Diagnosis is usually made during early childhood. Individuals who received diagnoses based on the DSM-IV maintain their diagnosis under the autism spectrum disorders. However, an editorial published in the October 2012 issue of
American Journal of Psychiatry notes that, while some doctors argue that there is insufficient evidence to support the diagnostic distinction between ASD and PDD, multiple literature reviews found that studies showing significant differences between the two disorders significantly outnumbered those that found no difference. The
World Health Organization's
International Classification of Diseases, 10th edition (
ICD-10) categorized PDD into five distinct subtypes, each with their own diagnostic criteria. The five subtypes,
childhood autism,
atypical autism,
Rett syndrome,
Asperger syndrome and
childhood disintegrative disorder, are characterized by abnormalities in social interactions and communication. • Typical
autism, the best-known; •
Asperger syndrome (9% of autism diagnoses); •
Rett syndrome; and •
Childhood disintegrative disorder (CDD). The first three of these disorders are commonly called the
autism spectrum disorders; the last two disorders are much rarer, and are sometimes placed in the autism spectrum and sometimes not.
PDD and PDD-NOS There is a division among doctors on the use of the term PDD. Many use the term PDD as a short way of saying PDD-NOS. Others use the general category because the term PDD actually refers to a category of disorders and is not a diagnostic label. PDD is not itself a diagnosis, while PDD-NOS is a diagnosis. To further complicate the issue, PDD-NOS can also be referred to as "atypical personality development", "atypical PDD", or "atypical autism". ==Treatment==