Misdiagnosing ASD Level 1 [High-Functioning Autism]
"Is it possible for a child suspected of having HFA to be misdiagnosed as having a Personality Disorder?" Personality disorders cannot be safely diagnosed prior to early adolescence. Still, though frequently found between the ages of 3 and 6, High-Functioning Autism [and Asperger's] is often misdiagnosed as a cluster B personality disorder, most often as the Narcissistic Personality Disorder (NPD). 1. The HFA Child This child is self-centered and engrossed in a narrow range of interests and activities. Social and occupational interactions are severely hampered and conversational skills (the give and take of verbal intercourse) are primitive. The child's body language - eye to eye gaze, body posture, facial expressions - is constricted and artificial, akin to children with the Schizoid, Schizotypal, and Narcissistic Personality Disorders. Nonverbal cues are virtually absent and their interpretation in others lacking. Yet, HFA and personality pathologies h...