The DSM-5-TR criteria are based on observable behaviors and symptoms, which can make diagnosis challenging for some individuals who may present with atypical or masked symptoms. The DSM-5-TR is not the only tool used to diagnose autism spectrum disorder (ASD), but it is one of the most widely recognized and used. About the DSM and autism spectrum disorder diagnosis The severity rating ranges from level 1 (requiring support) to level 3 (requiring very substantial support). This rating is based on the level of support that the individual requires. The DSM-5-TR also includes a severity rating for individuals with autism. This means that the symptoms must be present in early childhood, even if they are not diagnosed until later in life. In addition to these criteria, an individual must also have symptoms that are present in the early developmental period. Individuals with autism may become upset or overwhelmed by certain sensory experiences. Hyper- or hypo-reactivity to sensory input: This refers to an over- or under-sensitivity to sensory input such as sound, touch, taste, or smell.Individuals with autism may have a narrow range of interests and may become upset if they cannot engage in their preferred activity. Highly restricted, fixated interests: This refers to an intense interest in a specific topic or activity.Individuals with autism may become upset if their routine is disrupted. Insistence on sameness: This refers to a need for routines, rituals, or sameness in the environment.Stereotyped or repetitive motor movements: This refers to repetitive movements such as hand flapping, rocking, or spinning.To meet this criterion, an individual must demonstrate at least two of the following behaviors: Restricted, Repetitive Patterns of Behavior, Interests, or Activities Individuals with autism may struggle to form and maintain these relationships. Developing and maintaining relationships: This refers to the ability to form and maintain friendships, romantic relationships, and other social connections.Individuals with autism may have difficulty understanding or using these forms of communication. Nonverbal communication: This refers to the use of body language, facial expressions, and eye contact.Individuals with autism may struggle to initiate or respond to social interaction appropriately. Social-emotional reciprocity: This refers to the back-and-forth nature of social interaction.To meet this criterion, an individual must have difficulty with social communication and social interaction in several areas.
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