Is HFA really that similar to Asperger syndrome?
ASPartOfMe
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Joined: 25 Aug 2013
Age: 68
Gender: Male
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Location: Long Island, New York
I might be wrong, though.
I think it's just "Autism" with the test scores, and types of support in the recommendations.
Autism Severity Levels based on need for support are right there in the current diagnostic manual.
Are there levels in the ICD10? I thought not. Again, I might be wrong.
I was given Level 2 "Moderate Autism" in 2018 but I heard that levels are being phased out.
The levels are in the current DSM manual , the current ICD manual has other subtypes.
Autism (Autism Spectrum Disorder) Diagnostic Criteria
6A02.0 Autism spectrum disorder without disorder of intellectual development and with mild or no impairment of functional language. All definitional requirements for autism spectrum disorder are met, intellectual functioning and adaptive behaviour are found to be at least within the average range (approximately greater than the 2.3rd percentile), and there is only mild or no impairment in the individual's capacity to use functional language (spoken or signed) for instrumental purposes, such as to express personal needs and desires.
"6A02.1 Autism spectrum disorder with disorder of intellectual development and with mild or no impairment of functional language. All definitional requirements for both autism spectrum disorder and disorder of intellectual development are met and there is only mild or no impairment in the individual's capacity to use functional language (spoken or signed) for instrumental purposes, such as to express personal needs and desires.
"6A02.2 Autism spectrum disorder without disorder of intellectual development and with impaired functional language. All definitional requirements for autism spectrum disorder are met, intellectual functioning and adaptive behaviour are found to be at least within the average range (approximately greater than the 2.3rd percentile), and there is marked impairment in functional language (spoken or signed) relative to the individual’s age, with the individual not able to use more than single words or simple phrases for instrumental purposes, such as to express personal needs and desires.
"6A02.3 Autism spectrum disorder with disorder of intellectual development and with impaired functional language. All definitional requirements for both autism spectrum disorder and disorder of intellectual development are met and there is marked impairment in functional language (spoken or signed) relative to the individual’s age, with the individual not able to use more than single words or simple phrases for instrumental purposes, such as to express personal needs and desires.
"6A02.4 Autism spectrum disorder without disorder of intellectual development and with absence of functional language. All definitional requirements for autism spectrum disorder are met, intellectual functioning and adaptive behaviour are found to be at least within the average range (approximately greater than the 2.3rd percentile), and there is complete, or almost complete, absence of ability relative to the individual’s age to use functional language (spoken or signed) for instrumental purposes, such as to express personal needs and desires.
"6A02.5 Autism spectrum disorder with disorder of intellectual development and with absence of functional language. All definitional requirements for both autism spectrum disorder and disorder of intellectual development are met and there is complete, or almost complete, absence of ability relative to the individual’s age to use functional language (spoken or signed) for instrumental purposes, such as to express personal needs and desires."
Autism Diagnosis Criteria: DSM-5
Severity level
Social communication
Restricted, repetitive behaviors
Level 3
"Requiring very substantial support”
Severe deficits in verbal and nonverbal social communication skills cause severe impairments in functioning, very limited initiation of social interactions, and minimal response to social overtures from others. For example, a person with few words of intelligible speech who rarely initiates interaction and, when he or she does, makes unusual approaches to meet needs only and responds to only very direct social approaches
Inflexibility of behavior, extreme difficulty coping with change, or other restricted/repetitive behaviors markedly interfere with functioning in all spheres. Great distress/difficulty changing focus or action.
Level 2
"Requiring substantial support”
Marked deficits in verbal and nonverbal social communication skills; social impairments apparent even with supports in place; limited initiation of social interactions; and reduced or abnormal responses to social overtures from others. For example, a person who speaks simple sentences, whose interaction is limited to narrow special interests, and how has markedly odd nonverbal communication.
Inflexibility of behavior, difficulty coping with change, or other restricted/repetitive behaviors appear frequently enough to be obvious to the casual observer and interfere with functioning in a variety of contexts. Distress and/or difficulty changing focus or action.
Level 1
"Requiring support”
Without supports in place, deficits in social communication cause noticeable impairments. Difficulty initiating social interactions, and clear examples of atypical or unsuccessful response to social overtures of others. May appear to have decreased interest in social interactions. For example, a person who is able to speak in full sentences and engages in communication but whose to- and-fro conversation with others fails, and whose attempts to make friends are odd and typically unsuccessful.
Inflexibility of behavior causes significant interference with functioning in one or more contexts. Difficulty switching between activities. Problems of organization and planning hamper independence.
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Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.
Exactly. Many of our members are diagnosed on ICD standards, which have no levels but rather subtypes.
I was assessed with DSM5, but I believe the DSM is moving toward an elimination of levels to follow ICD.
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Passive
Gentle, suggestible and easily led, the Passive type shares some similarities with the Aloof type, such as seeming disengaged when attempting to process input and a spikey cognitive profile, though they struggle less than the Aloof type with both issues. They are perseverative thinkers and their passivity may manifest through delayed echolalia. This type are introverts and need time to recuperate after socializing. Emotionally sensitive, passive types may react very visibly and strongly when overstimulated, especially through anger and sorrow.
Passives are usually gentle, generous and friendly, but can quickly become distressed.
30%Aloof
Aloof is more common in nonverbal Autistics. May appear to be disengaged but really have a very sensory way of processing the world around them. Aloof types may take longer to process input than other types of personalities. Independence may be difficult to achieve. Typical "spikey cognitive profile". Aloof types are deeply sensory and incredibly in tune with their environments.
10%Active but Odd
Active But Odd is a common personality type among Autistics. In Early development, many active but odd types may fit into Kanner's profile and many into Asperger's. Many make persistent but peculiar attempts at reaching people. May be verbally repetitive. This type is great at rote memory and repetition of large swathes of facts.
10%Stilted
This group almost appears neurotypical. They are often actors and have perfected and practiced the art of passing. They share the same idiosyncrasies as other Autistics and may appear to be slightly "off". This type holds meltdowns in until they get home. They are more concerned with social propriety than other Autistic personality types, and may not have the insight to see their own emotional reactions.
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Socially drifted middle class
I’ve never gone above a primary school level in visual arts. Pretty much a stick-figure man.
I'm at the drawing level of a 6-7 year old .
Using highest and lowest scores for non-verbal and verbal tests made by psychometricians.
Non-verbal : 65 +85 = 75 average
Verbal: 143 +156 =149.5 average
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Socially drifted middle class
It's interesting.
I'd say I'm in the Aloof category.
https://www.onlineassessmenttool.com/wh ... ment-19139
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Socially drifted middle class
I’ve never gone above a primary school level in visual arts. Pretty much a stick-figure man.
I'm at the drawing level of a 6-7 year old .
Using highest and lowest scores for non-verbal and verbal tests made by psychometricians.
Non-verbal : 65 +85 = 75 average
Verbal: 143 +156 =149.5 average
I had a verbal score at the 25th percentile, and nonverbal at 5th percentile.
I'm not sure how that compares to yours?
I asked if I had a formal IQ test but apparently I didn't.
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I’ve never gone above a primary school level in visual arts. Pretty much a stick-figure man.
I'm at the drawing level of a 6-7 year old .
Using highest and lowest scores for non-verbal and verbal tests made by psychometricians.
Non-verbal : 65 +85 = 75 average
Verbal: 143 +156 =149.5 average
I had a verbal score at the 25th percentile, and nonverbal at 5th percentile.
I'm not sure how that compares to yours?
I asked if I had a formal IQ test but apparently I didn't.
25th percentile = 90 5th percentile = 75-76 15 SD
https://www.iqcomparisonsite.com/iqtable.aspx
The 25th percentile for verbal seems very wrong . 25th from top would be 75th percentile = 110 . That's better , but still way off given your obvious verbal ability .
99.7444809358% =142 would make more sense for you .
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Socially drifted middle class
I had a verbal score at the 25th percentile, and nonverbal at 5th percentile.
I'm not sure how that compares to yours?
https://www.iqcomparisonsite.com/iqtable.aspx
The 25th percentile for verbal seems very wrong . 25th from top would be 75th percentile = 110 . That's better , but still way off given your obvious verbal ability .
99.7444809358% =142 would make more sense for you .
firemonkey,
I was indeed 25th and 5th. I am selective mute and have difficulty processing verbal language.
This is why I have so much difficulty. People perceive me as very articulate or functional because of my written language skills, but in reality I have serious deficits.

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I never give you my number, I only give you my situation.
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I had a verbal score at the 25th percentile, and nonverbal at 5th percentile.
I'm not sure how that compares to yours?
https://www.iqcomparisonsite.com/iqtable.aspx
The 25th percentile for verbal seems very wrong . 25th from top would be 75th percentile = 110 . That's better , but still way off given your obvious verbal ability .
99.7444809358% =142 would make more sense for you .
firemonkey,
I was indeed 25th and 5th. I am selective mute and have difficulty processing verbal language.
This is why I have so much difficulty. People perceive me as very articulate because of my written language skills, but in reality I have serious deficits.


Interesting it further cements my belief that IQ tests as a measure of overall intelligence for those with spiky profiles and/or on the spectrum are far from good .
Also once again testing in the USA is much more comprehensive than in the UK . There was no adaptive behaviour element for me . Even health pros in the UK have given puzzled looks when I've mentioned adaptive functioning.
At my last place in Essex I'd been self neglecting . Although at the time I didn't acknowledge or see that . As a chronic ie non-acute service user I was, as is all too typical, not a top priority for help and support .
Whether this would be called masking or not I don't know , but when I went for my depot every fortnight I'd make a small attempt to look more presentable . It didn't always work that well though , hence several comments about my fingernails .
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Socially drifted middle class
There is a speech delay in what they used to call Asperger's syndrome,it's a samantic pragmatic speech delay.
Children with Asperger's used echolalia and imitative speech,often not understanding it's meaning.
Children with Asperger's have a delay in the engagement of effective pragmatic communication.
It's a learning disability called "Samantic pragmatic disorder" and almost all children with Asperger's have this.
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Sorry I ever joined
I'm not American but yes my test was very thorough. The report is about 20 pages of detailed statistics like I posted.
I should add that I have co-morbid diagnoses of CPTSD, MDD (>99th percentile), GAD (>99th percentile), Alexithymia, Agoraphobia, and Selective Mutism. I also suffered a stroke three years prior to the ASD tests. I'm in the midst of comprehensive ADHD testing and will get the result on Friday, but they've already said I am ADHD. I just need to know the subtype. I also have synaesthesia, if that makes a difference to one's test scores.
I'm very bright intellectually, especially in my areas of hyper-focused special interest which I studied in University. I'm an English and Philosophy scholar so the scores surprised me as well. I'm reassured that it wasn't a full IQ test so I assume I must have some higher scores in areas which weren't tested? When I've done full IQ tests online (even on WP if I can find it), I have always been in a very high range. I suppose the test I did for ASD looks at very specific criteria for VIQ such as processing speed.
I'm sorry you weren't measured for Adaptive abilities. If it makes you feel any better, despite my low scores I still didn't get any tangible support. I'm hoping the ADHD diagnosticians will be able to better guide me for ASD / ADHD services, combined.
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I never give you my number, I only give you my situation.
Beatles
I should add that I have co-morbid diagnoses of CPTSD, MDD (>99th percentile), GAD (>99th percentile), Alexithymia, Agoraphobia, and Selective Mutism. I also suffered a stroke three years prior to the ASD tests. I'm in the midst of comprehensive ADHD testing and will get the result on Friday, but they've already said I am ADHD. I just need to know the subtype. I also have synaesthesia, if that makes a difference to one's test scores.
I'm very bright intellectually, especially in my areas of hyper-focused special interest which I studied in University. I'm an English and Philosophy scholar so the scores surprised me as well. I'm reassured that it wasn't a full IQ test so I assume I must have some higher scores in areas which weren't tested? When I've done full IQ tests online (even on WP if I can find it), I have always been in a very high range. I suppose the test I did for ASD looks at very specific criteria for VIQ such as processing speed.
I'm sorry you weren't measured for Adaptive abilities. If it makes you feel any better, despite my low scores I still didn't get any tangible support. I'm hoping the ADHD diagnosticians will be able to better guide me for ASD / ADHD services, combined.
For me diagnosed = Asperger's & schizoaffective
V/likely = dyspraxia, nvld, alexithymia, learning difficulty , avoidant /social anxiety &GAD (both
seen as part of the schizoaffective)
I also have aphantasia . If I said cognitive testing is crap in the UK that would be putting it mildly The most I had was during my 1st hospitalisation in 1975 . It was the basic forward digit span , and count down from 100 in groups of 7 .
https://i4.photobucket.com/albums/y126/ ... 0Mensa.png
With best Wonderlic like test ie 'Beat the Wonderlic' I get 41/50
Without adding for age = 138 IQ
Adding 5 to score(as has been recommended) as I'm over 60. 46= 148 IQ
They are rather easy questions . The biggest challenge is only having 14.4 seconds per question .
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Socially drifted middle class
Last edited by firemonkey on 24 Feb 2020, 1:05 am, edited 1 time in total.
I've read about the poor treatment you received. I'm so sorry to hear all you've been through to get your diagnosis.
I definitely have Aphantasia as well, but I didn't know the term during my ASD testing and I don't think it was measured. I've mentioned it to my ADHD doctors so I'll see if that factors into my assessment for short-term memory deficits or anything relevant. I can barely picture anything because of synaesthesia. I just see colours or swirls like a kaleidoscope, even with letters and numbers.
My official ASD diagnosis was Level 2 Moderate Autism requiring substantial support but I can't even find OT to help adults.
My sensory processing disorder and BFRB are off the charts, affecting every moment of my life.
Solidarity to anyone else who wasn't diagnosed until later adulthood!
Re: Speech delay. I spoke a little late, but not abnormally. I was around two when I said "turtle". I received speech therapy in Primary school because I had an odd accent, I slurred words, spoke quickly / quietly, and couldn't pronounce several sounds. I needed speech therapy again after my stroke in 2015. I've been selective mute most of my life, especially with my own mother. I'm not a verbal communicator at all.
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