Question 7 (part 2) · LEK · Autism spectrum disorder
A 35-year-old male has been treated psychiatrically since he was 7. In the first grade he put a wooden gun to other children’s bodies and said: “I’m killing you.” He ignored reprimands. He spend his time making toy gun models. He recited long book passages from memory. He was clumsy, often jumped around, waved his hands and made duck-like sounds, also in public places. He ignored remarks and reprimands. At university he pointed out mistakes to lecturers. In group therapy he laughed at other participants’ weaknesses and remained insensitive to their emotions. According to ICD-10 and DSM 5 the patient should be diagnosed with:
- A. Rett syndrome.
- B. autism spectrum disorders requiring support (Asperger syndrome).
- C. childhood autism.
- D. behaviour disorders.
- E. childhood disintegrative disorder.
Hint
Note preserved language and intellect, restricted interests, motor clumsiness, stereotypies and lack of empathy — which autism-spectrum variant fits?
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