dsm5 vs dsm4

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autistic global functioning is a look at a persons whole functioning, so are either in the low or high category depending on where a profresional assessment places IQ and functional ability,they each cause a different presentation of autism.

someone with high functioning autism commonly have severe traits which affects parts of their functioning,whether executive dysfunction,some types of communication,mutism when stressed/overloaded, motor skills etc,all of these can affect ability to be independant without being a part of a global functioning difficulty.

in ireland,they use the DSM as have had a number of cousins up north and down south diagnosed under it,that is why will have ASD as a diagnosis.
am not surprised had to go for it privately though as the autism diagnostic services there suck worse than ours here which is pretty hard to beat according to all the posts we get on it here, two dub cousins of mine werent diagnosed till late teen [high functioning classic autistic] and adult hood [mild ASD, diagnosed with ID at a young age].

It is OK to have one ASD diagnosis and distinguish between subgroups, but no need to have a separate diagnosis for each subgroup.

I don't find this helpful at all because I have had HFA diagnosed since age 6 but when I was 11, I was reassessed and diagnosed with Asperger's and things got ten times more confusing because no one could decide. PICK ONE NOT BOTH.

I fit the dsm 5 criteria for autism and aspergers in the dsm 4 I had a speech delay too but finding which of the three best fit me was hard. So I like the new dsm 5

I'm one of those cases that doesn't fit neatly into a functioning label.

I meet the criteria for autism but when it comes to figuring my functioning it's a lot more complicated

In some ways I am high functioning in that I can do things and reached x mile stones ect

And in other ways not so much I can do x but my Brian doesn't remember or process to do x



And that's with out getting into well I'm verbal except I'm not because I stopped speaking months ago, because as it turns out I can function better and navigate and manage better and communicate better nonverbal relying on an AAC device. And before I stopped speaking I would loose speech when stressed or overwhelmed anyways and couldn't describe things with my words

It is to early to tell if the fears that the change to DSM 5 would result in people who would have been and should have been diagnosed are not getting diagnosed have come true. There are some indications the fears are coming true for those in the old PDD-NOS category but not for old Aspergers category.

I do think that the pre DSM 5 fears of psychological damage from loss of positive Aspie identity has been as much if not greater then expected. A lot of claims of "not really autistic" and suspicion of fakary are happening withing the community that just was not here before. Also the Aspie supremacists have come to define "Aspie" in the minds of apparently most on the spectrum. I do believe that the American Psychological Association in eliminating Aspergers a term that formally had very positive helpful connotations for people has caused many in the community to internalize these negative claims and associations.

The DSM 4 definition of Aspergers had some serious issues and problems. The APA decided to deal with these problems by trying to destroy Aspergers instead of fixing the problems.