Aspergers Children: Diagnosis

Aspergers Children | Your Child’s Diagnosis Will Include Multiple Session Detailed History & Physical Exam

Aspergers children: Using NICE UK guidelines, asperger’s diagnosis requires comprehensive history, observation and testing

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Aspergers diagnosis

Aspergers children: Diagnosis of Asperger Syndrome requires high degree of suspicion in the professional as the signs are often subtle.

Asperger symptoms in children are difficult to pick up and maybe noticed only once the child starts going to school and interacting with peers. Asperger symptoms are masked by their normal intelligence and the desire to make friends.

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Diagnostic assessment

The following guideline has been recommended by NICE UK. They say it should be included in every autism diagnostic assessment for children and young people:

  • Detailed questions about parents or carers’ concerns and, if appropriate, the child or young person’s concerns.
  • Details of the child or young person’s experiences of home life, education and social care.
  • A developmental history, focusing on developmental and behavioural features.
  • A medical history, including prenatal, perinatal and family history, and past and current health conditions.
Aspergers Children | Your Child's Diagnosis Will Include Multiple Session Detailed History & Physical Exam

Aspergers Children

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A physical examination

  • Consideration of the differential diagnoses and Systematic assessment for other conditions that may coexist with autism.
  • Mental health and behavioural problems and disorders
    • Attention deficit hyperactivity disorder (ADHD)
    • Anxiety disorders and phobias
    • Mood disorders
    • Oppositional defiant behaviour
    • Tics or Tourette’s syndrome
    • Obsessive–compulsive disorder
    • Self-injurious behaviour
  • Neurodevelopmental problems and disorders
    • Global delay or intellectual disability
    • Motor coordination problems or developmental coordination disorder
    • Academic learning problems, for example with literacy or numeracy
    • Speech and language disorders.
  • Medical or genetic problems and disorders
    • Epilepsy and epileptic encephalopathy
    • Chromosome disorders
    • Genetic abnormalities, including fragile X
    • Tuberous sclerosis
    • Muscular dystrophy
    • Neurofibromatosis type 1
  • Functional problems and disorders
    • Feeding problems, including restricted diets
    • Urinary incontinence or enuresis
    • Constipation, altered bowel habit, faecal incontinence or encopresis
    • Sleep disturbances
    • Vision or hearing impairment

Developing a profile of the child or young person’s strengths, skills, impairments and needs, including: intellectual ability and learning style, academic skills, speech, language and communication, fine and gross motor skills, adaptive behaviour (including self-help skills), mental and emotional health (including self-esteem), physical health and nutrition, sensory sensitivities, and behaviour likely to affect day-to-day functioning and social participation.

This profile can be used to create a personalized plan, taking into account family and educational context. The assessment findings should be communicated to the parent or carer and, if appropriate, the child or young person.

(adapted from NICE guidelines UK)

Aspergers Children | Your Child's Diagnosis Will Include Multiple Session Detailed History & Physical Exam

Aspergers Children

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Aspergers Children: Diagnosis was last modified: March 9th, 2017 by Dr. Rajeshree Singhania

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