Hint, this is precisely what we're asking our brains to do during a social conversation. For one, with a casual conversation, it is hard to know what to expect, and there are many context cues to pay attention to.Īnother reason this can be hard for many of us is that we tend to have slower processing speed, particularly when our brains are taking in information from many different sources. There are many reasons this is hard for us. Social-emotional reciprocity largely refers to the ability to fluidly and flexibly engage in a back-and-forth conversation. "Differences in social-emotional reciprocity" (DSM language is “deficits”). Also, note that many of these descriptions will also apply to genderqueer people and many BIPOC men.Īdditionally, to read more about autism and high-masking presentations check out Devon Price’s book Unmasking Autism and Laura Hull’s academic article, “The Female Autism Phenotype and Camouflaging: a Narrative Review.” Autism DSM-5 Criteria A: Subcategory 1 Henderson, where she walks through the entire DSM-5 for autism for girls. Therefore, it is critical that when working with someone who assesses autism, they understand how to look for these criteria from a cultural lens (understanding how these may present differently in different cultural groups).įor a fantastic deep dive into how criteria A (and B) can look different among girls, go check out this podcast featuring Dr. We are learning about how the patterns described in criteria A may present in more subtle forms or be more masked for many groups. Our thinking about criteria A has historically been based on white cis-boys from affluent families. In recent years much more research has come out that looks at autism in girls, genderqueer and BIPOC populations. All three subcategories must be met in order for criteria A to be met. If a person has 2 of the three subcategories, criteria A would not be met for autism. There are three subcategories for criteria A of Autism. The other criteria are used to help differentiate autism from other conditions and/or diagnoses. Criteria A broadly speaks to social, communication, and relationship differences, while criteria B speaks to routine, structure, repetition, special interests, and sensory issues. The ones that we spend the most time with are criteria A and B. To meet the criteria for Autism, five buckets of diagnostic criteria must be met (A-E). Let’s dive in! The DSM-5 Criteria for Autism Okay, now that we’ve gone over the purpose, intent, and limits of this post. However, the criteria are very similar to the ICD, which is used globally and broadly in medical settings. What about international people? The DSM-5 is based in the United States (the Psychological Association of America puts it out). While a person doesn't need to have all symptoms of each criterion, they typically need to have all criteria met (A, B, C, etc.) to be diagnosed. What do A, B, and C mean? The DSM is broken into different criteria buckets. I have made this choice to increase the transparency of what is actually in the DSM. It doesn't mean I agree with all the wording (in fact, I do not!). Much of the language used is deficit-based and pathological in nature. I am using visuals to break down the DSM-5 because, like many neurodivergent people, unless a thing is visual, I have a hard time understanding it!ĭisclaimers: This is for educational purposes only and isn’t intended as a substitute for medical advice or to be used as a primary diagnostic tool.Ī word on language: I use direct language from the DSM. I believe this process should be as understandable and transparent as possible. I find the mental health world can be overly mysterious, increasing anxiety and stress for many. Why am I creating this series: I am creating this series to increase the accessibility and transparency of the DSM-5 and the clinical tools people like me use when we are giving you (or anyone) a diagnosis. Disclaimers, FAQs, and Basic Information on the DSM-5 I am back with week 2 of my DSM-5 in pictures series (if you missed it you can check out last week’s post on social anxiety here).
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