The ASD diagnosis collapse in the DSM5 is something I’ve blogged about over the last 2 years. In the last 6 months I’ve talked about what Neuro Cognitive Domains tell us about it. But the NCDs start with a functioning adult and describe what can go wrong. In a child, remaining capacities may be considered by their parents to be strengths. What do we see in the rest of the Neuro Development Disorders in the DSM?
Neurodevelopmental Disorders (from file:///C:/Users/trici_000/Downloads/DSM-5-TOC%20(1).pdf)
- Intellectual Disabilities Intellectual Disability (Intellectual Developmental Disorder) Global Developmental Delay Unspecified Intellectual Disability (Intellectual Developmental Disorder)
- Communication Disorders Language Disorder Speech Sound Disorder (previously Phonological Disorder) Childhood-Onset Fluency Disorder (Stuttering) Social (Pragmatic) Communication Disorder Unspecified Communication Disorder
- Autism Spectrum Disorder Autism Spectrum Disorder
- Attention-Deficit/Hyperactivity Disorder Attention-Deficit/Hyperactivity Disorder Other Specified Attention-Deficit/Hyperactivity Disorder Unspecified Attention-Deficit/Hyperactivity Disorder
- Specific Learning Disorder Specific Learning Disorder
- Motor Disorders Developmental Coordination Disorder Stereotypic Movement Disorder Tic Disorders Tourette’s Disorder Persistent (Chronic) Motor or Vocal Tic Disorder Provisional Tic Disorder Other Specified Tic Disorder Unspecified Tic Disorder
- Other Neurodevelopmental Disorders Other Specified Neurodevelopmental Disorder Unspecified Neurodevelopmental Disorder
I’ve highlighted S(P)CD in red because while everyone previously diagnosed on the spectrum should be under ASD, the diagnosis formerly known as Aspergers looks an awful lot like S(P)CD. Autism Speaks has a project looking for people who have lost access to services as a result of reclassification. The ICD-10 still has a code for Aspergers Syndrome.
Intellect, Communication, Autism, Attention, Learning, Motor, and other. This is a very similar picture to the NCDs of Executive Fn, Language, Social Cognition, Complex attention, Learning and Memory, and Perceptual Motor. As a student of behavioral science, I can see the utility of going with a social disorder, and adding communication disorder, learning disorder, motor or intellectual disorder if relevant. But as a mom with 2 diagnosed kids, I know change and academic dialogue are super annoying, especially for the kids when they get old enough to try and understand it. I guess you can talk to them about pandas, brontosauruses, and other things scientists have changed their minds on.