A road map for identifying autism spectrum disorder: recognizing and evaluating characteristics that should raise red or "pink" flags to guide accurate differential diagnosis.

The Clinical Neuropsychologist
Susanne DuvallCatherine Lord

Abstract

Objective: Given the high population prevalence of Autism Spectrum Disorder (ASD) and overlapping symptoms with medically complex groups, ASD is a common rule out diagnosis for neuropsychologists even when not identified in the referral or initial presenting concerns. This paper presents practical guidance to support neuropsychologists in their ability to accurately assess, diagnose, and/or rule out ASD, especially in patients with more subtle presentations. Method: This paper combines clinical experience and empirical literature to highlight important assessment measures and related considerations, differential diagnostic considerations, common misconceptions about ASD and person/family characteristics, as well as variability in presentation and comorbidities that can obscure the diagnosis. Characteristics that may be considered "red flags" (clearly diagnostic, classic symptoms) and "pink flags" (associated features and symptoms that are suggestive of ASD but not quite definitive and that may overlap with symptoms seen in other neurodevelopmental or psychiatric diagnoses) will be discussed. Conclusions: Neuropsychologists in all clinical settings should be able to effectively screen for and/or diagnose ASD, even when its prese...Continue Reading

References

Jun 1, 1989·Journal of Autism and Developmental Disorders·P SzatmariS Rich
May 1, 1989·Journal of Child Psychology and Psychiatry, and Allied Disciplines·S SteffenburgM Bohman
Dec 1, 1988·Journal of Autism and Developmental Disorders·R AmeliC Grillon
Mar 1, 1985·Archives of Neurology·M B DencklaJ Krieger
Jan 1, 1985·Journal of Applied Behavior Analysis·G G McGeeL E McClannahan
Dec 1, 1974·Developmental Medicine and Child Neurology·M B Denckla
Mar 1, 1980·Journal of Autism and Developmental Disorders·E SchoplerK Daly
Jan 1, 1995·Psychological Medicine·A BaileyM Rutter
Apr 1, 1997·Journal of Autism and Developmental Disorders·M E Van BourgondienA Palmer
Oct 31, 2000·Journal of Autism and Developmental Disorders·J W BodfishM H Lewis
Sep 5, 2001·American Journal of Mental Retardation : AJMR·D A Jopp, C B Keys
Feb 1, 2005·Journal of Autism and Developmental Disorders·Wendy L StoneStacie L Pozdol
Apr 13, 2006·Journal of Autism and Developmental Disorders·Eva M JansiewiczStewart H Mostofsky
Apr 1, 1968·Journal of Applied Behavior Analysis·D M BaerT R Risley
Aug 12, 2006·Journal of Child Neurology·Virginia Wong
Aug 15, 2006·Journal of the International Neuropsychological Society : JINS·Stewart H MostofskyMartha B Denckla
Jan 9, 2007·Journal of Autism and Developmental Disorders·Saasha SuteraDeborah Fein
Apr 25, 2007·The Clinical Neuropsychologist·UNKNOWN American Academy of Clinical Neuropsychology
May 1, 2007·Brain & Development·Xue MingGeorge C Wagner
Aug 11, 2007·Assessment·Steven R SmithTad T Gorske
Aug 24, 2007·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Christina CorselloCatherine Lord
Dec 7, 2007·The British Journal of Psychiatry : the Journal of Mental Science·Tony CharmanAndrew Pickles
Nov 28, 2008·Journal of Autism and Developmental Disorders·Joanna MossKaty Berg
Feb 17, 2009·Pediatric Research·Eric Fombonne
Apr 25, 2009·Brain : a Journal of Neurology·Stewart H MostofskyJames J Pekar
Jun 23, 2009·Neuroscience and Biobehavioral Reviews·Atsushi Senju, Mark H Johnson
Oct 7, 2009·Archives of Pediatrics & Adolescent Medicine·Rebecca E RosenbergPaul A Law
Jan 23, 2010·Journal of Autism and Developmental Disorders·Annelou L C de VriesTheo A Doreleijers
Jul 21, 2010·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Margaret L Bauman
Nov 26, 2010·Australian Occupational Therapy Journal·Annette V Joosten, Anita C Bundy
Dec 3, 2010·Disability and Health Journal·Ellen GiarelliDavid Mandell
Jul 8, 2011·Clinical Child and Family Psychology Review·Francisca J A van SteenselSean Perrin
Sep 3, 2011·Journal of Child Psychology and Psychiatry, and Allied Disciplines·So Hyun Kim, Catherine Lord
Nov 1, 2011·Current Opinion in Pediatrics·Geraldine Dawson, Karen Burner
Mar 20, 2012·Trends in Cognitive Sciences·Coralie ChevallierRobert T Schultz
Apr 3, 2012·Current Opinion in Genetics & Development·Bernie Devlin, Stephen W Scherer
Jul 25, 2012·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Vanessa HusCatherine Lord
Jul 31, 2012·Journal of the American Academy of Child and Adolescent Psychiatry·Katharina DworzynskiFrancesca Happé
Jan 1, 2011·Autism Research and Treatment·Jennifer Gerdts, Raphael Bernier
Oct 16, 2012·Journal of Autism and Developmental Disorders·Somer L BishopCatherine Lord
Jan 17, 2013·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Deborah FeinKatherine Tyson

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