Question why on why all subtypes of Autism was removed

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FranzOren
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26 Jun 2021, 10:44 am

My conclusion is that either milder cases of ASD is over-diagnosed, or we should wait for people to be an older teen or an adult to diagnose them with milder case of ASD, because social rules close to adulthood get very complicated.



MaxE
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26 Jun 2021, 10:58 am

My take on this is that autism is basically a collection of symptoms, not all of which are required to hand down an ASD diagnosis, and those symptoms can have unrelated underlying causes. The proliferation of subtypes was intended to delineate more specific instances of those diagnostic cases, but broke down as it was not possible to identify clear boundaries between those subtypes, so a given individual could go to different professionals and get different diagnoses. Eventually it got easier to just lump all those diagnoses together along with some notion of relative severity.

I have come to believe that what matters is the individual's symptoms and what sort of support they might need, whether they need pharmaceutical support, counseling, an alternative educational environment, workplace accommodation, or just general understanding of their personal circumstances and how they might work to better their own outcome.


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FranzOren
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26 Jun 2021, 11:16 am

Exactly!

Plus we are not medical professionals, if their daughter got a diagnosis of ASD, then she has ASD no matter how normal she may seem. Only medical professionals can decide if their daughter is over-diagnosed with ASD or not. But I find it impossible that ASD can be over-diagnosed, it's such a broad spectrum.



Joe90
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26 Jun 2021, 12:59 pm

I do believe that some parents do force a diagnosis upon their toddlers these days. Unless your kid is showing very obvious signs of autism at 2 years old, it is not necessary to get them diagnosed until they're at least at school. I didn't get a diagnosis until I was nearly 9, although it's still unusually early for a girl with no speech delays or anything but when I was a toddler nobody suspected that I was on the spectrum at all.

My cousin (now 28) is 100% NT but when he was about 1 he didn't often respond to his name (but he wasn't hard of hearing), and loved buses. We went to a kids fair once but he seemed more interested in buses going by on the road than he was with the toys and rides and puppet shows. All he could say was "bus". He grew out of it though. If he was a baby these days his parents probably would have assumed autism right away. But it's not autism, it's just typical baby behaviour.


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FranzOren
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26 Jun 2021, 1:06 pm

I am sorry that I asked, because he could have ASD, but his parents should not rush and give him more time to develop, if he can't outgrow out of those behaviors, personalities and did not develop social skills at the age of five, then it could be that he has ASD.

I hope you know what I mean. Age of five can be a good age for an ASD diagnosis, but it is better to wait until he is an older teen or an adult for an ASD diagnosis, if you think he developed normally.

I was diagnosed with PDD-NOS at the age of two, I hope that is not too early, because my social skills improved so much that I don't even know who I am anymore. I do have some form of developmental disorder, but I am not sure if I even have ASD. I was diagnosed with PDD-NOS way too early.



kraftiekortie
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26 Jun 2021, 1:46 pm

The reason why early diagnosis is encouraged…is because of the concept of “early intervention.”

Many times, the brains of very young children are more “plastic” than in older people. A younger person’s brains, in effect, is more flexible, adjustable, and more able to take in new ideas more thoroughly and smoothly.

An excellent example of this is how very young children could easily become fluent in multiple languages without accents; whereas older children experience more difficulty in this.

This principle is a primary basis for “early intervention.”



FranzOren
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26 Jun 2021, 1:58 pm

I am sorry that I asked. It makes sense.



ArtsyFarsty
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26 Jun 2021, 5:36 pm

FranzOren wrote:
If if they seem to develop normally, should the ASD assessment wait until they are adults? Because, she can still have ASD, but it's just so mild that it is too early to tell, as she seems to develop at a normal phase as you pointed out.

I once had very severe symptoms of ASD and I was diagnosed at the age of two. Was that way too early?

I did not notice that I have ASD until I was thirteen years old, even though I was diagnosed with ASD at age two.

I improved so much with therapies as well.

But the children who are assessed are the ones who aren’t developing normally. Early Intervention services are offered to help them catch up, and to “weed out” the children who may have some developmental delays but aren’t autistic.



ArtsyFarsty
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26 Jun 2021, 5:56 pm

Triple post. I swear I am sober.



Last edited by ArtsyFarsty on 26 Jun 2021, 5:58 pm, edited 1 time in total.

ArtsyFarsty
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26 Jun 2021, 5:57 pm

Double post



FranzOren
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26 Jun 2021, 6:07 pm

It makes sense.