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Child&AdolescentPsychiatricMentalHealth by
DSM-5-TRNeurodevelopmentalDisorders y
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IntellectualDisability:DiagnosticCriteria by
Intellectualdevelopmental disorder(intellectual disability) isadisorderwith onset duringthe developmentalperiod that by by by by by by by by v5
includes both intellectual and adaptivefunctioning deficits in conceptual, social, and practical domains. The following
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threecriteria must bemet:
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A. Deficits inintellectualfunctions,suchasreasoning, problem solving,planning, abstractthinking,judgment,
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academiclearning,and learningfromexperience,confirmed by both clinicalassessmentand individualized,
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standardizedintelligencetesting.
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B. Deficits inadaptivefunctioningthatresult in failuretomeetdevelopmental and socioculturalstandards for
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personal independence andsocial responsibility. Without ongoing support, theadaptive deficitslimit
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functioning in oneormoreactivities ofdailylife, such as communication, social participation, and
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independent living, across multipleenvironments, such as home, school, work, and community.
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C. Onset ofintellectual and adaptivedeficits during thedevelopmental period.
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Note: Theterm intellectualdevelopmentaldisorder is used to clarifyits relationship withthe WHOICD-11 classification
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system, which uses the term Disordersof IntellectualDevelopment. Theequivalent termintellectual disabilityisplaced in
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parenthesesforcontinueduse.Themedical and researchliteratureusebothterms,whileintellectual
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disabilityis theterm incommonusebyeducational and otherprofessions,advocacygroups,and the lay public. In the
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United States,PublicLaw111-256(Rosa’sLaw)changedallreferencesto“mentalretardation”infederallawsto
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“intellectualdisability.”Specifycurrentseverity(seeTable1):F70Mild
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F71Moderate
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F72Severe v5
F73Profound
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,IntellectualDisability:Table1–Severitylevelsforintellectualdisability
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, Global DevelopmentalDelay
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Thisdiagnosisis reserved forindividualsundertheage of 5yearswhen the clinicalseveritylevel cannotbereliably
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assessed during early childhood. This category is diagnosed when an individual fails to
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milestones in several areas of intellectual
5 functioning and applies to individuals who are unable undergo systematic
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assessments
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by of intellectual functioning, including children who are too young to participate standardized testing .This
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in
category requires reassessment after aperiodof time. by v5 v5
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