Recognition, referral, diagnosis, and management of adults with autism: summary of NICE guidance

Pilling, Stephen; Baron‐Cohen, Simon; Megnin-Viggars, Odette; Lee, Rachael; Taylor, Clare

doi:10.1136/bmj.e4082

Cited by 49 publications

(54 citation statements)

References 7 publications

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“…This seems to be particularly true for personality disorders (PDs) (Lugnegard et al 2012). As stated in the summary article of best practice diagnostic guidelines of the National Institute for Health and Care Excellence (NICE guidance), ''particular problems arise in identifying high functioning autism, which may not be recognised until adulthood or may be misdiagnosed as depression, personality disorder, or a psychotic illness'' (Pilling et al 2012). Anckarsäter et al (2006) state that ''depending on the theoretical framework and training of the psychiatrist, a patient with a childhoodonset neuropsychiatric disorder, particularly if previously undiagnosed, might well be diagnosed as having a primary personality disorder when assessed in adult age' ' (p. 1242).…”

Section: Introductionmentioning

confidence: 99%

Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders

Strunz

Westphal

Ritter

et al. 2014

J Autism Dev Disord

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Differentiating autism spectrum disorders (ASDs) without accompanying intellectual impairment from personality disorders is often challenging. Identifying personality traits and personality pathology specific to ASD might facilitate diagnostic procedure. We recruited a sample of 59 adults with ASD without accompanying intellectual impairment, 62 individuals with narcissistic personality disorder, 80 individuals with borderline personality disorder, and 106 nonclinical controls. Personality traits, measured with the neo-personality inventory-revised (NEO-PI-R), and personality pathology, measured with the dimensional assessment of personality pathology (DAPP-BQ), were assessed. Personality traits and personality pathology specific to ASD could be identified. ASD individuals scored significantly lower on the NEO-PI-R scales extraversion and openness to experience and significantly higher on the DAPP-BQ scales inhibitedness and compulsivity relative to all other groups. Diagnostic implications are discussed.

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Section: Introductionmentioning

confidence: 99%

Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders

Strunz

Westphal

Ritter

et al. 2014

J Autism Dev Disord

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“…But only a correct and prompt recognition of these disorders will allow appropriate support for these patients and their families [17]. The effect of inadequate identification and assessment of patients with ASD leads to inadequate or even damaging care [22]. For these reasons, family associations and health service authorities are greatly concerned about this issue, as demonstrated by recent recommendations for recognition, diagnosis and management of adults with autism published by the National Institute for Health and Clinical Excellence (http://guidance.nice.org.uk/CG142).…”

Section: Resultsmentioning

confidence: 99%

“…The hope for the future is that proper training in the identification and assessment of autism should figure more prominently in the undergraduate and postgraduate education of health and social care professionals [22].…”

Section: Resultsmentioning

confidence: 99%

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Misdiagnosis of High Function Autism Spectrum Disorders in Adults: An Italian Case Series

Luciano¹,

Keller²

2014

Autism Open Access 2014

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High Function (HF) Autism Spectrum Disorders (ASD) in adulthood is highly prevalent but insufficiently recognized. In Italy, in particular, awareness of this condition is still insufficient and many psychiatrists have no cases of HF ASD to mention. Adult patients with HF ASD come to the attention of Mental Health Services complaining of difficulties within their social context and interpersonal relationships. Objectives:Describe emblematic clinical examples of misdiagnosed HF ASD to understand reasons that conducted to misdiagnosis. Procedure:We contact five specialized Italian Center in diagnosis of ASD. Each center have to describe two or three emblematic cases of adult patient with diagnosis of ASD validated by ADOS-4 but referred to clinicians with another diagnosis, discussing about possible reasons of misdiagnosis. Sample and Results:We have collected 12 case reports (2 from Bologna center, 3 from Torino center, 3 from Pavia center, 2 from Verona center and 2 from Catania center) of adult HF ASD previously misdiagnosed. These cases shows important similarity across centers and highlight that if are taken into account only problems or symptoms that conduct patients to ask help, cases can easily suggest other psychiatric or personality disorders. Diagnosis becomes clear only after considering all the clinical features and a detailed developmental history. Conclusion:Psychiatrists who have insufficient experience of ASD may overlook some symptoms of the overall clinical picture and misdiagnose ASD as personality disorders, schizophrenia, phobia or even as a non-psychiatric condition, so is hopeful for future increased knowledge about HF ASD in adulthood.

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“…Die Prävalenz von ASS wird auf 1 % geschätzt, wobei ein großer Anteil Betroffener (ca. 40 % bei AS) das Erwachsenenalter ohne alterstypische Diagnose erreicht [8,9].…”

Section: Introductionunclassified

Bipolare affektive Psychose als Komorbidität einer Autismus-Spektrum-Störung

Baumgärtner

Fellinger

Grüner

et al. 2018

psychopraxis. neuropraxis

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Recognition, referral, diagnosis, and management of adults with autism: summary of NICE guidance

Cited by 49 publications

References 7 publications

Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders

Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders

Misdiagnosis of High Function Autism Spectrum Disorders in Adults: An Italian Case Series

Bipolare affektive Psychose als Komorbidität einer Autismus-Spektrum-Störung

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