet. My son was diagnosed at 4.
by on Feb. 18, 2014 at 8:59 AM
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This is the DSM 5 criteria.

Autism Spectrum Disorder           299.00 (F84.0)

Diagnostic Criteria

A.      Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive, see text):

1.       Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions.

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

3.       Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative paly or in making friends; to absence of interest in peers.

Specify current severity:

    Severity is based on social communication impairments and restricted repetitive patterns of behavior (see Table 2).

B.      Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive; see text):

1.       Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).

2.       Insistence on sameness, inflexible adherence to routines, or ritualized patterns or verbal nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat food every day).

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

4.       Hyper- or hyporeactivity to sensory input or unusual interests in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects, visual fascination with lights or movement).

Specify current severity:

    Severity is based on social communication impairments and restricted, repetitive patterns of behavior (see Table 2).

C.      Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).

D.      Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.

E.       These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Intellectual disability and autism spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expected for general developmental level.

Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Individuals who have marked deficits in social communication, but whose symptoms do not otherwise meet criteria for autism spectrum disorder, should be evaluated for social (pragmatic) communication disorder.

Specify if:
With or without accompanying intellectual impairment
With or without accompanying language impairment
Associated with a known medical or genetic condition or environmental factor
(Coding note: Use additional code to identify the associated medical or genetic condition.)
Associated with another neurodevelopmental, mental, or behavioral disorder
(Coding note: Use additional code[s] to identify the associated neurodevelopmental, mental, or behavioral disorder[s].)
With catatonia (refer to the criteria for catatonia associated with another mental disorder, pp. 119-120, for definition) (Coding note: Use additional code 293.89 [F06.1] catatonia associated with autism spectrum disorder to indicate the presence of the comorbid catatonia.)

by Platinum Member on Feb. 18, 2014 at 9:01 AM

Last I heard about was the DSM5 and how PDDNOS and ASPerg were all going to be lumped into ASD or communication disorder or something.  I dont' really know much about the age requirement with that.  No, guess I haven't paid attention since we got our dx and it's just ASD, nothing that would be changing.  Hmm. 

by Carissa on Feb. 18, 2014 at 9:34 AM
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This only Ashton was 3.5

Quoting I haven't heard what the new requirements are yet. My son was diagnosed at 4.

by Nicole on Feb. 18, 2014 at 9:59 AM
I don't know about the age thing. But I know when he was diagnosed, they told me that Nicolas would have been PDD-NOS if they were using the old criteria. But because everything gets linked he was just ASD.
by Silver Member on Feb. 18, 2014 at 10:02 AM
My son was diagnosed with development delays in fine motor skills and language impaired until 5 years old. Then he was diagnosed with pdd Nos upon entering kindergarten.
by Sally on Feb. 18, 2014 at 10:35 AM

I have not heard of new changes. The last change I am aware of was going to DSM 5. Hmm, I am curious now, our eval won't happen until after July, but DS will be 3 then.

by Gold Member on Feb. 18, 2014 at 12:14 PM

No, but my dev pedi doesn't diagnose until age 3... 2 seems too young to dx. A general dx of "developmental delay" is probably more appropriate until then...

But at 2, my son didn't really seem different than his peers or his behavior was still w/in typical toddler behavior. He was also talking.

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