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Severity levels for autism spectrum disorder Severity level With catatonia (refer to the criteria for catatonia associated with another mental disorder).(Coding note: Use additional code to identify the associated neurodevelopmental, mental, or behavioral disorder.).Associated with another neurodevelopmental, mental, or behavioral disorder.(Coding note: Use additional code to identify the associated medical or genetic condition.).Associated with a known medical or genetic condition or environmental factor.With or without accompanying language impairment.With or without accompanying intellectual impairment.Individuals who have marked deficits in social communication, but whose symptoms do not otherwise meet criteria for autism spectrum disorder, should be evaluated for social (pragmatic) communication disorder.
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Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Intellectual disability and autism spectrum disorder frequently co-occur to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expected for general developmental level. These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.Į. Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).ĭ. Specify current severity: Severity is based on social communication impairments and restricted, repetitive patterns of behavior.Ĭ.
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Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication to abnormalities in eye contact and body language or deficits in understanding and use of gestures to a total lack of facial expressions and nonverbal communication.Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation to reduced sharing of interests, emotions, or affect to failure to initiate or respond to social interactions.Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive, see text): The diagnostic criteria for autism spectrum disorder has been modified based on the research literature and clinical experience.ĭSM-5 Diagnostic Criteria for Autism Spectrum Disorder (ASD)Ī. The American Psychiatric Association has just published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).