Autism: According to the DSM 5

Autism Spectrum Disorder: A broad range of conditions referring to challenges with social skills and language characterized by nonverbal communication, and rigid or repetitive behaviors.

Persistent deficits in social communication and social interaction across multiple contexts, as manifested by 3 out 3 of the following, currently or by history

  • Deficits in social-emotional reciprocity:

    • Abnormal social approach and failure of normal back-and-forth conversation

    • Reduced sharing of interests and emotions

    • Failure to initiate or respond to social interactions

  • Deficits in nonverbal communicative behaviors used for social interaction:

    • Poorly integrated verbal and nonverbal communication

    • Abnormalities in eye contact and body language

    • Deficits in understanding and use of gestures

    • Total lack of facial expressions and nonverbal communication

  • Deficits in developing, maintaining, and understanding relationships:

    • Difficulties adjusting behavior to suit various social contexts

    • Difficulties in sharing imaginative play or in making friends

    • Absence of interest in peers

Symptoms must:

  • Be present in the early developmental period, however, they may not become fully manifest until social demands exceed limited capacities.

  • Cause clinically significant impairment in social, occupational, or other important areas of current functioning.

Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two out of 4 of the following, currently or by history

  • Stereotyped or repetitive motor movements:

    • Use of objects, or speech repeatedly or in an ordered fashion

    • Echolalia,

    • Idiosyncratic phrases

  • Insistence on sameness, inflexible adherence to routines, or ritualized patterns or verbal nonverbal behavior:

    • Extreme distress at small changes

    • Difficulties with transitions

    • Rigid thinking patterns

  • Highly restricted, fixated interests that are abnormal in intensity or focus

    • Strong attachment to or preoccupation with unusual objects

    • Excessively specialized interest

  • Hyper- or hyporeactivity to sensory input or unusual interests in sensory aspects of the environment:

    • Apparent indifference to pain/temperature

    • Adverse response to specific sounds or textures

    • Excessive smelling or touching of objects

    • Visual fascination with lights or movement

Specify:

  • If the symptoms occur with or without accompanying intellectual or impairment language impairment.

  • If there is a known genetic or environmental factor.

  • The current severity based on social communication impairments.

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