A question about atypical autism(ICD 10) vs PDD NOS

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firemonkey
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16 Nov 2018, 4:41 pm

Are these the same thing? The reason I ask is both mention late onset of symptoms. The blurb for atypical autism though mentions it mainly occurs in people with a profound intellectual disability(the sources I saw actually used the R word).
I'm coming to the conclusion my symptoms would be late onset. However although I have probable learning difficulties with a spiky profile I am most definitely do not have a profound intellectual disability .



firemonkey
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20 Nov 2018, 6:12 am

I'm told the way to get responses is to pose something as seeking advice or asking a question. However that doesn't see to be true due to the lack of responses when I ask a question. There seems to be more to it ,but I can't for the life of me work that out.

It could of course be people sending a silent message that I don't really belong here. I am after all only someone who suspects they might be on the spectrum. It could be that people have worked out already that I'm not and are reacting accordingly.



boating_taxonomist
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20 Nov 2018, 7:24 am

Or maybe you just need to have a bit of patience and give people time to answer your question? Or no one is entirely sure what you're looking for?

For what its worth, going by your other posts, I think you are completely overthinking everything. It isn't up to you to diagnose yourself; that's why you see a professional (and all the quibbling over one 'type' of autism or the other is likely irrelevant anyway, whilst the UK ostensibly uses the ICD-10, the concept of having everything under one umbrella of ASD/ASC as with the DSMV has been around for quite a while and is very commonly utilised instead).

I know it's stressful waiting for an assessment and not knowing what's going to come out of it, but trying to second guess everything probably isn't going to help.



firemonkey
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20 Nov 2018, 10:51 am

I think I've been quite patient given the length of time. However you are right that I tend to over-analyse/ over-think things. It's wrapped around the quest for answers to why I am as I am.

An ASD assessment is a shot at answering that , but I worry that a negative assessment would shut off answering the question . I am a 100% certain there is something going on that isn't neurotypical,even if I'm only 40-50% sure about ASD.



kraftiekortie
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20 Nov 2018, 11:01 am

They are not exactly the same thing----but very similar.



Pieplup
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20 Nov 2018, 1:12 pm

firemonkey wrote:
Are these the same thing? The reason I ask is both mention late onset of symptoms. The blurb for atypical autism though mentions it mainly occurs in people with a profound intellectual disability(the sources I saw actually used the R word).
I'm coming to the conclusion my symptoms would be late onset. However although I have probable learning difficulties with a spiky profile I am most definitely do not have a profound intellectual disability .

I mean i have pdd-nos diagnosis but i dn't have any of the things said in atypical autism i think of pdd-nos as a catch-all catagory for people who don't meat the critera for other pervasive development disorders.
DSM-IV wrote:
This category should be used when there is a severe and pervasive impairment in the
development of reciprocal social interaction or verbal and nonverbal communication
skills, or when stereotyped behavior, interests, and activities are present, but the criteria
78 Usually First Diagnosed in Infancy, Childhood, or Adolescence
are not met for a specific Pervasive Developmental Disorder, Schizophrenia, Schizotypal
Personality Disorder, or Avoidant Personality Disorder. For example, this category
includes "atypical autism"—presentations that do not meet the criteria for Autistic
Disorder because of late age at onset, atypical symptomatology, or subthreshold
symptomatology, or all of these.
It Might SAY that But that's not what it's used for. [color=#00b2ff] I mean i really do meet most of the requirements for Asperger's syndrome i have some communication difficulties even more than most peopel with as tbh.
Here are the requirements
Diagnostic criteria for 299.80 Asperger's Disorder
A. Qualitative impairment in social interaction, as manifested by at least
two of the following:
(1) marked impairment in the use of multiple nonverbal behaviors such
as eye-to-eye gaze, facial expression, body postures, and gestures
to regulate social interaction √
(2) failure to develop peer relationships appropriate to developmental
level √ (haven't had a friend irl since kindergarten so definitly
(3) a lack of spontaneous seeking to share enjoyment, interests, or
achievements with other people (e.g., by a lack of showing,
bringing, or pointing out objects of interest to other people)√
(4) lack of social or emotional reciprocity
B. Restricted repetitive and stereotyped patterns of behavior, interests, and
activities, as manifested by at least one of the following:√
(1) encompassing preoccupation with one or more stereotyped and
restricted patterns of interest that is abnormal either in intensity or
focus√
(2) apparently inflexible adherence to specific, nonfunctional routines
or rituals√
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger
flapping or twisting, or complex whole-body movements)√
(4) persistent preoccupation with parts of objects
C. The disturbance causes clinically significant impairment in social, occupational,
or other important areas of functioning. √
D. There is no clinically significant general delay in language (e.g., single
words used by age 2 years, communicative phrases used by age 3 years). √
E. There is no clinically significant delay in cognitive development or in
the development of age-appropriate self-help skills, adaptive behavior
(other than in social interaction), and curiosity about the environment
in childhood. √
F. Criteria are not met for another specific Pervasive Developmental
Disorder or Schizophrenia.
It make more sense for me to have asperger's syndrome but i don't for whatever reason.

I don't meet the critera for autistic disorder but liek It clearly isn't what is described. If it was then i wouldn't have been diagnosed in 2012. Which is technically when DSM-5 was discounted but regardless.
Clearly PDD-nos is not what it says in the manual.
Also there is this
"RESULTS:
In terms of level of functioning measures, the PDD-NOS children had scores that were between those of the children with autism and those of the children with AS. In contrast, the PDD-NOS group had fewer autistic symptoms, especially repetitive stereotyped behaviors, than both the autism and AS groups (chi2 = 11.06, p =.004). Children with PDD-NOS could be placed into one of three subgroups: a high-functioning group (24%) who resembled AS but had transient language delay or mild cognitive impairment; a subgroup resembling autism (24%) but who had late age of onset or too severe cognitive delays or were too young to potentially meet the full diagnostic criteria for autism; and a group (52%) not fulfilling the criteria for autism because of fewer stereotyped and repetitive behaviors"
It seems like the original defintion is only used 1/4 of the time.


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firemonkey
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21 Nov 2018, 1:51 am

I guess I'm asking because I have doubts whether I fit the early age criteria. The only family member who knows my early years is my 88 year old father. He has previously said (2 years ago) that he doesn't remember much of the years 1958-1961(I was born 1957). He recently said he saw nothing that would warrant a diagnosis.

Re late onset .By 8 the seeds of how I am now had definitely been planted. This Reddit post says about 8 is the age social differences in Asperger's start to be noticed https://www.reddit.com/r/aspergers/comm ... os/e9w1bgn

I actually have little memory of the years before I was 8. My autobiographical memory is poor(a likely by product of aphantasia)