These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.Į. Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities or may be masked by learned strategies in later life).ĭ. Specify current severity: Severity is based on social communication impairments and restricted, repetitive patterns of behavior.Ĭ.

Hyper- or hyporeactivity to sensory input or unusual interests in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects, visual fascination with lights or movement).

Highly restricted, fixated interests that are abnormal in intensity or focus (e.g, strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interest).

Insistence on sameness, inflexible adherence to routines, or ritualized patterns or verbal nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat food every day).

Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).

Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive see text):

Specify current severity: Severity is based on social communication impairments and restricted repetitive patterns of behavior.ī.

Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts to difficulties in sharing imaginative play or in making friends to absence of interest in peers.Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication to abnormalities in eye contact and body language or deficits in understanding and use of gestures to a total lack of facial expressions and nonverbal communication.Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation to reduced sharing of interests, emotions, or affect to failure to initiate or respond to social interactions.Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive, see text):

Autism spectrum disorder DSM-5 diagnostic criteria: Full textĪ. Specifically, the phrase “manifested by the following” was revised to read “as manifested by all of the following” to improve the intent and clarity of the wording. In 2022 the APA released the DSM-5-TR, a text revision to the DSM-5, which included a clarification to the autism diagnostic criteria. The full text of the DSM-5 diagnostic criteria for ASD is provided below with permission from the APA. In 2013, the APA released the fifth edition of DSM (DSM-5). It stated that an autism diagnosis requires persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following: deficits in social-emotional reciprocity, in nonverbal communicative behaviors used for social interaction, and in developing, maintaining and understanding relationships. The American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) is the handbook used by health care professionals in the United States and much of the world as the authoritative guide to the diagnosis of mental disorders.

Female autism checklist adults