Can I have Semantic Pragmatic Disorder and Asperger's?
So, because I'm so nosey, I was looking at the papers on the workspace while my parents were out and then I came across my SEN report thing from school, and it said I have Semantic Pragmatic Disorder. I'll be honest, I had no idea what it was. Then it further continued on about my Asperger's, which I'd know for a while. I was still intrigued what the Semantic Pragmatic Disorder was so I went upstairs and Googled it, and it became quite clear that people writing about it were in no way hesitant to make the distinction between Asperger's and Semantic Pragmatic Disorder. I think in some areas I fit the latter better, but in others I just don't have the symptoms, or, I don't now, I definitely can relate though back in Primary School.
So, have I been wrongly diagnosed or something? Or is this very possible?
On the paper it listed a few symptoms which I did actually fit but not all of the ones the first result on Google offered.
Wikipedia gives some symptoms:
delayed language development -- I don't think I have it. I started speaking at the average age, I think.
aphasic speech (word search pauses, jargoning, echolalia, word order errors, word category errors, verb tense errors or dysfluency) -- When I was younger, not now.
difficulty with pronouns or pronoun reversal -- Have, still have now.
difficulty understanding questions -- Used to have, not as much now.
difficulty understanding choices and making decisions -- Used to have, not as much now.
difficulty following conversations or stories. Conversations are "off topic" or "one sided". -- Used to have, I think I'm good at that now.
difficulty extracting the key points from a conversation or story; they tend to get lost in the details -- Have, still have now.
difficulty with verb tenses -- Probably.
difficulty explaining or describing an event -- Used to have, not now.
tendency to be concrete or prefer facts to stories -- Probably.
have difficulty understanding satire or jokes -- Have and had.
have difficulty understanding contextual cues -- Have and had.
difficulty in reading comprehension -- Sometimes I have problems with this when trying to read, and while I am actually reading I just comprehend the words, not the sentences, but this is only with background noise. When I was younger this was worse and would affect things like doing Maths while a fan was on or something.
difficulty with reading body language -- Yes.
difficuly in making and maintaining friendships and relationships because of delayed language development -- Not because of delated language development, imo.
difficulty in distinguishing offensive remarks -- When I was younger, not so much now.
difficulty with organizational skills -- People say I'm terrible with organizing but I don't know if that's just because I procrastinate until the last minute.
So, yeah. If anyone can clarify if I do have it, etc. I'd be very grateful.
EMZ=]
As long as you fulfil criteria for AS and do not fulfil criteria for classical autism, but have fulfil criteria for SPD you can have both sure.
As for the specifics... beware of a small lecture:
SPD is not in the DSM and thus isn't usually taken into account when professional diagnose AS or HFA (that are in the DSM which a professional usually consults in the US) though. You can have SPD with every form of autism.
But, having symptoms of Asperger's and symptoms of SPD makes it likely that one gets diagnosed with HFA rather than Asperger's.
The reason for this is on the one hand that SPD often includes a language delay.
Because AS requires no delay and communicative language use in your early childhood. You said you didn't have a language delay. If you had simple but spontaneous conversations at age 3 (greeting people, answering questions in your own words), it's likely you fulfilled the 'communicative phrases by age 3' criterion of AS too.
On the other hand, SPD often comes with the stuff you described. Echolalia, grammatical mistakes, lots of other language mistakes.
That's why having AS and SPD might mean you're actually HFA by definition.
If one fulfils criteria for HFA and AS, they 'should' be diagnosed with HFA the definitions say. (Why? No idea!)
One criterion of classical/HFA is
which means symptoms especially like some of the ones you posted:
difficulty with pronouns or pronoun reversal -- Have, still have now.
difficulty with verb tenses -- Probably.
If a person had even only these symptoms of SPD and all symptoms required for a diagnosis of AS they would automatically fulfil criteria for HFA. They would - by definition - then NOT have Asperger's, but classical autism.
But whatever.
Stick with AS if you feel that's more accurate, I think.
_________________
Autism + ADHD
______
The trouble with having an open mind, of course, is that people will insist on coming along and trying to put things in it. Terry Pratchett
Thanks. I might try and change my diagnosis when I'm older to HFA, but right now it doesn't really matter seeing as I don't see having HFA would change the support I get at school(at the social skills group[at school] I go to people with HFA and Asperger's are all given the same treatment in lessons and stuff).
EMZ=]
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