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How to distinguish HFA and aspergers?

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Verdandi
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15 Nov 2013, 10:32 pm

animalcrackers wrote:
Rocket123 wrote:
So, does speech count as speech, if people (other than your mother) have problems understanding you?


I think speech is still speech even if people can't make out the words you're saying (or can make out the words but don't know what you mean).

In the context of the DSM-IV criteria for Autistic Disorder vs. Asperger's, I have come to think that language matters more than speech -- that how/whether you use words matters more than your ability to utter them.


It does but people tend to think you have to not speak to be eligible for an autism diagnosis. The truth is that you have to have unusual speech/comprehension, whether late speech or mostly stereotypical/echolalic, or unable to hold a conversation.



jakob79
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20 Nov 2013, 12:29 pm

Thank you guys for all the answers! But i still dont get it... Some of you say that you started to talk at 4-5 years old but got diagnosed with AS? Isnt starting speaking at 4 considered as a speech delay? I started to speak at 2.5 and i could speak like an adult then My patents told me.. i could form sentences at earlier age etc.. So why didnt i got AS as diagnose then i wonder..? Hate this PDD-NOS cuz noone can tell me what exactly or Where i am in the spectrum.. Or egen if Its 100% that im even autistic to begin with ...I know about the DMS-5 and that everything Will be one ASD, but i still wanna find out if Its AS or autism i have cause i personally think that they are 2 separate conditions...



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20 Nov 2013, 4:56 pm

HFA has language delays but Aspergers does not.


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ChameleonKeys
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20 Nov 2013, 5:31 pm

jakob79 wrote:
Thank you guys for all the answers! But i still dont get it... Some of you say that you started to talk at 4-5 years old but got diagnosed with AS? Isnt starting speaking at 4 considered as a speech delay? I started to speak at 2.5 and i could speak like an adult then My patents told me.. i could form sentences at earlier age etc.. So why didnt i got AS as diagnose then i wonder..? Hate this PDD-NOS cuz noone can tell me what exactly or Where i am in the spectrum.. Or egen if Its 100% that im even autistic to begin with ...I know about the DMS-5 and that everything Will be one ASD, but i still wanna find out if Its AS or autism i have cause i personally think that they are 2 separate conditions...


You don't have either - You have PDD-NOS. PDD-NOS is not Asperger's or Classic/Kanner's autism - It is PDD-NOS! It means you did not meet the full diagnostic criteria for either Asperger's or Classic/Kanner's Autism, but are still diagnosed as having an ASD. Regardless of sub-category, we all have ASD. PDD-NOS seems to be viewed as the poor relative sometimes, but it is a diagnosis in it's own right even if given by a process of elimination. Ok, so it's a slightly nebulous catch-all for people who are obviously not NT but do not meet the full criteria for any other diagnosis but it is still absolutely your label to claim and give some much needed dignity to. :) It has just as much legitimacy as the other sub categories of the spectrum. If you want to know specifically which diagnostic criteria you did not fit to a significant enough degree for another diagnosis then it's best to direct that question to whoever diagnosed you (or find their original diagnostic report). If you think it may be wrong you can then have that reassessed if it is upsetting you. Your confusion and feelings are totally valid and should be supported, it's just a matter of asking the right person the right questions. I hope you can find what you need, please post back if you find out. :)



btbnnyr
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20 Nov 2013, 6:02 pm

HFA vs. AS classification is probably not critical for adults, so I would focus on individual's unique of traits.

For children, classification is useful for addressing HFA language delay issues and other social or non-social issues that are likely more pronounced in HFA as a group vs. AS as a group.


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Lumi
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20 Nov 2013, 7:05 pm

Edit: I was speaking in communicative phrases (sometimes) by age 4. Though would still repeat phrases or answer nearly every question with "yeah".


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20 Nov 2013, 7:11 pm

Max000 wrote:
HFA = Asperger's. It is one and the same thing.


No.

Asperger's is now counted as a FORM of high functioning autism (and really always was). There are others with autism who are high functioning who do not fall into the "Asperger's" catagory.

The fact that in the States the term "Asperger's" isn't officially used any more (supposedly) to specify that form of high functioning autism doesn't mean it's now felt Asperger's differences aren't there.


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20 Nov 2013, 8:02 pm

Sethno wrote:
Asperger's is now counted as a FORM of high functioning autism (and really always was). There are others with autism who are high functioning who do not fall into the "Asperger's" catagory. The fact that in the States the term "Asperger's" isn't officially used any more (supposedly) to specify that form of high functioning autism doesn't mean it's now felt Asperger's differences aren't there.


Yes, we still have Aspergers societies here in Melbourne Australia with an explicit requirement for AS diagnosis for membership, This is largely a social distinction where there is continued consensus among parents of AS kids to form exclusive parents groups.

The issue of speech delay in ASD the new DSMV requires - Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.

This infact puts the emphasis on communication deficits not speech. This confounds the perception of speech delay as many Aspies could speak well from early on but had significant communication deficits as children.



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20 Nov 2013, 8:53 pm

cyberdad wrote:
...This confounds the perception of speech delay as many Aspies could speak well from early on but had significant communication deficits as children.


This was most definitely me. I spoke earlier than NT, hearing children despite an ASD and being profoundly Deaf. I absolutely had and still do have very significant communication problems despite having expansive vocabularies in numerous languages both spoken and signed. There is a world of difference between speaking and communicating.



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20 Nov 2013, 9:23 pm

I never spoke until I was 18 months old but I think that was because I was born crossed-eye and right after I had the surgery done to correct the crossed-eye. I started talking.



btbnnyr
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20 Nov 2013, 10:31 pm

For ASD in DSM 5, there is no specific speech delay criterion like there is in DSM IV, but verbal communication problem is just on spectrum of communication problems in general.


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