Cho : Asperger's and Autism

I've been asked to take a closer look at Asperger's Disorder and Autistic Disorder as a differential diagnosis and I am reading some of the newer research now.

But you should know.

The reason I didn't diagnose Cho with either is that both require features of Cluster B in Asperger's in the DSM IV. In Autistic Disorder it's Cluster A, the third grouping.

I have not yet heard anything to indicate that Cho had symptoms from Cluster B (below), or for that matter, proof of Clusters D & E. Those require that he had no clinically significant delay in language, no clinically significant delay in cognitive development and no delay in the development of age-appropriate self-help skills, adaptive behavior or curiosity about the environment.

There are 6 areas of differential diagnosis for Asperger's Disorder (299.80). All must be met to meet diagnostic criterion.

But let's just look at Cluster B for Asperger's Disorder:
.
B. Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

(2) apparently inflexible adherence to specific, nonfunctional routines or rituals

(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements

(4) persistent preoccupation with parts of objects

Does Cho meet this?

Sure he met criterion for the clusters A and C, primarily impairments in social interaction and functioning. But what about the other necessary criterion?

I'll keep reading, and if you know more of the facts of Cho's life story, fill us in.

therapydoc