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Asperberger's diagnosis criteria?
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<blockquote data-quote="SRL" data-source="post: 14033" data-attributes="member: 701"><p>In addition to taking a detailed developmental history, parent interview, teacher input, and doctor observation, specialists often use a diagnostic tool specifically for AS. A list of those can be found here: <a href="http://www.aspergersyndrome.org/" target="_blank">http://www.aspergersyndrome.org/</a></p><p></p><p>The most recent is the ASDS Asperger's Syndrome Diagnostic Scale and it is said to be highly reliable, when taken together with the rest of the data. My difficult child leaned close to an AS diagnosis when he was younger and was assessed by one of the co-authors of this instrument and it pegged him right where the developmental pediatrician called it previously and right where we felt he fit into the spectrum. It was one of the co-authors of the instrument administered it for my difficult child a few years later and they told me that the DSM criteria for AS really weren't very accurate because they're seeing far more variation than what the black and white criteria state. </p><p></p><p>Personally I think when parents are searching they have a harder time assessing the childs social skills than in any other area so unless the delay/differences are very pronounced most parents go into an evaluation questioning this. I think many things factor in there: limited observation time of the child with peers, seeing a child who is social but not yet realizing the importance of social inappropriateness, parent having social difficulties themselves therefore not recognizing the childs behaviors as unusual, having a child who truly is more social than the average AS kid, and so on.</p><p></p><p>One other thing worth mentioning is the importance of closely examining the childs developmental history. Early developmental markers and behaviors yield very important clues and since some of those often fade away as the child develops and/or gets interventions its important to look for those when evaluating an older child. </p><p></p><p>My difficult child was evaluated by a developmental pediatrician which I think is the most preferable when a child is very young. If the waiting lists are too long (not uncommon to be 6+ months these days) or the child is older, then a pediatric neuropsychologist or an Autism Clinic are both good options. What Im hearing about pediatric neurologists is that they are really hit or miss when it comes to Autism Spectrum Disorders (ASD)s. Some are very good, some miss a lot, especially if the child is atypical or rides the fence diagnostically. A good place to check is with local parents of Autism Spectrum Disorders (ASD) kids, such as checking in with a local branch of the Autism Society. If you already have an appointment on the books certainly do keep it but if the findings dont feel right in comparison to your research and if the recommendations on his/her report dont seem like theyre going to be sufficient then you may want to consider pressing on.</p></blockquote><p></p>
[QUOTE="SRL, post: 14033, member: 701"] In addition to taking a detailed developmental history, parent interview, teacher input, and doctor observation, specialists often use a diagnostic tool specifically for AS. A list of those can be found here: [URL]http://www.aspergersyndrome.org/[/URL] The most recent is the ASDS Asperger's Syndrome Diagnostic Scale and it is said to be highly reliable, when taken together with the rest of the data. My difficult child leaned close to an AS diagnosis when he was younger and was assessed by one of the co-authors of this instrument and it pegged him right where the developmental pediatrician called it previously and right where we felt he fit into the spectrum. It was one of the co-authors of the instrument administered it for my difficult child a few years later and they told me that the DSM criteria for AS really weren't very accurate because they're seeing far more variation than what the black and white criteria state. Personally I think when parents are searching they have a harder time assessing the childs social skills than in any other area so unless the delay/differences are very pronounced most parents go into an evaluation questioning this. I think many things factor in there: limited observation time of the child with peers, seeing a child who is social but not yet realizing the importance of social inappropriateness, parent having social difficulties themselves therefore not recognizing the childs behaviors as unusual, having a child who truly is more social than the average AS kid, and so on. One other thing worth mentioning is the importance of closely examining the childs developmental history. Early developmental markers and behaviors yield very important clues and since some of those often fade away as the child develops and/or gets interventions its important to look for those when evaluating an older child. My difficult child was evaluated by a developmental pediatrician which I think is the most preferable when a child is very young. If the waiting lists are too long (not uncommon to be 6+ months these days) or the child is older, then a pediatric neuropsychologist or an Autism Clinic are both good options. What Im hearing about pediatric neurologists is that they are really hit or miss when it comes to Autism Spectrum Disorders (ASD)s. Some are very good, some miss a lot, especially if the child is atypical or rides the fence diagnostically. A good place to check is with local parents of Autism Spectrum Disorders (ASD) kids, such as checking in with a local branch of the Autism Society. If you already have an appointment on the books certainly do keep it but if the findings dont feel right in comparison to your research and if the recommendations on his/her report dont seem like theyre going to be sufficient then you may want to consider pressing on. [/QUOTE]
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