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[quote=Anonymous][quote=Anonymous]Actually, the DSM IV does say it needs to be severe, but many people miss this:

From the DSM IV

PDD NOS
[b]This category should be used when there is a severe and pervasive impairment [/b]in the development of reciprocal social interaction or verbal and nonverbal communication skills or when stereotyped behavior, interests, and activities are present but the criteria are not met for a specific pervasive developmental disorder, schizophrenia, schizotypal personality disorder, or avoidant personality disorder. For example, this category includes "atypical autism" ? presentations that do not meet the criteria for autistic disorder because of late age at onset, atypical symptomatology, or subthreshold symptomatology, or all of these.[/quote]

My son is diagnosed with high functioning autism, not PDD-NOS. He has all of the impairments, but they are mild. The relatives that I described were all the spitting image of my child when they were child. My grandmother was very puzzled by her quirky kid. Under the new DSM-V standards, my son will have a diagnosis of Autism Spectrum Disorder, Level 1.

I agree that  PDD-NOS requires some severity. When all of the deficits are showing up, the kid should only get a DX when there is a clear problem shown by a severe impairment.

For Asperger's, the DSM-IV standard is the child must show "clinically significant impairment."

For autism, the DSM-IV standard doesn't require either one. The assumption is that if a kid has all of the symptoms of autism, there is clinically significant impairment.

DSM-V has different levels (1-3)  to diagnose severity.

Field testing on the DSM-V shows that many kids currently diagnosed with PDD-NOS do not get a diagnosis of ASD under the DSM-V.

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