Can a child have ASD and be "very social"?

[Anonymous]

Anonymous wrote:

And several field trials have show they are actually narrowing the definition of autism in the DSM-V, and fewer people will qualify.
Many will be moved to other categories that are more in line with what they actually have. Hopefully, this will make the research easier, since autism is just a big dumping ground now.

I am an all-new poster. I dearly hope this to be true, solely from a research POV.

http://www.najmed.org/?p=11058

A pilot study on the diagnostic performance of DMS-IV and DMS-V for autism spectrum disorder

Abstract.

The new diagnostic criteria for autism spectrum disorders. (ASD) are due to be released in May 2013. The impact. of changes made in the new criteria is yet to be evaluated.. Here we performed a retrospective study on a cohort. of ASD patients diagnosed by DSM-IV criteria, aimed. to compare the diagnostic performances between DSM-IV. and DSM-V. We reviewed the medical records of 163. patients with possible clinical diagnosis of ASD.. Ninty-three (57%) of them met the DSM-IV criteria. for Autistic disorder, the rest 70 cases were either. PDD-NOS (n=39) or Asperger’s disorder (n=3) or without. sufficient information in medical record to perform. a clinical diagnosis (n=28). Upon re-evaluation using. the new diagnostic criteria in DSM-V, only 60% of. patients with previous diagnosis of autistic disorder. met the new criteria. One individual who was previous. diagnosed as PDD-NOS met the new diagnostic criteria. for autistic disorder. The present study revealed. a significant difference in diagnostic yield by new. and old criteria. This pilot comparative study reveals. that the ASD diagnostic criteria in DSM-V are stricter. than that in DSM-IV and autism patients diagnosed. using DMS-V criteria tend to be more severely affected.. The new criteria will have immediate impact on the. clinical diagnosis and management of individuals with. neuodevelopmental disorders and it will affect the. prevalence estimate of ASD in population as well..

Key Wo

In summary, the DSM-V criteria tend to be stricter. and may target ASD cases with high severity, and most. of patients with PDD-NOS diagnosed by DSM-IV will. not meet the new diagnostic criteria. This could help. to correct the trend of widening the diagnostic criteria. for ASD in routine clinical practice as well as in. population based epidemiological study. Clinically,. diagnostic evaluation will place emphasis on the social/communication,. fixated interests and repetitive behaviors aspect. of clinical features when using DSM-V. Patients with. certain autistic features, especially in the language. domain, but lacking solid evidence for their deficit. in other domains will not be diagnosed with ASD. Our. study is limited by retrospective design which is. based on the review of medical records, not on clinical. diagnosis in person. With this limitation, the conclusion. should be considered as preliminary but with instructive. utility..

[Anonymous]

Very interesting thread.

[Anonymous]

the short answer is no. If they are very engaged and verbal the symptoms are most likely a result of sensory processing delays. ASD is described as disorders of relating and communicating. It sounds like relating is easy, but the communication and motor development are the primary issues. Go see a developmental specialist who wont just look at a set of symptoms for a diagnosis, but instead tell you what's causing the symptoms. At 16 mos you should be able to catch up quickly.

[Anonymous]

Anonymous wrote:the short answer is no. If they are very engaged and verbal the symptoms are most likely a result of sensory processing delays. ASD is described as disorders of relating and communicating. It sounds like relating is easy, but the communication and motor development are the primary issues. Go see a developmental specialist who wont just look at a set of symptoms for a diagnosis, but instead tell you what's causing the symptoms. At 16 mos you should be able to catch up quickly.

Many kids with ASDs are verbal. And they can be engaged, just not in the way typical kids are. I suspect you don't have a child with either AS or HFA if you could say this.

[Anonymous]

This was my child who turned out to have a mitochondrial issue that responded very well to a mito cocktail of vitamins. It is often the underlying cause of disorders where a key component is the opposite of what is expected, according to our geneticist. I'd suggest a DAN doc and see what improvement is gained. DC is now considered off the spectrum and is doing well.