You are on page 1of 3

Autism Spectrum Disorder

299.00 (F84.0)

Cecil R. Reynolds, PhD
Randy W. Kamphaus, PhD

Deficits in developing.. Persistent deficits in social communication and social interaction across multiple contexts. lining up toys or flipping objects. repetitive patterns of behavior (see Table 1). occupational. B. Deficits in nonverbal communicative behaviors used for social interaction. repetitive patterns of behavior (see Table 1). ranging.00 (F84. American Psychiatric Association. to difficulties in sharing imaginative play or in making friends. adverse response to specific sounds or textures. extreme distress at small changes. to reduced sharing of interests.g. Symptoms cause clinically significant impairment in social. 2. rigid thinking patterns. from abnormal social approach and failure of normal back-and-forth conversation. to a total lack of facial expressions and nonverbal communication. or speech (e. apparent indifference to pain/temperature. to abnormalities in eye contact and body language or deficits in understanding and use of gestures. see text): 1. as manifested by the following. Specify current severity: Severity is based on social communication impairments and restricted. to absence of interest in peers. 3.g. or activities. greeting rituals. Insistence on sameness. ranging. not exhaustive. . Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities.g.. repetitive patterns of behavior. or affect. Restricted.. idiosyncratic phrases). D. All Rights Reserved. Stereotyped or repetitive motor movements.0) A. use of objects. currently or by history (examples are illustrative. inflexible adherence to routines. need to take same route or eat same food every day). from difficulties adjusting behavior to suit various social contexts. Fifth Edition (Copyright © 2013). fixated interests that are abnormal in intensity or focus (e. 3. visual fascination with lights or movement). from poorly integrated verbal and nonverbal communication. as manifested by at least two of the following. Hyper. maintaining. not exhaustive. currently or by history (examples are illustrative. interests. echolalia.or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment (e. simple motor stereotypes. for example. 4. or may be masked by learned strategies in later life). excessive smelling or touching of objects. Specify current severity: Severity is based on social communication impairments and restricted. 2. to failure to initiate or respond to social interactions. excessively circumscribed or perseverative interests). and understanding relationships. see text): 1. for example. Highly restricted. Deficits in social-emotional reciprocity. DSM-5™ Diagnostic Criteria Autism Spectrum Disorder 299. or ritualized patterns of verbal or nonverbal behavior (e. difficulties with transitions. or other important areas of current functioning. ranging.. strong attachment to or preoccupation with unusual objects. — 1 — Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders.g. for example. C. emotions.

Intellectual disability and autism spectrum disorder frequently co-occur. deficits in social communication Inflexibility of behavior causes significant support” cause noticeable impairments.89 [F06. limited initiation of social interactions. Difficulty switching between responses to social overtures of others. These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. very coping with change. For example. Difficulty initiating social interference with functioning in one or interactions. Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder. a person who is able to speak in full sentences and engages in communication but whose to-and-fro conversation with others fails. and clear examples of atypical or unsuccessful more contexts. when he or she does.1] catatonia associated with autism spectrum disorder to indicate the presence of the comorbid catatonia. Asperger’s disorder. mental. should be evaluated for social (pragmatic) communication disorder. All Rights Reserved. Great distress/ a person with few words of intelligible speech who difficulty changing focus or action. Problems of organization and to have decreased interest in social interactions. in a variety of contexts.) Table 1 Severity levels for autism spectrum disorder Severity level Social communication Restricted. or other restricted/ substantial support” limited initiation of social interactions. repetitive behaviors appear frequently and reduced or abnormal responses to social overtures from enough to be obvious to the casual others. or behavioral disorder[s]. and whose attempts to make friends are odd and typically unsuccessful.) Associated with another neurodevelopmental. social communication should be below that expected for general developmental level. . difficulty coping “Requiring substantial communication skills. or difficulty changing focus or action. or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. functioning in all spheres. mental. a person who speaks simple sentences. Fifth Edition (Copyright © 2013).) With catatonia (refer to the criteria for catatonia associated with another mental disorder for definition) (Coding note: Use additional code 293. — 2 — Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders. example. Distress and/ and who has markedly odd nonverbal communication. makes unusual approaches to meet needs only and responds to only very direct social approaches. repetitive behaviors Level 3 Severe deficits in verbal and nonverbal social communication Inflexibility of behavior. For example. extreme difficulty “Requiring very skills cause severe impairments in functioning. observer and interfere with functioning whose interaction is limited to narrow special interests. May appear activities. Individuals who have marked deficits in social communication. American Psychiatric Association. Level 1 “Requiring Without supports in place. Level 2 Marked deficits in verbal and nonverbal social Inflexibility of behavior. to make comorbid diagnoses of autism spectrum disorder and intellectual disability.E. and minimal repetitive behaviors markedly interfere with response to social overtures from others. Specify if: With or without accompanying intellectual impairment With or without accompanying language impairment Associated with a known medical or genetic condition or environmental factor (Coding note: Use additional code to identify the associated medical or genetic condition. For planning hamper independence. or other restricted/ support” supports in place. social impairments apparent even with with change. but whose symptoms do not otherwise meet criteria for autism spectrum disorder. rarely initiates interaction and. or behavioral disorder (Coding note: Use additional code[s] to identify the associated neurodevelopmental.