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To obtain a qualitative picture of XXXXX’s sensory, language, and social
profile, selected portions of the Monteiro Interview Guidelines for
Diagnosing the Autism Spectrum- Second Edition (MIGDAS-2) were completed. The sensory-based interview helps clinicians determine whether an individual displays a behavioral profile consistent with the diagnosis of autism spectrum disorder (ASD). A description of XXXXX’s behavioral profile is detailed below, broken down into the areas of sensory use and interests, language and communication, and social relationships and emotional responses.
EVALUATORS ● list observations consistent with autism or inconsistent with autism ● give specific examples from the session regarding how the child acted or responded
Sensory Use and Interests
Inconsistent with ASD Consistent with ASD
Showed no preference for any Engaged in talking about preferred particular sensory toy. Used them topics and increased spontaneous flow all in equal amounts and of speech when discussing video games. exploration. Played a game of catch Emphasized citing facts and details, successfully with social leaving out social/emotional content referencing before throwing. when discussing preferred topic of video games and even Pokemon. Walked hurriedly down the hallway not waiting to walk in stride with the evaluator. Did not engage with the evaluator during use of the sensory toys, appeared to prefer exploring by himself
Language and Communication
Inconsistent with ASD Consistent with ASD
Engaged in some unusual speech, such as stuttering and stammering which appeared to increase when non- preferred topics were introduced or in high stress areas. Did not inject social comments or questions into the conversation, keeping the comments detail oriented. Marked contrast in conversational flow depending on the topic, with most fluid and clear speech noted during conversational topics selected by the child
Social Relationships and Emotional Responses
Inconsistent with ASD Consistent with ASD
Reported having friends at school Reported difficulty with friendships, and children whom he consistently described having friends but then plays with at recess. stated they are “kind of” friends. When giving details it did not appear that he is identifying friendships, but acquaintances. Difficulty in identifying triggers to his feelings, such as anger and anxiety. He reported that he has a lot of feelings, but vague regarding them and difficulty verbally describing them or identifying the actual triggers. Increase stammering when talking about feelings/emotions/relationships. Literal interpretation of idioms; when the evaluator described their meaning he showed no interest, stating “that doesn’t seem right.”
Overall, his behaviors were more likely to be classified as consistent with an
autism spectrum presentation than inconsistent with it.