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DSM-5 Diagnostic Criteria for Autism Spectrum Disorder o Restricted, Repetitive Behaviors
§ inflexibility of behavior causes significant interference w/
functioning in 1 / more contexts
§ difficulty switching between activities
§ problems of organization & planning hamper independence
• Level 2 (requiring substantial support)
o Social Communication
§ marked deficits in verbal & nonverbal social communication skills
§ social impairments apparent even w/ supports in place
§ limited initiation of social interactions
§ reduced / abnormal responses to social overtures from others
§ example:
- a person who speaks simple sentences
- whose interaction is limited to narrow special interests
- who has markedly odd nonverbal communication
o Restricted, Repetitive Behaviors
§ inflexibility of behavior
§ difficulty coping w/ change
§ other restricted / repetitive behaviors appear frequently enough to
be obvious to casual observer
§ interfere w/ functioning in a variety of contexts
§ distress and/or difficulty changing focus / action
• Level 3 (requiring very substantial support)
o greatest manifestation of all problems
o Social Communication
§ severe deficits in verbal & nonverbal social communication skills
cause severe impairments in functioning
§ very limited initiation of social interaction
§ minimal response to social overtures from others
§ example:
- a person w/ few words of intelligible speech
- rarely initiates interaction
- when he/she does, makes unusual approaches to meet needs
only & responds to only very direct social approaches
o Restricted, Repetitive Behaviors
§ inflexibility of behavior
§ extreme difficulty of coping w/ change
§ other restricted / repetitive behaviors markedly interfere w/
functioning in all steps
§ great distress / difficulty changing focus / action