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PERVASIVE DEVELOPMENTAL DISORDERS The 5 “official” types According to DSM-IV
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WHAT ARE PDDs? A group of disorders categorized by impairments in: Verbal and non-verbal communication Social Interaction Imaginative or creative play PDDs are often referred to as a “spectrum” of disorders ranging in severity
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AUTISTIC DISORDER Impairment in social interactions (no eye-to-eye gaze, inappropriate facial expressions, failure to develop peer relationships, lack of spontaneous seeking to share, lack of social/emotional reciprocity) Impairments in communication (delay or total lack of spoken language, inability to initiate/sustain communication, repetitive or idiosyncratic language) Repetitive/stereotyped patterns of behavior (motor movements, nonfunctional routines, preoccupation with objects or parts of objects) Prior to age 3, abnormal functioning in at least one of the following: social interaction, language, symbolic or imaginative play
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ASPERGER’S SYNDROME Similar to Autistic Disorder, with the exception of Communication difficulties (can speak very well). Though language develops normally, communication is still impaired by other issues Impaired ability to utilize social cues, such as body language, irony, sarcasm Restricted eye contact Limited range of encyclopedic interests Perseverative, odd behaviors Concrete thinking Over sensitivity to certain stimuli
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PDD-NOS Pervasive Developmental Disability Not Otherwise Specified Used when there is a severe and pervasive impairment in the development of reciprocal social interaction but for whatever reason, do not meet criteria for other types Could be late age of onset, atypical symptoms, subthreshold presentation of symptoms
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RETT’S DISORDER All of the following must be present: Apparently normal prenatal development Apparently normal psychomotor development for first 5 months Normal head circumference at birth Deceleration of head growth between 5-48 months Loss of previously acquired purposeful hand skills between 5-30 months, plus the development of stereotyped hand movements Loss of social engagement Poorly coordinated gait or trunk movements Severely impaired expressive and receptive language
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CHILDHOOD DISINTEGRATIVE DISORDER (CDD) Apparently normal development for at least the first 2 years Clinically significant loss of previously acquired skills before age 10 in at least two of the following: expressive or receptive language, social skills or adaptive behavior, bowel or bladder control, play, motor skills Abnormalities of functioning in at least 2 of the following areas: impairment in social interaction (failure to develop relationships), impairments in communication (inability to maintain or initiate a conversation, lack of make-believe play, repetitive use of language), restricted and repetitive patterns of behavior or interests Not better accounted for by another PDD or schizophrenia
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