Trying to understand here: Asperger's or HFA?

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raisedbyignorance
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04 Apr 2011, 9:22 pm

Going by TPE2's chart, it seems I was underdiagnosed. I thought so. I always felt my social ineptness as too severe to qualify as typical Asperger's. Even if I were to offically get an HFA diagnosis, I doubt it's gonna change the way my family treats my issues anyhow.



littlelily613
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04 Apr 2011, 10:09 pm

The more I think about, the more I kind of like the melding of ASDs in dsm-v because I truly don't see a difference between high-functioning autism and aspergers. Yes I know the language thing, but the autism criteria includes a lack of communication in an area other than verbal communication as qualifying for the diagnosis. I am diagnosed with aspergers, but I also qualify for the autism diagnosis (I spoke after age 2 1/2, but still lacked some communication listed under the criteria). I have aspergers, and I refer to myself as autistic.



anbuend
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04 Apr 2011, 10:29 pm

I see little difference between autism (forget the HF) and AS.

A person who is considered LFA may still have more in common with a person diagnosed with AS, than either of them may have with someone else within their own diagnoses. That's why I refuse to just say "HFA and AS are similar". Autistic people are similar, and different, both within and across the current categories, and that is why I don't like the LFA/HFA/AS/etc. divides. Not because there are no differences but because those words don't account for the differences at all (or highlight specific differences that may not be the most important ones).


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ColdBlooded
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05 Apr 2011, 3:52 am

raisedbyignorance wrote:
Going by TPE2's chart, it seems I was underdiagnosed. I thought so. I always felt my social ineptness as too severe to qualify as typical Asperger's. Even if I were to offically get an HFA diagnosis, I doubt it's gonna change the way my family treats my issues anyhow.


If they actually went by the criteria then very few people would qualify for AS. Almost no one goes by it though.



Verdandi
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05 Apr 2011, 7:42 am

ColdBlooded wrote:
raisedbyignorance wrote:
Going by TPE2's chart, it seems I was underdiagnosed. I thought so. I always felt my social ineptness as too severe to qualify as typical Asperger's. Even if I were to offically get an HFA diagnosis, I doubt it's gonna change the way my family treats my issues anyhow.


If they actually went by the criteria then very few people would qualify for AS. Almost no one goes by it though.


Is this due to most people qualifying for autism as well?



ColdBlooded
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05 Apr 2011, 8:08 am

Verdandi wrote:
ColdBlooded wrote:
raisedbyignorance wrote:
Going by TPE2's chart, it seems I was underdiagnosed. I thought so. I always felt my social ineptness as too severe to qualify as typical Asperger's. Even if I were to offically get an HFA diagnosis, I doubt it's gonna change the way my family treats my issues anyhow.


If they actually went by the criteria then very few people would qualify for AS. Almost no one goes by it though.


Is this due to most people qualifying for autism as well?


Yes.



Verdandi
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05 Apr 2011, 8:17 am

ColdBlooded wrote:
Verdandi wrote:
ColdBlooded wrote:
raisedbyignorance wrote:
Going by TPE2's chart, it seems I was underdiagnosed. I thought so. I always felt my social ineptness as too severe to qualify as typical Asperger's. Even if I were to offically get an HFA diagnosis, I doubt it's gonna change the way my family treats my issues anyhow.


If they actually went by the criteria then very few people would qualify for AS. Almost no one goes by it though.


Is this due to most people qualifying for autism as well?


Yes.


I kind of figured, but wanted to be sure.



TPE2
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05 Apr 2011, 9:17 am

I have the impression that, in practice, the order of the diagnosis is made in the opposite way - you only receive a diagnosis of autism if you not match the criteria for AS (instead of, like is defined in the DSM, you only being diagnosed with AS if you don't march the criteria for autism).



TPE2
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05 Apr 2011, 9:29 am

To complicate even more, in some countries (I think that is the case of mine) the diagnosis of AS is made using the Gillberg criteria or criteria derived from that. And, according to these criteria, a speech delay not only is allowed, but is one of the possible symptoms of AS (the main specialist of AS in my country published a book one or 2 years ago saying, between other things, that a speech delay is the most important symptom of AS).

Then , even people that in US will be considered HFA, in other countries can be considered AS.



Verdandi
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05 Apr 2011, 2:42 pm

TPE2 wrote:
I have the impression that, in practice, the order of the diagnosis is made in the opposite way - you only receive a diagnosis of autism if you not match the criteria for AS (instead of, like is defined in the DSM, you only being diagnosed with AS if you don't march the criteria for autism).


Tony Attwood made this exact point. Even though the criteria says autism overrules AS, he says preferred clinical practice is to diagnose AS if possible. I am not sure why this is.



JeremyNJ1984
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05 Apr 2011, 2:49 pm

No difference between HFA and Aspergers...its the same exact thing...Aspergers is just another name for high functioning autism, though Autism itself is a spectrum if you say Aspergers and Autism is the same thing than you are wrong...Aspergers/HFA is just a subgroup within the larger category of Autism.