1. A total of six (or more) items from (a), (b), and (c), with at least two from (a), and one each from (b) and (c):
   
   
   1. qualitative impairment in social interaction, as manifested by at least 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)
      
      
   2. qualitative impairments in communication as manifested by at least one of the following:
      
      
      1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
      2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
      3. stereotyped and repetitive use of language or idiosyncratic language
      4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
         
         
   3. 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, or complex whole-body movements)
      4. persistent preoccupation with parts of objects
   
   
2. Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years: (1) social interaction, (2) language as used in social communication, or (3) symbolic or imaginative play.
   
3. The disturbance is not better accounted for by Rett's Disorder or Childhood Disintegrative Disorder. 
4. 
     DSM-IV Diagnostic Criteria for Attention Deficit Disorder

1. Either (1) or (2):
   1. six (or more) of the following symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:
      
      
      1. often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
      2. often has difficulty sustaining attention in tasks or play activities
      3. often does not seem to listen when spoken to directly
      4. often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
      5. often has difficulty organizing tasks and activities
      6. often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
      7. often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)
      8. is often easily distracted by extraneous stimuli
      9. is often forgetful in daily activities
      
      
      
   2. six (or more) of the following symptoms of hyperactivity-impulsivity have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:
      
      
      Hyperactivity
      
      
      1. often fidgets with hands or feet or squirms in seat
      2. often leaves seat in classroom or in other situations in which remaining seated is expected
      3. often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
      4. often has difficulty playing or engaging in leisure activities quietly
      5. is often "on the go" or often acts as if "driven by a motor" often talks excessively
         
         Impulsivity
         
         
      6. often blurts out answers before questions have been completed
      7. often has difficulty awaiting turn
      8. often interrupts or intrudes on others (e.g., butts into conversations or games)
   
   
2. Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 years.
   
   
3. Some impairment from the symptoms is present in two or more settings (e.g., at school [or work] and at home).
   
   
4. There must be clear evidence of clinically significant impairment in social, academic, or occupational functioning.
   
   
5. The symptoms do not occur exclusively during the course of a Pervasive Developmental Disorder,  Schizophrenia, or other Psychotic Disorder and are not better accounted for by another mental disorder (e.g., Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).
   

Specify Type:

• Attention-Deficit/Hyperactivity Disorder, Combined Type: if both Criteria A1 and A2 are met for the past 6 months
• Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type: if Criterion A1 is met but Criterion A2 is not met for the past 6 months
• Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type: if Criterion A2 is met but Criterion A1 is not met for the past 6 months

Note: For individuals (especially adolescents and adults) who currently have symptoms that no longer meet full criteria, "In Partial Remission" should be specified.

 DSM-IV Diagnostic Criteria for Aspergers Syndrome

 

A.Qualitive impairment in social interaction, as manifested by at least two of the following:

 

1.marked impairment in the use of multiple nonverbal  behaviors such as eye contact, 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(lack of showing, bringing, or pointing out objects of interest to other people)

4.lack of social or emotional reciprocity

 

B.Restricted repetitive and sterotyped patterens 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.sterotyped and  repetitive motor manerisms(hand or finger flapping or twisting, or complex whole-body movements, rocking)

4.persitent 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(single words used by age 2 years, communicative phrases used by 3 years)

 

E.There is no clinically delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior(other than in social interaction), and curiousity about environment in childhood.

 

F.Criteria are not met for another specific Pervasive Disorder or Schizophrenia.

updated 4/27/04