Can one have PDD-NOS with no speech delay | Autism PDD


What if the child doesn't really act like an Aspie, but is definitely on the Spectrum, but spoke early and is very articulate. Other than that he is more PDD-NOS than Aspergers. This kid can't do math, is not good in school, is able to make a few friends but antagonizes many because he says mean things and doesn't seem to know it, has normal facial expression and voice inflection--his parents are puzzled. His parents feel he is far more PDD-NOS than Aspergers, but he was diagnosed as AS because he never had a speech delay. SOMETHING is going on. The child is 14 and has had interventions.I think that a child with no speech delay can qualify as having Asperger's if he meets the strict criteria listed in the DSM-IV under Asperger Syndrome.  Otherwise, he could have either Autism or PDD-NOS.  Both Autism and Asperger Syndrome have very strict criteria. PDD-NOS is looser.  It's less likely that a PDD-NOS child or an Autistic child would have no speech delay, but it's not possible.  Simply being on the spectrum but having no speech delay does not qualify a child for Asperger's. However, at some point the differences among these three dx's are almost academic.  It's like dancing on the head of a pin.  Yes, I can usually "see" Asperger's instead of PDD-NOS, but the name of the dx is far less important than the fact that the symptoms get treated.  As I know you know.Thanks, tzoya. I'd hoped you'd answer. This child is definitely on the spectrum. He stims, he flaps, but he shares more PDD-NOS traits than Aspie traits, only he spoke on schedule. At this point, I think his parents will accept the AS dx. because he still gets interventions, but the school, being clueless, expects him to be a genuis and don't "get" why he is behind in academics. Stereotypes can be so dangerous. My son is an Aspie, He can not do Math, and has broad Language Learning Disibilities, not all Aspies have Math abilities. They are all different, Has he been tested for Learning Disibilities. My son is very smart, but has no interest in numbers, or writing, he is into History and that is about it. he scored High Superior on verbal testing at the age of 7, but scored mild mentally retarded for Math. He talkes like an adult,with expressions like everybody else, it"s  what he talkes about and how long he talkes about it,  and the words he uses, that makes him very different than an NT 11 year old.

OH YEAH, I also wanted to say my son scored a 97 on the childbrain test, but he is a true Aspie. He has alot of PDD-NOS traits. I was under the impression that Aspergers children have no speech delay and are very articulate talkers. PDD is a diagnosis where they do have a speech delay or no speech. In fact, according to the book(ICD-9)you can't be diagnosed as Aspergers if their indeed was abscence of speech or a speech delay. However, Aspergers and other forms of Autism all have similar behaviors. Stimming, obsessive compulsive, agressive behaviors are not limited to one area of the spectrum.  

[QUOTE=pammar]Thanks, tzoya. I'd hoped you'd answer. This child is definitely on the spectrum. He stims, he flaps, but he shares more PDD-NOS traits than Aspie traits, only he spoke on schedule. At this point, I think his parents will accept the AS dx. because he still gets interventions, but the school, being clueless, expects him to be a genuis and don't "get" why he is behind in academics. Stereotypes can be so dangerous. [/QUOTE]

Of course when you say he spoke on schedule, what kind of speech are you refering to? was it scripting? echo-ing? or normal speech progression?  

There's no such thing as a "PDD-NOS trait" though.  PDD-NOS just means having autistic traits in a way (or just in a quantity) that doesn't fit one of the other diagnostic labels (in terms of the criteria, not in terms of stereotyping).  It doesn't have traits all of its own.
gtto39018.0237962963Maybe he isn't on the spectrum and just has a learning disorder. 

This sounds so much like my son!!!  As a toddler, he devleoped speech normally enough that NOBODY noticed any delays.  However, you could tell he didn't always understand.  He has an average intelligence, but is horrible in math, and he can read at grade level but doesn't always understand what he is reading.  He studders, or repeats the first part of his sentences over and over if there is any kind of distraction. 

He has always been very intense and demanding emotionally.  He ALWAYS has obsessed over cars, and anything that spins, or moves quickly...he definately has ASD!  He definately has PDD...I scored him at 120 on the Childbrain test.

AND he has been diagnosed with PDD-NOS.  I honestly think he is on the cusp of AS and PDD-NOS although he is considered Moderate PDD at the score of 120.

I am not too worried about his dx because he gets the services he needs with it.  I have told him he has Aspergers (I don't know if this was the right thing to do or not) because I want him to be able to talk about it.  It sure is difficult for him to say PDD-NOS, and it is even more difficult for him to say the long form of it!  And He knows he has Autism.  I would like some feedback on this...should I tell him I was incorrect...and set him straight-er?

oops an a rant here.  uhhhh Like I said he sounds just like my son Pammar! 


Maybe he is simply gifted and not receiving the kind of education gifted kids need? There's a book written by a bunch of neuropsychologists/one psychiatrist I think called Misdiagnosis - which separates kids who have As and who are gifted. One of the authors is Dr. Nadia Webb. Maybe your friend can get this book and see if her son simply needs to be in a gifted learning program. pammar- When you say he doesn't act like an aspie are you referring to his normal facial expression and voice.  What else does he do that makes you think he doesn't fit an aspie dx?  I'm just curious.  These dxs really confuse me.   My son is dx with as even though he has a speech/language delay.  

Hi, I am still amazed at the PDDNOS and Aspergers diagnosis. I wish there were a more concrete way to diagnose these such as brain scans rather than observed or reported behavior. The fact that some people who might be above average intelligence, have a particular intense interest such as in computers or math, be socially uncomfortable and awkward, have a difficult time making friends, or reading social cues means millions could easily be diagnosed as having these disorders. Bill Gates is thought to have it simply because he's a computer geek. Well, he's not socially awkward, he has incredible social finesse and is very kind. He just loves his occupation, that's all. Sometimes I want to smack the person who slaps on a label such as these without more concrete data. People who are schizophrenic or have other issues have very different brain scans than those who don't. So for these kinds of issues there are concrete ways to diagnose. Sometimes I just wonder about the ways and means of diagnosing Aspergers and PDD-NOS when the signs are so very slight. Maybe in the coming years, with all the attention on ASD, they will determine more definitive diagnostic means such as DNA/ gene isolation, brain scans, etc...???? I wish...

His parents are confused. The child is very animated in facial expressions and friendlier than most Aspies. He has obsessions, but nothing like the other Aspies we both know in the group (more books and art). He's very gifted. He struggles in school and seems behind most of the Aspies that we know and doesn't understand math or science well. It's elusive and hard to describe

I'm questioning my son's dx.  I don't think he fits the aspie criteria as I understand it.  Maybe I'll just settle for pdd, and leave it at that.  There seems to be so much overlapping of dxs. 

my son has a dx and a speech delay.  It gets so damn confusing.  I think instead of getting caught up in what what the drs like to label thm, we should focus more on what their strengths and weaknesses are and help them however we can.  It will all work out.

traits in general, encompassing all autistic people.  There's no such thing as traits that are specific to PDD-NOS, rather the opposite. He apparently broke into early speech, using big words, and understanding what was said to him. He is poor at conversing--talks AT people about his obsessions and often says embarassing things. If he likes a girl that he sees in a store, even a stranger, his mom heard him going up to the poor, shocked girl while he said, "Shopping is a chaotic experience these days. It can overwhelm the senses." Obviously he didn't get the date! pammar39018.4287384259