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Originally Posted by
VisionaryMomÂ

We've had several people (not professionals, people we know) who've suggested Asperger's. I know that all of the BBT characters are supposed to represent functional Aspies. I also read recently that Asperger's is now a separate diagnosis from ASD. At the same time, when I look at the checklists, many of them don't apply. I understand that it's not necessary for everything to apply for a dx, but in particular, he's coordinated. He has no problems with physical play, no odd gait. He doesn't like to look people in the eye, but he can do so. He's not physically unaware of the world around him in the way I've seen with autistic children. So I always come back to the idea that while he kind of fits, there are many things about him that just don't.
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When we saw a developmental psych 1.5 years ago, I anticipated him at least bringing up those things because I know a number of the things I said on the intake forms should have triggered looking for autism/asperger's. After talking to DS and doing some tests, he never mentioned it. Still I don't think all of DS' issues are attributable to giftedness, but I don't know which ones are.
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RE: BBT. I don't think they all have an ASD. Sheldon appears to have Asperger's, Raj has some form of social anxiety disorder which manifests as selective mutism, Leonard is the "everyman" in the fictional setup, although he is definitely the stereotyped high-IQ science geek who also happens to have some family-of-origin baggage, and Howard has definite social issues. They're all quirky as all get out. (Yeah, we own the first three seasons on DVD
). I think the series does a pretty good job of embracing differences with a lot of gentle ribbing, and the producers/writers have been clear that they have huge affection for the characters and the IRL folks who inspired the creation of those characters. I think it also does a good job of covering a spectrum of the issues encountered by many people with very high IQs, and some of those issues are no big deal, some are annoying, and some downright inhibit the individual from living their life as wholly as they'd like (ie not being able to speak to women without alcohol).
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ASD is a spectrum, and not all people with ASDs have the markers you list. Here's the DSM-IV criteria:
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 (I) Qualitative impairment in social interaction, as manifested by at least two of the following:
(II) Restricted repetitive & stereotyped patterns of behavior, interests and activities, as manifested by at least one of the following:
(III) The disturbance causes clinically significant impairments in social, occupational, or other important areas of functioning.
(IV) 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)
(V) 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.
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DSM V is due out in 2013 and the revised, combined defintion of ASD is being field-tested currently. Here's what it looks like:
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Must meet criteria 1, 2, and 3:
1. Clinically significant, persistent deficits in social communication and interactions, as manifest by all of the following:
a. Marked deficits in nonverbal and verbal communication used for social interaction:
b. Lack of social reciprocity;
c. Failure to develop and maintain peer relationships appropriate to developmental level
2. Restricted, repetitive patterns of behavior, interests, and activities, as manifested by at least TWO of the following:
a. Stereotyped motor or verbal behaviors, or unusual sensory behaviors
b. Excessive adherence to routines and ritualized patterns of behavior
c. Restricted, fixated interests
3. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities)
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Our experience is that DS really, really struggled from 3 until about 7. At 3.5, gifted, sensory processing disorder, ASD, ADHD, auditory processing disorder were all tossed around. This went on until he was 7 or so. Kids can change a lot over time, and it's particularly hard in the early years as the range of developmentally typical is very broad. DS has had multiple evaluations and he's now down to gifted, spd and vision. We invested heavily in active empathy training, social skills coaching and self-regulation development. We did most of it ourselves directly, but we've involved multiple professionals along the way. The last line of the proposed, new ASD defintion is an important one - "but may not become fully manifest until social demands exceed limited capacities." I know that DS may, at some point in the future, meet the ASD criteria if his "social skills" (broadly defined) don't continue to develop and he reaches that point where the demands of a more mature social milieu exceed his capacity.
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I wouldn't rule out ASD based on an evaluation at 3.5. I am very conservative with the whole ASD thing as I think that there's some funding/cultural stuff going on with the diagnosis, and I really think that there's a very broad range of neurotypical. When you put gifted in the mix, it's really hard to tease out.  Five is a great time to start working with your son on a lot of this stuff, as whether he has an ASD or not, it sounds like he could use some direct, explicit coaching. As the mom of a complicated young boy, I think it sounds like your complicated young boy warrants an evaluation.
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I don't know if you've read past threads in PtGC re ASD. There have been a lot of interesting discussions.
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A few books of note:
look me in the eye, by John Elder Robison:Â He self-diagnosed Asperger's as an adult, and discusses being a prop engineer for the band Kiss, marrying and having kids, and running his own specialty car repair business." Here, with preview:
http://books.google.ca/books?id=QLv1b9a9nQIC&printsec=frontcover&dq=look+me+in+the+eye&hl=en&ei=zpcXTeOgGonAsAOxv9WXCg&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCkQ6AEwAA#v=onepage&q&f=false
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I really like the Oasis book on Asperger's
http://books.google.ca/books?id=_O5FAAAAYAAJ&q=oasis+book+asperger's&dq=oasis+book+asperger's&hl=en&ei=k5gXTaa3NJSosAPE2ZDSAg&sa=X&oi=book_result&ct=result&resnum=1&ved=0CC8Q6AEwAA
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Kids in the Syndrome Mix...;Â (with preview)
http://books.google.ca/books?id=DmUpCSlnmKAC&printsec=frontcover&dq=syndrome+mix&hl=en&ei=FZkXTcjZJIu8sQOHja2fCg&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCgQ6AEwAA#v=onepage&q&f=falseÂ
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Webb's Misdianosis/Gifted book: (with preview)
http://books.google.ca/books?id=NQrtt-peg5AC&printsec=frontcover&dq=gifted+misdiagnosis&hl=en&ei=TZkXTcywCYqcsQPIzLWnCg&sa=X&oi=book_result&ct=result&resnum=1&ved=0CCcQ6AEwAA#v=onepage&q&f=falseÂ
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Another great resource, with chapters on Gifted and on ASD, is the Eides' book The Mislabeled Child.
Eides' blog:
http://eideneurolearningblog.blogspot.com/
Their website:
http://neurolearning.com/Library/
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