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Old 05-22-2013, 09:02 AM
 
Location: E ND & NW MN
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Wasnt sure where to post this....

But my wife is a LICSW and attended a conference about the new DSM V which is now being released (update to DSM IV). Some significant changes....

For Asperbergs, which I am a high functioning one, is no longer under the austic spectrum. It is now called Social Communication disorder ( I think that is what my wife said). There are much more strict guidelines in regards to Austim and ADHD.

DSM-V: What Changes May Mean | Autism Research Institute

--Dan
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Old 05-22-2013, 12:08 PM
 
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It doesn't officially come out until May 27th.

From all the trainings I've attended, I've gathered that the specific Asperger's diagnosis is going away and it's replaced with Autism Spectrum Disorder. It's not being removed from the autism spectrum; that's incorrect. They got rid of PDD NOS and Aspergers and put them under Autism Spectrum Disorders. Then a lot of qualifiers must be added to the Autism spectrum diagnosis, certain qualifiers will designate that the formerly Aspergers-diagnosed person is verbal, and how they are functioning, etc. The "social communication" thing will not replace your diagnosis; it will just be added as a qualifier/descriptor.

There has been lots of misplaced fear and anger in the past couple years about "getting rid of Asperger's" But from all I've read, getting rid of Asperger's was never a goal, the goal was just to re-name it in a more accurate descriptive fashion. But people jumped onto it as a "crisis" and assumed they or their children would lose the benefits and services they were getting because the diagnosis would no longer exist. It was much ado about nothing.


The writers of DSM5 wanted to move away from the "diseases named after people" idea, which is antiquated, and replace such diagnoses with more descriptive titles.

Last edited by Tracysherm; 05-22-2013 at 12:56 PM..
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Old 05-22-2013, 12:21 PM
 
Location: E ND & NW MN
4,730 posts, read 9,071,368 times
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Quote:
Originally Posted by TracySam View Post
It doesn't officially come out until May 27th.

From all the trainings I've attended, I've gathered that the specific Asperger's diagnosis is going away and it's replaced with Autism Spectrum Disorder. It's not being removed from the autism spectrum; that's incorrect. They got rid of PDD NOS and Aspergers and put them under Autism Spectrum Disorders. Then a lot of qualifiers must be added to the Autism spectrum diagnosis, certain qualifiers will designate that the formerly Aspergers-diagnosed person is verbal, and how they are functioning, etc. The "social communication thing will not replace your diagnosis; it will just be added as a qualifier/descriptor.

There has been lots of misplaced fear and anger in the past couple years about "getting rid of Asperger's" But from all I've read, getting rid of Asperger's was never a goal, the goal was just to re-name it in a more accurate descriptive fashion. But people jumped onto it as a "crisis" and assumed they or their children would lose the benefits and services they were getting because the diagnosis would no longer exist. It was much ado about nothing.


The writers of DSM5 wanted to move away from the "diseases named after people" idea, which is antiquated, and replace such diagnoses with more descriptive titles.
I understand now....didnt mean to post bad info. Yes asperger's separate name is no more and it will be collapsed into ASD I just re-read. we were talking about me I guess and how I would fit in....under the social communication aspect of this...as I am high functioning held a steady job for 20+ years, and have a family. But I am socially awkward and dont pick up on any social cues. Thanks for the extra info to straighten out my mis-understandings.

Dan
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Old 05-23-2013, 12:48 PM
 
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Just got a copy of the DSM-5 and found this for you:
In the Autism Spectrum Disorder section, it clearly says that people who have a well-established DSM-IV diagnosis of Autistic disorder, Asperger's Disorder, or Pervasive Developmental disorder NOS should be give the diagnosis of Autism Spectrum Disorder. Those who do not meet the criteria for Autism Spectrum d/o but who have marked deficits in social communication should be evaluated for (the new) Social Communication Disorder.
My personal view is that the many people who have been loosely diagnosed with Asperger's in recent years, but who really never qualified as Asperger's will go into this new Social Communication Disorder diagnostic category. The problem with the over-diagnosing of Asperger's or any disorder actually causes problems for the people who actually do have the disorder and need services and/or benefits. In some arenas, anyone who had some social awkwardness and who liked to have things in a certain order suddenly got an Asperger's diagnosis. It was getting ridiculous. That, I believe, has harmed people like you who legitimately have Asperger's. Kind of like how the over-diagnosing of fibromyalgia has hurt the people who legitimately have fibromyalgia. When people hear the diagnosis, they tend to roll their eyes, and thin "whatever" since it's been over-diagnosed so much.
Anyway, it doesn't seem you have any reason to worry, as long as you have a well-established diagnosis.
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Old 05-23-2013, 12:52 PM
 
Location: E ND & NW MN
4,730 posts, read 9,071,368 times
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Quote:
Originally Posted by TracySam View Post
Just got a copy of the DSM-5 and found this for you:
In the Autism Spectrum Disorder section, it clearly says that people who have a well-established DSM-IV diagnosis of Autistic disorder, Asperger's Disorder, or Pervasive Developmental disorder NOS should be give the diagnosis of Autism Spectrum Disorder. Those who do not meet the criteria for Autism Spectrum d/o but who have marked deficits in social communication should be evaluated for (the new) Social Communication Disorder.
My personal view is that the many people who have been loosely diagnosed with Asperger's in recent years, but who really never qualified as Asperger's will go into this new Social Communication Disorder diagnostic category. The problem with the over-diagnosing of Asperger's or any disorder actually causes problems for the people who actually do have the disorder and need services and/or benefits. In some arenas, anyone who had some social awkwardness and who liked to have things in a certain order suddenly got an Asperger's diagnosis. It was getting ridiculous. That, I believe, has harmed people like you who legitimately have Asperger's. Kind of like how the over-diagnosing of fibromyalgia has hurt the people who legitimately have fibromyalgia. When people hear the diagnosis, they tend to roll their eyes, and thin "whatever" since it's been over-diagnosed so much.
Anyway, it doesn't seem you have any reason to worry, as long as you have a well-established diagnosis.
Thank you TracySam for that great info....appreciate it.
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Old 05-27-2013, 03:25 PM
 
Location: Windham County, VT
10,540 posts, read 4,667,675 times
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Quote:
Originally Posted by TracySam View Post
It doesn't officially come out until May 27th.
Thanks for reminding me of the specific date-
I just went & found notes on the changes made in DSM V on Wikipedia.
http://en.wikipedia.org/wiki/DSM-5
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Old 05-27-2013, 11:16 PM
 
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Okay, Mental Retardation is out...now kids are "intellectually disabled". Thank God, I no longer teach Special Education. Sorry, this is just political correctness. And, when I did teach, parents were ferocious, on wanting a diagnosis of "autism" rather than MR.

Good they added hoarding as a disorder.

I think "Internet Addiction" needs to be added as a disorder.

Dementia is now a "neuro cognitive disorder", interesting.
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Old 05-28-2013, 09:05 AM
 
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The one training I went to talking about how may professionals wanted internet addiction added. I think it only went in under "conditions needing further study." There was a big conflict between mental health professionals and addictions professionals, and I believe the problem would have been that if they included more non-substance addictions, the addictions professionals in some states would claim that only THEY could treat those folks (not the MH professionals). They discussed porn addiction in the same context. For now, it's just the gambling that's the only non-substance addiction recognized as addiction. Many states already fund gambling addictions services through their substance abuse budgets. Adding porn and internet addiction to that might deplete those public resources. The DSM committee just bunted and decided to address it in the future with the next edition of the Manual.
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Old 05-28-2013, 09:51 PM
 
Location: E ND & NW MN
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TracySam

I couldnt rep you again.... but thanks again for passing on the great info about the new DSM.
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Old 05-30-2013, 08:31 PM
 
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It is disappointing that Asperger's is no longer a diagnostic category. The diagnosis gives hope to families and those who have the condition. The diagnosis of autism seems so much more harsh and imparts less hope. Plus, Asperger's has been around for quite some time (like 60 years or so). I think the authors of the DSM made a mistake by folding Asperger's into Autism.
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