What is PDD-NOS?
Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS) is a 'subthreshold' condition in which some - but not all - features of autism or another explicitly identified Pervasive Developmental Disorder are identified. PDD-NOS is often incorrectly referred to as simply "PDD." The term PDD refers to the class of conditions to which autism belongs. PDD is NOT itself a diagnosis, while PDD-NOS IS a diagnosis. The term Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS; also referred to as "atypical personality development," "atypical PDD," or "atypical autism") is included in DSM-IV to encompass cases where there is marked impairment of social interaction, communication, and/or stereotyped behavior patterns or interest, but when full features for autism or another explicitly defined PDD are not met.
http://childstudycenter.yale.edu/autism/pddnos.html
It should be emphasized that this ''subthreshold'' category is thus defined implicitly, that is, no specific guidelines for diagnosis are provided. While deficits in peer relations and unusual sensitivities are typically noted, social skills are less impaired than in classical autism. The lack of definition(s) for this relatively heterogeneous group of children presents problems for research on this condition. The limited available evidence suggest that children with PDD-NOS probably come to professional attention rather later than is the case with autistic children, and that intellectual deficits are less common.
Case Illustration
Leslie was the oldest of two children. She was noted to be a difficult baby who was not easy to console but whose motor and communicative development seemed appropriate. She was socially related and sometimes enjoyed social interaction but was easily overstimulated. She was noted to exhibit some unusual sensitivities to aspects of the environment and at times of excitement exhibited some hand flapping. Her
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i have change for the better.
Sounds a lot like me. If I picture how I acted back in elementary school, that sounds very fitting...not totally unable to socialize, but still, different. And I will never forget the tornado siren meltdown (among other things, like fire alarms, but that was the worst one). What idiot thought it was a great idea to put a tornado siren IN the schoolyard, anyway?!
While I know I can't make a diagnosis like a professional could...this is the category in which I strongly suspect myself to fall. (Would that be a fair statement? I don't want to step on any toes or seem to be overreaching.)
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Official diagnosis: ADHD, synesthesia. Aspie quiz result (unofficial test): Like Frodo--I'm a halfling?
Yeah, reading through that that's almost exactly how I was, minus the hand flapping. Doing some research I know for a fact that I'm not lower functioning, but I can't say that it's Asperger's either. I can do small talk with little hesistation, I'm not intimidated by public places anymore and academics would not be a problem if I try hard enough (those darn video games were fun
), but I still have trouble getting the courage to go out and socialize like I want to. The loner label definitely applies here, and I'm not bothered by that like 90% of the time.
I can do small talk, but it feels like an acting job and not something that connects me to people, like a real, meaningful exchange of information and/or opinion does. Eye contact...I can make myself do it, but there is no doubt it is absolutely forced, like a box I check off in my head every so often. It is definitely NOT in my normal repertoire. I can interact, but the way I would describe my feeling is "permanently off-balance," unless I get into topics that are solid ground or I am with someone I've known for a long time.
I feel deeply for people--I misread them a lot, though...I suck at identifying sarcasm and I have a tendency to assume people are angry or upset when they're not. I also have trouble telling when I've gone "too far" with something in a conversation, although I think that at my age I've made progress from when I was younger.
And this is the biggest irony of all, and maybe the greatest indicator that I am indeed stuck "in between": I believe I may be called to be a minister, that I will become ordained and serve God. Maybe this will be in a congregation, even. But, I suspect I have some challenges I'll have to deal with if that's the case, because I know I'm not exactly like a lot of the people I'd be ministering through, although I can think through their situations. (Though I definitely wouldn't rule out "seminary professor" or "theologian" as my calling, either...and who knows, that might be the right balance?)
There's a strong sense that only a small number of people would like the "real me" if I let it all the way out. I have a fair idea of what parts of me aren't normal, and I can act, but it's not me.
I do find I seem to be an Aspie magnet, when I'm in other venues, and someone made the observation that sometimes like attracts like. Not sure how valid that is--certainly not proof of anything--but I do suspect I've had at least a few Aspie friends where they either didn't say or weren't diagnosed, in addition to the ones I HAVE known about.
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Official diagnosis: ADHD, synesthesia. Aspie quiz result (unofficial test): Like Frodo--I'm a halfling?
Well of course its true - when you spend all your life seeing the world through a different lens than those around you and they all look at you as though you're speaking a foreign language whenever you describe things the way you see them, running into someone else who seems to have pretty much the same experience you're having - there's usually a tremendous sense of "Oh thank god! I'm not insane! Someone else is seeing this, too!"
I find I'm usually much more at ease with other people who seem 'spectrumish' - almost like they flashed their Aspie ring at me or gave me the secret handshake - there's a sense of relief at realizing there are more of us out there, hidden in plain sight.
I'd say for me it's as simple as it being "OK" to relax and be myself. And definitely the feeling of not being insane, or at least being weird together.
Example: 2 years ago I went to a sci-fi con...I went thinking I was going to meet lots of people, hang out, blah blah blah, but I only really seemed to connect with/make an impression on one individual, who I have now been keeping up with through a forum all that time. As it turned out, he was an Aspie. And once I found out, it was kind of like, Oh, OK--maybe THAT'S why he didn't run screaming at the way I went on and on and on (especially about Cardassians).
Of course, I still wouldn't conflate "Aspie magnet" with "diagnosis," but it probably at least points to "broad autism phenotype."
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Official diagnosis: ADHD, synesthesia. Aspie quiz result (unofficial test): Like Frodo--I'm a halfling?
Monique--I don't know where you got that article from, but this is one of my major pet peeves: PDD-NOS doesn't mean "subthreshold", and shouldn't; and people think it does, and some doctors think it does, and it's messing things up even further.
PDD-NOS is the diagnosis they give when you have a pervasive developmental disorder, but you don't fit criteria for a specific pervasive developmental disorder. People with PDD-NOS are autistic, and can be anywhere from mildly to extremely severely impaired (in fact, chances are some of the most severely impaired people are given the PDD-NOS diagnosis because evaluation is so difficult that doctors can't get closer than "Well, he's got some kind of PDD."). They make up about 65% of the autism spectrum (which should say something about the diagnostic system); and they are simply the ones who don't fit into any other categories. That's what "NOS" means. (The "not otherwise specified" tag is used for other classes of disorders, too. Check out [http://en.wikipedia.org/wiki/DSM-IV_Codes]this list of DSM codes[/url], and look at all the "NOS" diagnoses.)
Yes, it's used for people who don't have all the traits. That doesn't mean that it's necessarily milder, though; it just means that your number of traits is lower. It's also used for people who are very young and whose presentation isn't obvious yet; for people whose history is unknown; for people who fall in between disorders; for people who have some other condition that make it very hard to evaluate them properly. One of the bigger groups of PDD-NOS diagnoses are people who used to fit Autistic Disorder criteria as children, but have "grown out of" some of the traits, and now no longer have enough traits, usually in the language domain, to fit the regular Autistic Disorder description.
Some doctors think it means "mild PDD." These doctors should go back to psychology class.
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Reports from a Resident Alien:
http://chaoticidealism.livejournal.com
Autism Memorial:
http://autism-memorial.livejournal.com
Does it means that I show some but not all symptoms? That I pass as half normal and half autistic?
I am diagnosed with PDD-NOS autism for me my examiner said I am perfectly in between classic and Asperger autism. I fit the criteria for classic autism perfectly but I am a bit to verbally strong? but the speech delay disqualified me for Aspergers. So I am in the middle.
For a full explanation read this post.
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"In my world it's a place of patterns and feel. In my world it's a haven for what is real. It's my world, nobody can steal it, but people like me, we live in the shadows." -Donna Williams
Silentmiaow, that is her right? I'm intimidated by her now after reading through that blog...saw her videos on Youtube and those nasty comments people made. Her perspective is unique, it's people like her who make others think before they laugh at autism. It's sickens me though, some people are too ignorant and whipped by society to see it from a different point of view so they make all kinds of wild assumptions.
Wait a second...
Last edited by eagletalon86 on 18 Jul 2010, 5:42 pm, edited 1 time in total.
CockneyRebel
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The half-caf version, maybe?
(Dunno if they say that over in England: means half caffeinated coffee, half decaffeinated.)
And yeah, I think silentmiaow and anbuend are the same person. I wouldn't say I'm intimidated--but I recognize my betters!
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Official diagnosis: ADHD, synesthesia. Aspie quiz result (unofficial test): Like Frodo--I'm a halfling?
Go back to the first page, read anbuend's blog post or read my explanation. PDD-NOS is a miscellaneous "atypical autism" category that has nothing to do with being milder than anything else.
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Reports from a Resident Alien:
http://chaoticidealism.livejournal.com
Autism Memorial:
http://autism-memorial.livejournal.com
