5 ms·
> The APA has officially started to clean up the autism spectrum for 2-3 (DSM5) years now throwing out very wide net and non-diagnosable conditions like Asperge
by ScottBurson 11y ago
> The APA has officially started to clean up the autism spectrum for 2-3 (DSM5) years now throwing out very wide net and non-diagnosable conditions like Aspergers and mandated that existing cases should be reevaluated.
"Reevaluated", okay, but the first sentence you've quoted here makes clear that the intent is not to discard previous Asperger diagnoses across the board:
> > Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder.
The relevant section of the DSM can be read at [0]. One analysis of the changes is at [1]. It seems to me (IANAMentalHealthProfessional) that the changes were motivated at least as much by a desire to bring Asperger and autism under the same umbrella as by a desire to discourage borderline diagnoses of Asperger.
> This is why I looks to me like ADHD2.0 as in another case when non doctors and non clinical professionals got the power to diagnose a disorder which was almost tailored for pushing pills to children
Are pills being pushed to children who are diagnosed with Asperger or mild autism?
I think I understand your concern; diagnostic fads are always problematic, and if it's really true that untrained people are making these diagnoses, and pushing pills on children, then yes, I think you're right to object.
At the same time, this is personal for me -- my wife has been diagnosed with Asperger, and as in the articles we're discussing, she found it a relief and a great help in understanding herself. In some ways, she's like the women in these articles; it sounds like you would want to challenge her diagnosis. While I would agree that some care needs to be exercised in applying this label, I would defend its use in her case.
[0] https://www.autismspeaks.org/what-autism/diagnosis/dsm-5-diagnostic-criteria https://www.autismspeaks.org/what-autism/diagnosis/dsm-5-dia...
[1] https://vcuautismcenter.org/resources/factsheets/printView.cfm/1090 https://vcuautismcenter.org/resources/factsheets/printView.c...
- dogma1138 11y agoI understand that it's personal the problem with AAA is that it ignores quite a few of the childhood symptoms of what was Asperger assuming that we would grow out of, the test cast very wide net and even have some contradictory evaluation criteria within them (e.g. DSM-4 referenced that people with Asperger have an aversion for fiction and have difficulty relating to non fictional works, however it also says that the exact opposite might be true and that people with Asperger find science fiction and or fantasy very attractive and are fascinated by it. And that's hardly the only internal contradiction in them pretty much most criteria have either internal loopholes or catch anything that strafes to close to one of the poles). And while this is utterly not a medical opinion Asperger in adult women i now quite commonly falsely diagnosed in place of borderline emotional personality disorder which predominantly affects women (80% of patients) and is has quite common late onset triggers. This is especially common on early cases of BPD or due to short observation period where mood swings and various other tenancies that are not only not indicative or Asperger but outright rule it out cannot be properly observed. Beyond that BPD and Asperger can have quite similar symptoms in terms of case book diagnosis (which often the only thing that most mental health professionals have to go by unless they have been treating the patient for chronically) as BPD often can exhibit similar emotional shortcomings (lack of empathy, being unable to recognize or reflect emotion) and irregular thinking as well as distractedness (which may also be interpreted as inability to properly communicate/hold conversation) and forgetfulness which often again can be attributed to several AAS criteria. ASD/AAS while I'm sure are unpleasant (not trying to be patronizing just don't have a better word for it) are not life threatening BDP however can be so while it's quite unlikely you'll take an advice from some internet smartass I would definitely get a second and even a third opinion in your case.