Mild vs Moderate vs Severe Autism.
I don't really know. Some aspects of my autism may be mild and others may be moderate, like my executive functioning issues and sensory problems. I do require some assistance doing things that people take for granted because I lack certain skills, and I'm unsure if I'd be able to hold a proper job at the moment due to lacking those skills and needing that help. I couldn't even handle going through school properly. lmao
I dont know what i have. I might have 10 different disorders, The one and only time i ever lowered myself to talk with a psychologist or whatever hell he was , was when i was formally diagnosed, years ago. Incidental he asked to followup observation of a then teenage me. for some reason. I was like f you and f this whole operation you got goin. Im no freakin guinea pig. I was done with the whole damn thing at that point.
ADHD, nah i dont think so. Though i do kinda have trouble making/committing to decisions. executive functioning? if push comes to shove i will act in any situation. and i can focus on things, so nah rule that out.
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CockneyRebel
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DSM-5TM Diagnostic Criteria
Autism Spectrum Disorder 299.00 (F84.0)
A. 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):
1. 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.
2. 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.
3. 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.
Specify current severity:
Severity is based on social communication impairments and restricted, repetitive patterns of behavior (see Severity Listings 1, 2 and 3 below).
B. 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):
1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypes,
lining up toys or flipping objects, echolalia, idiosyncratic phrases).
2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal
behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns,
greeting rituals, need to take same route or eat same food every day).
3. 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 interests).
4. Hyper- or hyporeactivity to sensory input or unusual interest 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). Specify current severity:
Severity is based on social communication impairments and restricted, repetitive patterns of
behavior (see 'Severity level [listings] for autism spectrum disorder' below).
C. 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).
D. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.
These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Intellectual disability and autism spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expected for general developmental level.
Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Individuals who have marked deficits in social communication, but whose symptoms do not otherwise meet criteria for autism spectrum disorder, should be evaluated for social (pragmatic)
communication disorder.
Specify if:
With or without accompanying intellectual impairment
With or without accompanying language impairment
Associated with a known medical or genetic condition or environmental factor
(Coding note: Use additional code to identify the associated medical or genetic condition.)
Associated with another neurodevelopmental, mental, or behavioral disorder
(Coding note: Use additional code[s] to identify the associated neurodevelopmental, mental, or behavioral disorder[s].)
With catatonia (refer to the criteria for catatonia associated with another mental disorder for definition)
(Coding note: Use additional code 293.89 [F06.1] catatonia associated with autism spectrum disorder to indicate the presence of the comorbid catatonia.)
Severity level [listings] for autism spectrum disorder:
Severity level 3 “Requiring very substantial support”
Social communication.
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. 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.
Restricted, repetitive behaviors
Inflexibility of behavior, extreme difficulty coping with change, or other restricted/repetitive behaviors markedly interfere with functioning in all spheres. Great distress/difficulty changing focus or action.
Severity level 2 “Requiring substantial support”
Social 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. For example, a person who speaks simple sentences, whose interaction is limited to narrow special interests, and who has markedly odd nonverbal communication.
Restricted, repetitive behaviors
Inflexibility of behavior, difficulty coping with change, or other restricted/repetitive behaviors appear frequently enough to be obvious to the casual observer and interfere with functioning in a variety of contexts. Distress and/ or difficulty changing focus or action.
Severity level 1 “Requiring support”
Social communication.
Without supports in place, deficits in social communication cause noticeable impairments. Difficulty initiating social interactions, and clear examples of atypical or unsuccessful responses to social overtures of others. May appear to have decreased interest in social interactions. 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.
Restricted, repetitive behaviors
Inflexibility of behavior causes significant interference with functioning in one or more contexts. Difficulty switching between activities. Problems of organization and planning hamper independence.
https://images.pearsonclinical.com/imag ... sorder.pdf
I’m pretty darn sure that by that definition, I’m severity level 2. It’s blatantly obvious that something’s up with me right off the bat no matter how hard I might try to seem “normal,” selective mutism keeps me from initiating any sort of interaction with anyone outside of immediate family (I literally cannot force myself to say a word until the other person does), pretty much constantly stimming in at least one way. Sensory issues are also severe, I seem to be completely incapable of working in any way where I could possibly support myself, probably also will never live independently.
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Yet in my new wildness and freedom I almost welcome the bitterness of alienage. For although nepenthe has calmed me, I know always that I am an outsider; a stranger in this century and among those who are still men.
-H. P. Lovecraft, "The Outsider"
I'm mildly autistic (level 1, highly-functioned)
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"I want that 'Sandstorm' song out of my Marude Dameo page gone! It's becoming viral every moment!" - My version of Robotan
Uncle Sucker went to town, red as packs of roses
Everybody saw him and they run off into the oblivion
Uncle Sucker isn't scary, Uncle Sucker is friendly
People who are nice of him cuz he tried to come to hug them!
People assume we are more functional than we actually are so many label us as mild. I wouldn't be able to hold down a job, socialize, I have very limited energy both physically and mentally. I think its a mistake to base ones severity of autism on what people say or your personal opinion rather you should look at what you are capable of doing. I am not not able to hold down a job or socialize properly and in my opinion that's a pretty severe problem autism aside. I use to think I was mildly autistic but looking at the facts its clear that I am not able to do basic tasks.
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"I'm bad and that's good. I'll never be good and that's not bad. There's no one I'd rather be than me."
Wreck It Ralph
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