DSM 5 ASD Checklist
DSM 5 ASD Checklist
DSM 5 ASD Checklist
A1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of
normal back- and- forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or
respond to social interactions.
A2. Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly
integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits
in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.
A3. Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties
adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends;
to absences of interest in peers.
_____ B. Restricted, repetitive patterns of behavior, interests, or activities as manifested by at least 2 of 4 symptoms currently or by history
B1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining
up toys or flipping objects, echolalia, idiosyncratic phrases).
B2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior
(e.g. extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need
to take same route or eat same food everyday).
B3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g., strong attachment to or
preoccupation with unusual objects, excessively circumscribed or preservative interest).
B4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment (e.g.,
apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling
or touching of objects, visual fascination with lights or movement)
_____ C. Symptoms must be present in the early developmental periods ( but may not become fully manifest until social demands
exceed limited capacities, or may be masked by learned strategies in later life)
_____ D. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.
(minimum = level 1)
_____ Social Communication Severity Level (1, 2, or 3)
_____ Restricted Repetitive Behavior Severity Level (1, 2, or 3)
_____ E. These disturbances are not better explained by intellectual disability (intellectual development disorder) or global
developmental delay.
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Autism Case Training:
A Developmental-Behavioral Pediatrics Curriculum
Making an Autism Spectrum Disorder Diagnosis
American Psychiatric Association. Pervasive developmental disorders. In: Diagnostic and Statistical Manual of Mental
Disorders. 5th ed.-text revision (DSM-5). Washington, DC: American Psychiatric Association; 2013.
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Autism Case Training:
A Developmental-Behavioral Pediatrics Curriculum