Reply to Are AS kids' social deficits exemplified at home? Confused about the DSM criteria.

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]
DS really has to be seen in a classroom setting for his issues to be apparent.  He engages very well with adults even strangers he has just met:  Downright charming.   He is not shy at all and has no signs of anxiety.  This is probably the main reason that adult led therapy has been useless.  DS PREFERS adults and given a choice will always "hang" with the grownups.[/quote]

Sorry to thread-jack but 9:26, how did your DS do at the ADOS? Our DS is very similar (but with no repetitive behaviors or restricted interests) in that he prefers adults or younger kids than his classroom peers. [b]At the ADOS, he just decided that the evaluators were his "friends" and he just played with them like he does with us at home.[/b] Hence the evaluation did not find him on the spectrum. His current social skills class is also largely useless for the largely the same reason.

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This is exactly what happened with DS on the ADOS.  His social communication was found to be "normal" - low end of normal but still normal.  However, unlike your DS he has repetitive behaviors:  some stims that come and go, finger posturing, running in circles, jumping up and down when excited, etc. which he did not demonstrate on the ADOS but I noted them in the parent interview, ADI-R.  His stims come and go and are subtle or can seem "normal" enough for his age that they're not an issue.  For instance, his teachers don't seem to notice and I ask frequently.  Like OP's kid, he is not bothered by noise, crowds even though a "sensory seeker" according to his former private OT.  Other than being a picky eater, DS does not have "sensory issues."

The big issue with DS was the obsessive/restricted interests: Fans, switches, lighting, etc.  His current obsessions are Star Wars and Angry Birds so it's improved but his scores on the repetitive behaviors and restricted interests are what qualifies him for an ASD dx.

Also, DS has other characteristics like fine/gross motor issues, is very literal, focus on details rather than the big picture, amazing memory, etc.  On the other hand, he has no problems with transitions, is very sweet and easygoing/does not throw tantrums, excellent traveler, etc.  I have no problems or concerns about his AS diagnosis and think it is correct.

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