Reply to Oppositional Defiant Disorder Diagnosis

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[quote=Anonymous]Op, to give you an idea of what asd looks like in a "high functioning", socially motivated kid ...  my DS enjoys playing with other kids and actively wants friends but has very rigid play.  He tries to set the script and control the play.  There are some kids that will play very well with him but most kids will play and kind of ignore him.  He may or may not notice that they are actually ignoring him.  He doesn't get reciprocity at all.  If a neighborhood friend comes to the door and DS isn't interested in going out right then, he would just say no and shut the door.  Similar with reciprocity in conversation.

I bring this up because rigidity, obsession with fairness, and blowing up when expectations are violated are kind of hallmarks of ASD but we had ASD dismissed out of hand when DS was younger because he was socially motivated and because friendships are almost always parent mediated in the younger years.  And also DS'S stims were attributed to adhd hyperactivity.  He's 10 now and it's become a lot clearer but it was pretty fuzzy at 6 and 7.

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