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Autism Spectrum Disorder

(Autism)
traditionally referred to a specific developmental disorder characterized by significant social, communication, and behavioral challenges.
Historical Usage: Previously used as a standalone diagnosis, focusing on severe symptoms such as:

  • Minimal verbal communication or speech delays.
  • Repetitive behaviors and restricted interests.
  • Marked difficulties in forming social relationships.
Narrow Scope: Autism was often considered a distinct condition with defined boundaries.
Older Terminology: Terms like "classic autism" or "Kanner's Syndrome" were associated with this category.
ASD: (Autism Spectrum Disorder)
ASD is a broader term introduced in the DSM-5 (2013) to encompass a range of neurodevelopmental conditions, including what was once referred to as autism.
Inclusion of Subtypes: ASD includes:
  • Classic Autism (Kanner's Syndrome).
  • Asperger's Syndrome.
  • Childhood Disintegrative Disorder (CDD).
  • Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS).
Spectrum Concept: Recognizes the varying severity and diverse presentations of symptoms across individuals, from mild (high-functioning) to severe.
Focus on Diagnosis: Allows for individualized assessments, addressing specific strengths and challenges rather than fitting into rigid categories.

Key Differences

AspectAutismAutism Spectrum Disorder (ASD)
ScopeNarrow and specific.Broad, encompassing multiple subtypes.
TerminologyOlder and more rigid.Modern and flexible.
Recognition of VarianceLimited to severe cases.Acknowledges a wide range of symptoms.
Diagnostic FrameworkPre-DSM-5 (2013).Based on DSM-5 criteria.

Conclusion: Autism is now considered part of the Autism Spectrum Disorder umbrella, reflecting the complex and diverse nature of neurodevelopmental conditions. This evolution in terminology ensures a more inclusive understanding and diagnosis.

Main Types of Autism Spectrum Disorders
Autism Spectrum Disorder (ASD) encompasses a variety of developmental conditions with unique symptoms and characteristics. Here are the main types of ASD and related conditions:
1. Kanner’s Syndrome (Classic Autism)

  • Origin: Named after Leo Kanner, who described it as infantile autism in 1943.
  • Now Known As: Autism or ASD.
  • Prevalence: Estimated 1 in 44 children are affected.
  • Key Symptoms:
    • Onset before 30 months old.
    • Severe language deficits and unusual speech patterns.
    • Resistance to change and repetitive behaviors.
    • Peculiar object attachments.
    • Lack of responsiveness to others.
2. Asperger’s Syndrome
  • revious Classification: A separate condition under DSM-IV, now part of ASD.
  • Current Use: Still used informally to describe less-severe autism.
  • Key Features:
    • Above-average intelligence and strong verbal skills.
    • No requirement for language delay or onset before age 3.
    • No cognitive deficits but challenges in social interaction.
    • Symptoms Differentiation: Clear criteria excluded communication delays and intellectual challenges.
3. Rett Syndrome
  • Distinct Disorder: Removed from the ASD category in DSM-V due to unique genetic causes.
  • Causes: Mutation in the MECP2 gene (rarely inherited).
  • Prevalence: Almost exclusively affects girls.
  • Four Stages: Symptoms progress at varying rates.
  • Key Symptoms:
    • Loss of motor and hand skills.
    • Slowed head growth and muscle weakness.
    • Repetitive movements, scoliosis, and seizures.
    • Cognitive impairments and language difficulties.
4. Childhood Disintegrative Disorder (CDD)
  • Former Classification: A rare, severe form of autism, now reclassified under ASD.
  • Prevalence: 1.7 in 100,000 children.
  • Late Onset: Symptoms typically appear between ages 3 and 10.
  • Key Symptoms:
    • Regression in motor, social, and language skills.
    • Loss of toileting, self-care, and play skills.
    • Higher likelihood of epilepsy and fearfulness compared to autism.
5. Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS)
  • Previous Use: A “catch-all” term for individuals who didn’t meet full criteria for autism or Asperger’s Syndrome.
  • Reclassification: Absorbed into ASD for more consistent diagnoses under DSM-V.
  • Key Symptoms:
    • Delayed verbal and non-verbal communication.
    • Impaired social interaction and difficulty adapting to changes.
    • Repetitive behaviors and unusual play patterns.

Summery
While terms like Asperger’s Syndrome, Rett Syndrome, and PDD-NOS are no longer formally classified as separate disorders under ASD, they provide insight into the wide range of symptoms and challenges faced by individuals on the autism spectrum. Understanding these differences enables tailored support and improved quality of life for affected individuals and their families.