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What Are the Different Types of Autism Spectrum Disorder?

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Laura NG, MA BCBA
Clinical Operations Manager

Autism spectrum disorder (ASD) is a kind of brain development issue that makes talking and acting around others tough for some people. It's pretty common, with about 1 in every 44 kids having it. The way we understand ASD has changed a lot over time, which means the way doctors identify who has it and how they talk about it has also changed.


In the past, there were five different types of autism that experts talked about autistic disorder, Asperger's syndrome, pervasive developmental disorder-not otherwise specified (PDD-NOS), childhood disintegrative disorder, and Rett syndrome. But now, doctors see ASD more as a big range where each person might show their own mix of signs or ways they act.


For someone to be told they have ASD by a doctor or health expert today involves looking at two main things: how well they interact and communicate with other people; plus whether they have certain actions or interests that repeat themselves over and again. These checks help figure out if someone has ASD and how serious it is for them personally. Getting help early on can really make things better for those living with this condition.


This blog post will dive into what used to be considered separate kinds of autism like classic autism along with Asperger’s syndrome among others but are now all seen under one umbrella term - Autism Spectrum Disorder (ASD). We'll look at why thinking about these conditions together rather than separately helps us give better support to those affected by any form of this neurodevelopmental challenge.


What are the 5 Main Types of Autism Previously Recognized?

How many types of autism are there? Back in the day, doctors saw autism as having five main kinds. These types helped experts understand more about how different each person’s experience with autism can be—from struggling with chats without words to learning how to play by society’s rules or dealing with changes no kid should have to face alone.


1. Classic Autism

Classic autism, often called Kanner's syndrome, is a types of autism where people find it really hard to interact socially and communicate without using words. They also tend to do the same things over and over again. For example, making eye contact or knowing when someone is calling their name can be tough for them. Understanding what others mean by their facial expressions or body language isn't easy either.


With classic autism, doing something repeatedly is pretty common. This could look like moving hands in the same way many times (like hand flapping), saying the same phrases a lot, or needing to follow routines exactly as they are every time. These actions might help them feel better when too much is going on around them.


The thing with classic autism is that it doesn't affect everyone the same way; some folks might need a lot more help with social stuff and handling repetitive behaviors than others who don’t have as strong symptoms. Getting spotted early on and getting some support quickly can make a big difference in improving how well they get along with others and manage those repeat actions.


2. Asperger’s Syndrome

Asperger's syndrome falls under the umbrella of autism and is marked by a normal pace in learning to talk but comes with challenges in social skills, understanding language nuances, and behavior. For those with Asperger's, picking up on social hints or keeping up friendships can be tough. They often find it hard to chat back and forth naturally because they might not get nonverbal signals like how someone’s voice sounds different when they're joking or what their face looks like when they're upset.


Despite usually being as smart as anyone else or even smarter, people with Asperger's tend to dive deep into certain subjects that catch their interest but might struggle when things don't go according to plan or if there are sudden changes in their daily routine. On top of this, figuring out phrases that aren’t meant to be taken literally—like sarcasm or common sayings—can also pose a challenge for them.


With all these hurdles though, it’s key to remember that folks with Asperger's can lead rewarding lives. Through help like learning better social tactics, and working on speech patterns through therapy sessions focused on communication strategies specifically designed for navigating complex human interactions effectively within various contexts including both personal relationships & broader societal engagements alike - improvements are more than just possible; they’re within reach.


3. Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS)

Pervasive Developmental Disorder-Not Otherwise Specified, or PDD-NOS for short was a way to talk about people who showed some signs of autism but didn't quite match all the rules for other types. This diagnosis was given when someone had trouble with social communication and showed other signs that are usually seen in autism but didn't exactly fit into one specific category.


For those who were maybe on the lighter side of the autism spectrum or just didn’t seem to fully align with classic autism or Asperger's syndrome, PDD-NOS was often used. With time though, this types of autism term isn’t really used anymore because experts now understand that being on the autism spectrum can mean a lot of different things for different people. They see it more as a whole range where everyone’s experience is unique rather than putting them into strict categories based on certain criteria.


4. Childhood Disintegrative Disorder

Childhood Disintegrative Disorder, also known as Heller's syndrome, is a rare kind of autism where kids lose skills they once had in areas like talking, playing with others, and using their hands for tasks.


At first, these children grow just like other kids but then suddenly start to go backward in what they can do. This usually happens when they are between 2 and 4 years old after everything seemed normal at first. Scientists don't fully get why this happens yet but think it has something to do with the brain.


Finding out early that a child has childhood disintegrative disorder is really important so that help can be given right away. Things like learning how to interact better with others through social skills training, speech therapy for improving communication abilities, or occupational therapy for getting better at everyday activities can make a big difference.


5. Rett Syndrome

Another types of autism is Rett syndrome, a rare genetic disorder that mostly shows up in girls. It's known for taking away the ability to use hands purposefully, causing language skills to get worse, and leading to problems with moving around. These symptoms of Rett syndrome usually start showing when kids are between 6 and 18 months old.


Kids with this condition might lose the social skills and language abilities they once had, along with facing big challenges in moving properly. They often struggle with keeping their balance, coordinating movements, and might keep doing certain actions over again like twisting or squeezing their hands together tightly. Other issues can pop up too, such as trouble breathing right, having seizures or fits sometimes called epilepsy), and not being able to think through things clearly.


The root cause of Rett syndrome traces back to changes in the MECP2 gene which plays a huge role in controlling how other genes act out their functions. The way Rett syndrome affects people can be different from one person to another; some may have it tougher than others. Getting spotted early on by doctors plus getting the right care throughout life makes a big difference. It helps make life better for those living with this genetic disorder.


Current Perspectives on Autism Spectrum Disorder (ASD)

Over the years, we've learned a lot more about autism spectrum disorder (ASD), which has changed how doctors think about and identify this condition. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5) lays out the rules for diagnosing types of autism.


Now, ASD is seen as a neurodevelopmental disorder that makes social communication hard for people and often leads to repetitive behaviors and interests. To be diagnosed with ASD, someone must show certain signs in these two key areas. How severe these symptoms are can differ from person to person with ASD, as can the amount of help they need.


The Shift from Types to a Singular Spectrum: Implications and Insights

Lately, there's been a change in how we see and sort out autism spectrum disorder (ASD). Instead of breaking it down into different types, now we look at it as one big range. This new way helps us understand that people with ASD can act really differently from each other.


With the spectrum idea, we get that some folks might have more noticeable symptoms than others and need different kinds of help. It's all about paying attention to what each person is good at and what they find tough.

When doctors check if someone has ASD, they look closely at how well the person can chat with others and make friends.


They also notice if someone does things over and over or sticks to certain interests a lot. During regular check-ups for kids, healthcare providers keep an eye out for signs of ASD. If they spot anything unusual, they'll send them to experts who know a lot about this condition for more checks.


Decoding the Autism Spectrum Disorder Levels

Autism spectrum disorder, or ASD for short, is something that comes in different levels depending on how serious the symptoms are and how much help someone needs. By understanding these different levels within the autism spectrum, healthcare providers can better figure out what kind of support each person with ASD needs to manage daily life effectively.


Navigating the Levels: Understanding Autism Severity

Understanding how severe autism spectrum disorder (ASD) can be and the kind of help people with ASD need is key. Each level on the autism spectrum shows different challenges and needs for support, but it's always important to treat each person with kindness and tailor care to their specific needs.


For those at every level, a lot of help might be needed in areas like getting along with others, talking and understanding, or learning daily skills. Working on behavioral skills during therapy sessions can really make a difference in helping someone with ASD handle life better and feel happier.


It's also super important to spot signs of ASD early on so that individuals can get the right support quickly. This helps them grow and develop in the best way possible.


Level 1 Autism: Requiring Support

People with level 1 Autism Spectrum Disorder find social situations tough and need help to get better at interacting with others. They might struggle to start conversations, understand when someone is trying to communicate something without saying it directly or keep a conversation going. To improve in these areas, they often require guidance on picking up new social skills and adjusting to various types of social settings.


By getting the right kind of support like behavioral therapies, learning about how to interact socially through specific training programs, and having tailored education plans made for them, individuals dealing with level 1 autism can enhance their ability to communicate with others. This assistance enables them not just to acquire communication skills but also helps them feel more included during activities that involve interaction with people around them.


Level 2 Autism: Requiring Substantial Support

People with level 2 autism need a lot of help, especially when it comes to getting along with others and managing everyday tasks. They often find it hard to start or keep up conversations, make friends, and get the hang of social rules.


Occupational therapy is super important for them because it teaches skills needed for daily life like taking care of themselves and being more independent. With strong support from family members, teachers, and therapists, these individuals can really improve their quality of life by enhancing their ability in social interaction and other areas needing substantial support.


Level 3 Autism: Requiring Very Substantial Support

Level 3 autism is the most intense type of this condition, where people need a lot of help in every part of their lives. With social communication being really tough for them, they might not talk much or at all and find it hard to adapt to different situations.


Because of these challenges, folks with level 3 autism usually require someone to take care of them full-time and go through lots of therapy aimed at making their life better by focusing on what they specifically need. The main aim here is to boost their quality of life by providing substantial support tailored just for them.


Diagnostic Journey: How do I Know If I'm Autistic?

The journey to figure out if someone has autism spectrum disorder (ASD) starts with noticing the early signs. It's really important for moms, dads, and anyone taking care of kids to keep an eye out for things like not making eye contact, talking later than expected, and doing the same thing over and over again.


If you see these signs of autism, a doctor or another health expert will take a closer look using special tools such as the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R). These help them understand how strong these symptoms are to confirm if it's truly an autism spectrum disorder.


Signs and Symptoms Leading to an Autism Diagnosis

When it comes to figuring out if someone might have autism spectrum disorder (ASD), there are a few things to look out for. Not making eye contact is one big clue. Kids with ASD often find it hard to keep eye contact when they're talking or playing with others.


They might also do the same actions over and over, like waving their hands or rocking back and forth. Having trouble with social skills, such as not getting how conversations work or missing what people mean without saying it directly, is another sign that could point towards ASD.


These autistic symptoms help healthcare providers spot individuals who may be on the autism spectrum. It's crucial for parents and those taking care of kids to know about these signs so they can get early intervention started right away—this means getting the support and resources needed for folks with ASD.


Assessment and Diagnostic Tools for Autism Spectrum Disorder

The assessment and diagnosis of autism spectrum disorder (ASD) involve a comprehensive evaluation using various diagnostic tools. These tools help healthcare providers determine the presence and severity of autism symptoms. Diagnostic criteria for ASD are outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is used by healthcare providers to make a diagnosis.


Healthcare providers, such as pediatricians, neurologists, occupational therapists, speech pathologists, and child psychologists or psychiatrists, are trained in diagnosing and assessing ASD. They use a combination of interviews, observations, and assessments to gather information about an individual's behavior, communication skills, and social interactions.

Diagnostic Tools Purpose
Autism Diagnostic Observation Schedule (ADOS) Assesses social and communication behaviors, as well as restricted and repetitive behaviors.
Autism Diagnostic Interview-Revised (ADI-R) Provides a detailed interview for parents or caregivers to report on the individual's behavior and development.
Developmental and Behavioral Screening Tools Used for initial screening and identification of developmental delays or social communication difficulties.

These tools, along with a comprehensive evaluation of the individual's developmental history, help healthcare providers make an accurate diagnosis of ASD.


Conclusion

The autism spectrum is vast, encompassing a range of presentations and experiences. While we've explored some of the common types of ASD, it's important to remember that a diagnosis is just one piece of the puzzle. Every individual is unique, and focusing on their strengths and needs is key to unlocking their full potential. If you suspect someone you know might be on the spectrum, early intervention and access to appropriate support systems can make a world of difference.


Get the Support You Need with Level Ahead ABA

Getting help early on is really important for people with autism spectrum disorder (ASD) because it can make a big difference in their lives. At Level Ahead ABA, we're all about giving support to folks with ASD and their families. We have a team of medical experts, including behavior analysts who work on helping individuals build up key skills like talking and interacting socially, managing how they act, and taking care of themselves every day.


The plans we come up with at Level Ahead ABA are made just for the person's own needs and what they want to achieve. By stepping in early and using behavior analysis therapy, those living with ASD can see real improvements in how well they do overall. Contact Level Ahead ABA today to schedule a free consultation and see how we can help your child thrive.


Frequently Asked Questions

  • How Can Parents Identify Early Signs of Autism in Their Children?

    By keeping an eye on how their kids grow and act, parents can spot early signs of autism spectrum disorder (ASD). Not making eye contact, talking later than expected, and doing the same thing over and over are some clues. If they're worried, it's important to talk to healthcare providers for a full check-up and to start help as soon as possible.

  • Are the Old Categories of Autism Still Relevant in Diagnosis or Treatment?

    In the past, we had different names like Kanner's syndrome and Asperger's syndrome to talk about autism. But now, those old labels aren't used anymore when figuring out if someone has autism or deciding how to help them. Today, everyone talks about it as being an autism spectrum disorder (ASD), which means there are lots of different symptoms that can vary a lot from person to person. 


    The way doctors decide if someone is on the autism spectrum involves using specific guidelines called diagnostic criteria, all written down in something known as the DSM-5. When it comes to helping each individual with ASD, plans are made just for them, based not on those old categories but rather on their unique needs.

  • What is High-Functioning Autism?

    High-functioning autism isn't actually a formal diagnosis in the current autism spectrum disorder (ASD) framework. It's an informal term used to describe people on the spectrum who have strong verbal communication skills and can speak fluently, can live independently with minimal support, and may have average or above-average intelligence.

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