Some diagnosticians consider it a sign of a developmental disorder, some a facet of autism specifically, while others consider it a mere quirk. It depends on your doctor and the specific nature of the discrepancies. In my case, my PIQ < VIQ gap was 20 points, and my biggest gap was between my working memory < VIQ at 28 points. All my scores except for VIQ are in the average range. That led one doctor to a diagnosis of a developmental disorder alongside autism, due to early signs of giftedness, while another said that I'd probably just developed my verbal abilities to their fullest potential. Personally, I'm not sure how accurate my results were because I was shutting down during the last hour or so of testing (which might be why I scored so much lower on the last tasks I was given - even so low as in the .4 percentile). I crashed hard two minutes after leaving the office and went 100% into a nonverbal stupor for almost an hour. In the end, it isn't an exact science, and there will always be different ways of interpreting IQ results. Regardless of what the "big picture" looks like, they should tell you what your specific, root impairments are.
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I have not the kind affections of a pigeon. - Ralph Waldo Emerson