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[quote=Anonymous]Yes, both ADHD and ASD can be very subjective diagnoses because they are based on outward behaviors and it's hard to tease out what is driving those behaviors.

A child who has trouble with social interactions may have this issue because he's a. impulsive and can't keep his hands to himself even though he knows this is annoying (ADHD), b. can't understand social norms and has no idea this is annoying (ASD), c. gets really nervous around social situations and tends to want to hide away (anxiety), or d. doesn't have the language to engage properly (speech delays). It could also be some combination of all of the above or something completely different.

ADOS can tease out some of the behaviors as being due to ASD-related deficits but remember that it's one test given by one clinician on one day and the test itself is scored in a very subjective way.

The criteria for ASD include challenges with flexibility, intense or repetitive interests or behaviors, challenges with reciprocity that cause SIGNIFICANT interference with functioning in one or more contexts. [/quote]

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