![]() Problems of organization and planning hamper independence. Inflexibility of behaviour causes significant interference with functioning in one or more contexts. For example, a person who is able to speak in full sentences and engages in communication but whose to-and-fro conversation with others fails, and whose attempts to make friends are odd and typically unsuccessful. May appear to have decreased interest in social interactions. Difficulty initiating social interactions, and clear examples of atypical or unsuccessful responses to social overtures of others. Without supports in place, deficits in social communication cause noticeable impairments. Distress and/or difficulty changing focus or action. Most recently, Wilson compared DSM-IV, ICD-10, and DSM-5 in a sample of 150 adults with ASD who were more cognitively able. Inflexibility of behaviour, difficulty coping with change, or other restricted/repetitive behaviours appear frequently enough to be obvious to the casual observer and interfere with functioning in a variety of contexts. For example, a person who speaks simple sentences, whose interaction is limited to narrow special interests, and who has markedly odd nonverbal communication. Marked deficits in verbal and nonverbal social communication skills social impairments apparent even with supports in place limited initiation of social interactions and reduced or abnormal responses to social overtures from others. According to the DSM-5, people with ADHD have signs and symptoms of inattention and/or hyperactivity-impulsivity that make it difficult to function on a day-to-day basis. ![]() Great distress/difficulty changing focus or action. Inflexibility of behaviour, extreme difficulty coping with change, or other restricted/repetitive behaviours, markedly interfere with functioning in all spheres. ![]() For example, a person with few words of intelligible speech who rarely initiates interaction and, when he or she does, makes unusual approaches to meet needs only and responds to only very direct social approaches. Severe deficits in verbal and nonverbal social communication skills cause severe impairments in functioning, very limited initiation of social interactions, and minimal response to social overtures from others. In order to meet criteria for an ASD under DSM-5, the individual must satisfy all three of the Social Communication criteria and at least two of the four criteria listed under Restricted and Repetitive Behaviours (i.e., a minimum of five out of the seven possible criteria). Requiring very substantial support (Level 3) ![]() Restricted, Repetitive Behaviours (Criterion B) ![]()
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