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Autism: Differential Diagnosis
by Susie S. Loraine, M.A., CCC-SLP
Autism is one of five disorders that fall under the umbrella term of autism spectrum disorders (ASD)—also called pervasive developmental disorders (PDD). The other four disorders are Asperger syndrome (also called Asperger’s, Asperger’s syndrome, or Asperger’s disorder), Rett syndrome (also called Rett’s disorder), childhood disintegrative disorder, and pervasive development disorder-not otherwise specified (PDD-NOS;Diagnostic and Statistical Manual, 2000, p. 74).
How Is Autism Different from Other Autism Spectrum Disorders?
Comparing signs and symptoms of disorders to distinguish between them is known as differential diagnosis. The following chart pinpoints the differences between autism and other autism spectrum disorders.
Autism Asperger Syndrome
Significant language delay—difficulty understanding and using language No significant language delay
May or may not have cognitive delays—problems with thinking or mental retardation No significant delay in cognition—no mental retardation
Autism Rett Syndrome
More frequent in males More frequent in females
Delays in development from birth Normal development through pregnancy and the first five months—then a loss of skills including:
  • social interaction
  • hand and body coordination
  • language
Normal head growth Head growth reduces between the ages of five months and 48 months
Autism Childhood Disintegrative Disorder
Delays in development from birth Normal development through at least two years of life—then a loss of skills, including:
  • language
  • social interaction
  • play
  • motor
  • bowel or bladder control before age ten
Pervasive Development Disorder-Not Otherwise Specified (PDD-NOS)
Some children show (severe) difficulties in social communication, language, and/or cognition (thinking skills), and behaviors and emotions, but do not "fit" the diagnostic criteria above for autism. The diagnosis for such children is pervasive development disorder-not otherwise specified (PDD-NOS). (DSM-IV-TR®, 2000)
Resources
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
 
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