Diagnostic Criteria for 299.80: Asperger's Disorder (Referred to as AS in This Report)

  • 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 (eg, by a lack of showing, bringing, or pointing out objects of interest to other people)

    4. ) lack of social or emotional reciprocity

  • Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least 1 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 (eg, hand or finger flapping or twisting, or complex whole-body movements)

    4. ) persistent preoccupation with parts of objects

  • The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.

  • There is no clinically significant general delay in language (eg, single words used by 2 years old, communicative phrases used by 3 years old).

  • 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.

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

    • Reprinted with permission from American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Washington, DC: American Psychiatric Publishing; 2000:75.