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Note: Although this is not a major area of
misdiagnosis today, we receive one or two letters a week concerning this
subject. Social anxiety and Asperger's disorder are very different
in nature and should not be confused.
Social anxiety disorder is markedly different than
Asperger's Disorder in that Asperger's is a pervasive developmental disorder
(also called a milder version of autism) and
that people with social anxiety disorder do not display the patterns of behavior
expected in definitions A and B.
Asperger's Disorder is "a milder variant of Autistic Disorder.
Both Asperger's Disorder and Autistic Disorder are in fact subgroups of a larger
diagnostic category. This larger category is called either Autistic Spectrum
Disorders or Pervasive Developmental Disorders" according to
Dr. R. Kaan
Ozbayrak of the University of
Massachusetts Medical School.
Definition A also does not fit because anxiety is not the
cause of these behaviors in Asperger's as it is when it occurs in people with
social anxiety disorder.
Asperger's Disorder is not defined by anxiety -- and having anxiety
is not a part of the definition of this disorder.
If a person experiences undue and irrational anxiety, then the
condition is not likely to be Asperger's.
The DSM-IV defines Asperger's Disorder (299.80)
A. Qualitative impairment in social interaction, as
manifested by two of the following:
(1) marked impairment in the use of multiple nonverbal
behaviors such as eye-to-eye gaze, facial expression, body postures, and
gestures to regulate social interaction
(2) failure to develop peer relationships appropriate to
developmental level
(3) a lack of spontaneous seeking to share enjoyment,
interests, or achievements with other people (e.g., by a lack of showing,
bringing, or pointing out objects of interest to other people)
(4) lack of social or emotional reciprocity
B. Restricted repetitive and stereotyped patterns of
behavior, interests, and activities, as manifested by at least one of the
following:
(1) encompassing preoccupation with one or more stereotyped
and restricted patterns of interest that is abnormal either in intensity or
focus.
(2) apparently inflexible adherence to specific,
nonfunctional routines or rituals
(3) stereotyped and repetitive motor mannerisms (e.g., hand
or finger flapping or twisting, complex whole-body movements)
(4) persistent preoccupation with parts of objects
C. The disturbance causes clinically significant impairment
in social, occupational, or other important areas of functioning.
D. There is no clinically significant general delay in
language (e.g., single words by age 2 years, communicative phrases by age 3
years).
E. There is no clinically significant delay in cognitive
development or in the development of age-appropriate self-help skills, adaptive
behavior (other than in social interaction), and curiosity about the environment
in childhood.
F. Criteria are not met for another specific Pervasive
Developmental Disorder or Schizophrenia.
Note again that having "anxiety" is NOT part of the Asperger's
definition.
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