Question regarding Aspergers | Autism PDD

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If your son's language was caught up by the time he was 2 years old, I don't think that would disqualify him from an AS diagnosis. 

Here are the diagnostic criteria for Asperger's:

http://www.udel.edu/bkirby/asperger/

Diagnostic Criteria For 299.80 Asperger's Disorder

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 postures, 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

B. Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one 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

C. The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning

D. There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years)

E. There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than social interaction), and curiosity about the environment in childhood

F. Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia

What is considered a speech delay to not qualify for Aspergers vs PDD-NOS/Autism?  My 3 1/2 year old had speech through EI from 15-26 months.  He had 3 words at 15 months but because of his sister's speech issue I was able to get him services early on instead of doing the "wait and see" approach.  I am looking at his report right now and at 15 months he had 63% accuracy for 9-12 mth level with scattered success up to 15 months (this is for expression). 

At about 24 months he had the language explosion you sometimes hear about.   At that point he was dismissed from EI.  He has an ASD eval coming up and a school eval.  I have him in private speech and have found that he is higher in expression than receptive which is opposite of what I am told they usually find.  I think he fits an Aspergers mold pretty well except the area of needing sameness.  He is usually fine with change.  This kid talks all day long, but his language sometimes isn't used correctly.  (ie:  some echolalia, sometimes throwing a word in for an answer that doesn't belong, etc. 

I am just curious if he could still possibly get an aspergers dx even though he was in EI for speech until age 2 but took off with the speech at that age.

(edited to add:  his unusual behaviors are making nosies all the time (inbetween his talking, voice fluctuations/odd pitch, hand tense up when excited..about 6 inches from shoulder, fair eye contact but worse at school, repeated phrases..., gets stuck on an activity/topic but will leave it, but will go back to it eventually, sensory seeking...has limited concept of personal space.

His good things are:  points well and follows point, will show me things, lots of language, responds to name, low-average visual reception and fine motor.
kdchaos39364.8188425926

That is what happened for my ds ,he had alot of sever autistic traits,but because his language was just meeting the requirements at 2.6 he got an AS dx, he also had a language delay and was in speech for a block of treatments.

His dev pede says he is PDD,(Aspergers type)so we use the PDD Label now ,here it is taken more seriously than AS,Most people I have dealt with think "oh AS ,that just means quirky and smart.

Linda

D. There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years)

If you read this literal---it would mean--I think--no "speech" delay (e.g., single words used by age 2 years, communicative phrases used by age 3 years)

But if you read the "language" portion---it would mean no "language" delay at all--expressive/receptive, etc.

I really have no clue. My son got dx'd HFA because of his "language" delay in expressive/receptive. He "talked" great at 2-3yo!! We never even knew he had a "delay" in anything until 3.5y


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