299.00 Autistic Disorder
“The essential features of Autistic Disorder are the presence of markedly abnormal or impaired development in social interaction and communication and a markedly restricted repertoire of activity and interests….
The impairment in reciprocal social interaction is gross and sustained…
In most cases, there is an associated diagnosis of Mental Retardation, commonly in the moderate range (IQ 35-50). Approximately 75% of children function at the retarded level……”
In 2002 I graduated with my Master’s Degree in Clinical Psychology. To obtain this degree I had to study this book, from cover to cover.
The Diagnostic and Statistical Manual of Mental Disorders is a clinician’s bible. With my master’s degree I worked as a crisis responder, specially trained to respond to schools in crisis. If I was not at a school in crisis, I was crisis counseling the county by phone or by mobile outreach.
As a crisis responder, you do not know the person you are dealing with. It was my job to go into a situation, determine how to help the individual by listening and asking the right questions to quickly and properly diagnose – based on my knowledge of the DSM. I primarily worked with adults suffering from mood disorders, psychotic disorders, or substance related disorders.
The definition of Autistic Disorder from the DSM-IV (1994) is above.
In the DSM-IV, there was not an autism spectrum. There was a series of Pervasive Developmental Disorders. And 299.00 Autistic Disorder was reserved for just a few.
The Best Advice
Recently I met another mom whose son is on the spectrum. As we shared our stories, she told me:
“The best advice I ever got was from my son’s speech therapist when he was diagnosed,” She said, “take everything you know about autism and throw it out the window. The autism spectrum covers so much more now. EVERY PERSON is different, so don’t trust what you read on the internet. It’s irrelevant. Just focus on your son.”
I nodded as I heard this woman make this statement. She was right.
It was in 2013 that DSM was updated to DSM-V. In that edition of the DSM, 299.00 Autism Spectrum Disorder was added.
Here is how it reads now:
Autism Spectrum Disorder 299.00
- Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples provided)
- Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples provided).
I left the field of Mental Health in 2008 to pursue another line of work. I had no idea about the autism spectrum. When Declan was diagnosed with autism, I grieved. I was also, unaware.
Not everyone who gets an Autism Spectrum Diagnosis grieves. If I were to go back now and sit in that room again and go through Declan’s evaluation results and receive his autism diagnosis, I would be relieved. Because I was in a room with clinician’s who were aware. And they provided us help.
So, to the newly diagnosed, or to the non-autism professional that has been working in the field for a long time – I would use the words I recently heard:
“Take everything you know about autism and throw it out the window. The autism spectrum covers so much more now.”
In my journey’s I came across this video explaining the autism spectrum and it’s creation. Check it out if you get a chance!