Study Guide by by
Child&Adolescent PsychiatricMental Health by by by by by
DSM-5-TRNeurodevelopmentalDisorders y
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Intellectual Disability: Diagnostic Criteria by by by
Intellectual developmental disorder (intellectual disability) is a disorder with onset during the developmental period that
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includes both intellectual and adaptive functioning deficits in conceptual, social, and practical domains. The following
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three criteria must be met:
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A. Deficits in intellectual functions, such as reasoning, problem solving, planning, abstract thinking, judgment,
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academic learning, and learning from experience, confirmed by both clinical assessment and individualized,
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standardized intelligence testing.
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B. Deficits in adaptive functioning that result in failure to meet developmental and sociocultural standards for
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personal independence and social responsibility. Without ongoing support, the adaptive deficits limit
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functioning in one or more activities of daily life, such as communication, social participation, and
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independent living, across multiple environments, such as home, school, work, and community.
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C. Onset of intellectual and adaptive deficits during the developmental period.
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Note: The term intellectual developmental disorder is used to clarify its relationship with the WHO ICD-11
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classification system, which uses the term Disorders of Intellectual Development. The equivalent term intellectual
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disability is placed in parentheses for continued use. The medical and research literature use both terms, while intellectual
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disability is the term in common use by educational and other professions, advocacy groups, and the lay public. In the
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United States, Public Law 111-256 (Rosa’s Law) changed all references to “mental retardation” in federal laws to
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“intellectual disability.” Specify current severity (see Table 1): F70 Mild
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F71Moderate
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F72 Severe
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F73Profound
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,IntellectualDisability:Table 1 –Severity levelsfor intellectual disability
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, Global Developmental Delay
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This diagnosis is reserved for individuals under the age of 5 years when the clinical severity level cannot be reliably
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assessed during early childhood. This category is diagnosed when an individual fails to meet expected developmental
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milestones in several areas of intellectual functioning and applies to individuals who are unable to undergo systematic
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assessments of intellectual functioning, including children who are too young to participate in standardized testing. This
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category requires reassessment after a period of time.
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