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Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.

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DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet].

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Table 5DSM-IV Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) to DSM-5 Social (Pragmatic) Communication Disorder (SCD) Comparison

DSM-IVDSM-5
Disorder Class: Pervasive Developmental DisordersDisorder Class: Neurodevelopmental Disorders
Severe and pervasive impairment in the development of reciprocal social interaction or verbal and nonverbal communication skills, or when stereotyped behavior, interests, and activities are present but are not met for a specific pervasive developmental disorder.
This category includes “atypical autism” (late age of onset, atypical symptomatology).
A. Persistent difficulties in the social use of verbal and nonverbal communication as manifested by all of the following:
  1. Deficits in using communication for social purposes
  2. Impairment of the ability to change communication to match context
  3. Difficulties for following rules for conversation (taking turns, use of verbal/nonverbal signs to regulate interaction)
  4. Difficulties understanding what is not explicitly stated
B. The deficits result in functional limitations in effective communication, social participation, social relationships, and academic achievement.
C. The onset of the symptoms is in the early development period, but may not fully manifest until social communication demands exceed limited capabilities.
D. The symptoms are not attributable to another medical or neurological condition or to low abilities in the domains of word structure and grammar, and are not better explained by autism spectrum disorder, intellectual disability, or developmental delay.

From: 3, DSM-5 Child Mental Disorder Classification

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