As 2013 draws to a close, the Autism Spectrum Resource Center takes a look back at the year in review.
February 23, 2013, was the second anniversary of ASRC. Families attended a picnic at a city park, while the children played.
March brought the second book fair benefitting the ASRC parents resource library.
April was Autism Awareness Month, and the month was chock full of events bringing awareness. A month long art exhibit, a House Resolution successfully passed and proclaimed by Texas State Representative Abel Herrero, the Autism Rocks! Concert, the 7th Annual Walk for Autism Awareness at Cole Park. This was the first year the Autism Spectrum Resource Center held the event, which was organized by Sandra Lynch.
South Texas Underground Films showed self made films by individuals with autism.
The Centers for Disease Control released new numbers from their study, showing the prevalence of autism spectrum diagnoses at 1/50.
May brought a farewell to Doreen Lund, and her family, as they left Corpus Christi, to move to another state. Doreen Lund was the co founder of the Autism Spectrum Resource Center, and the organizer for the Meetup/CCASTEAM social events.
June brought a hello to Monica Jimenez-Brown, Program Director. Monica is also organizing the Meetup social events. If you haven't joined Meetup, please visit www.meetup.com/CCASTEAM, and sign up for free. We look forward to meeting you and your family.
June also brought new changes to the DSM-5. One of the changes was the elimination of the diagnosis of Asperger's Syndrome. For more on the new changes, please read the blog about the new DSM-5 changes on this site.
The summer months were cooler with Splash Days at area pools. Parents and their children kept chill during the dog days of summer.
The second annual Kids Talent Show was held on August 3, and was a huge success. Lots of talented individuals!
There were also 2 Life Skills Classes on Street Safety. The first class was at a private home, and the second class was held elsewhere, and included Corpus Christi Representative Brenda Rodriguez, with special guest, McGruff the Crime Dog.
October was Fire Prevention Month. Monica Jimenez-Brown organized two events; a presentation by Fire Captain James Brown, and the second one being a tour of Fire Station # 1.
The 22nd Annual Texas Autism Conference was held in Corpus Christi this year. Organized by the Texas Education Agency, and the Education Service Center, Region 2, it featured Keynote Speaker, Dr. Patrick Schwarz.
Rounding out the year, there were not one, but two Christmas parties for the children of the Autism Spectrum Resource Center. The first was the annual Christmas party, held at a private home. The second was held at a local company, X2Zero, in Corpus Christi. What a treat for the kiddos!
December also brought two new board members, Lisa McGrew, and Keri Brock. Welcome to ASRC, Lisa, and Keri!
The Autism Spectrum Resource Center thanks you and your families for being a huge part of ASRC. As the new year approaches, we continue looking forward to being the hub of resources for everyone in the autism community.
Happy New Year's!
- Copyright © 2013, The American Academy of Pediatrics
New DSM-5 includes changes to autism criteria
- Susan L. Hyman, M.D., FAAP
The American Psychiatric Association has just published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The diagnostic criteria for autism spectrum disorder has been modified based on the research literature and clinical experience in the 19 years since the DSM-IV was published in 1994.
- The diagnosis will be called Autism Spectrum Disorder (ASD), and there no longer will be subdiagnoses (Autistic Disorder, Asperger Syndrome, Pervasive Developmental Disorder Not Otherwise Specified, Disintegrative Disorder).
- In DSM-IV, symptoms were divided into three areas (social reciprocity, communicative intent, restricted and repetitive behaviors). The new diagnostic criteria have been rearranged into two areas: 1) social communication/interaction, and 2) restricted and repetitive behaviors. The diagnosis will be based on symptoms, currently or by history, in these two areas.
Although symptoms must begin in early childhood, they may not be recognized fully until social demands exceed capacity. As in the DSM-IV, symptoms must cause functional impairment.
All of the following symptoms describing persistent deficits in social communication/interaction across contexts, not accounted for by general developmental delays, must be met:
- Problems reciprocating social or emotional interaction, including difficulty establishing or maintaining back-and-forth conversations and interactions, inability to initiate an interaction, and problems with shared attention or sharing of emotions and interests with others.
- Severe problems maintaining relationships — ranges from lack of interest in other people to difficulties in pretend play and engaging in age-appropriate social activities, and problems adjusting to different social expectations.
- Nonverbal communication problems such as abnormal eye contact, posture, facial expressions, tone of voice and gestures, as well as an inability to understand these.
Two of the four symptoms related to restricted and repetitive behavior need to be present:
- Stereotyped or repetitive speech, motor movements or use of objects.
- Excessive adherence to routines, ritualized patters of verbal or nonverbal behavior, or excessive resistance to change.
- Highly restricted interests that are abnormal in intensity or focus.
- Hyper or hypo reactivity to sensory input or unusual interest in sensory aspects of the environment.
Symptoms must be present in early childhood but may not become fully manifest until social demands exceed capacities. Symptoms need to be functionally impairing and not better described by another DSM-5 diagnosis.
Symptom severity for each of the two areas of diagnostic criteria is now defined. It is based on the level of support required for those symptoms and reflects the impact of co-occurring specifiers such as intellectual disabilities, language impairment, medical diagnoses and other behavioral health diagnoses.
Rett syndrome is a discrete neurologic disorder and is not a subdiagnosis under ASD, although patients with Rett syndrome may have ASD.
Because almost all children with DSM-IV confirmed autistic disorder or Asperger syndrome also meet diagnostic criteria under DSM-5, re-diagnosis is not necessary. Referral for reassessment should be based on clinical concern. Children given a PDD-NOS diagnosis who had few DSM-IV symptoms of autism or who were given the diagnosis as a “placeholder” might be considered for more specific diagnostic evaluation.
Patients may wish to continue to self identify as having Asperger syndrome, although the DSM-5 diagnostic category will be ASD.
Clinicians should note that children with ASD also should be evaluated for a speech and language diagnosis in addition to the ASD to inform appropriate therapy.