If you suspect
your child to have one or more developmental delay, peculiar behaviors and or
failure to speak by the age of three, contact your physician. A diagnosis of
autism must be made by a pediatrician, neurologist, psychologist or psychiatrist.
Therapists in the treatment of autism are not qualified to diagnose your child
but should encourage you to seek a medical professional.
According to
the Diagnostic and Statistical Manual of Mental Disorders: (DSM IV), the following
criteria is used to diagnose Autism and Autism Spectrum Disorder (ASD). The
diagnosis code for autism for insurance purposes is: 299.0. To view the website,
please go to: ani.autistics.org/dsm4-autism.html
(I) A total of
six (or more) items from (A), (B), and (C), with at least two from (A), and
one each from (B) and (C)
(A) qualitative
impairment in social interaction, as manifested by at least two of the following:
1. marked
impairments in the use of multiple nonverbal behaviors such as eye-to-eye
gaze, facial expression, body posture, and gestures to regulate social interaction
2. failure to develop peer relationships appropriate to developmental level
3. a lack of spontaneous seeking to share enjoyment, interests, or achievements
with other people, (e.g., by a lack of showing, bringing, or pointing out
objects of interest to other people)
4. lack
of social or emotional reciprocity ( note: in the description, it gives
the following as examples: not
actively participating in simple social play or games, preferring solitary
activities, or involving others in
activities only as tools or "mechanical" aids)
(B) qualitative
impairments in communication as manifested by at least one of the following:
1. delay
in, or total lack of, the development of spoken language (not accompanied
by an attempt to compensate through alternative modes of communication such
as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability
to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play
appropriate to developmental level
(C) restricted
repetitive and stereotyped patterns of behavior, interests and activities,
as manifested by at least two of the following:
1. encompassing
preoccupation with one or more stereotyped and restricted patterns of interest
that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or
rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping
or twisting, or complex whole-body movements)
4. persistent
preoccupation with parts of objects
(II) Delays or
abnormal functioning in at least one of the following areas, with onset prior
to age 3 years:
(A) social
interaction
(B) language as used in social communication
(C) symbolic or imaginative play
(III) The disturbance
is not better accounted for by Rett's Disorder or Childhood Disintegrative Disorder
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