Autistic Disorder DSM code 29900

Six or more criteria from three lists

1) Qualitative impairment in social interaction, manifested by at least two of the following:

• marked impairment in use of multiple nonverbal behaviors

• failure to develop peer relationships appropriate to developmental level

• lack of spontaneous seeking to share enjoyment, interests, or achievements with others

• lack of social or emotional reciprocity

2) Qualitative impairments in communication, manifested by at least one of the following:

• delay in, or total lack of, development of spoken language, not accompanied by attempts to compensate through alternative modes of communication such as gesture or mime

• in individuals with adequate speech, marked impairment in ability to initiate or sustain conversation

• stereotyped and repetitive use of language or idiosyncratic language

• lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level

3) Restricted, repetitive, and stereotyped patterns of behavior, interests, and activities, manifested by at least one of the following:

• preoccupation with one or more stereotyped and restricted patterns of interest abnormal in either intensity or focus

• apparently inflexible adherence to specific, nonfunctional routines or rituals

• stereotyped and repetitive motor mannerisms

• persistent preoccupation with parts of objects

Delays or abnormal functioning in at least one of the following areas, with onset prior to age three:

• social interaction

• language as used in social communication

• symbolic or imaginative play

Symptoms not better explained by Rett's Disorder or Childhood Disinte-grative Disorder

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