Autismo: quando buscar uma avaliação neuropsicológica?

In today's episode of "Psychiatrist's Chat," we welcome Dr. Joana Portolese, a psychologist with a master's and doctorate, a neuropsychologist, and a leading authority on the diagnosis of Autism Spectrum Disorder (ASD). In this conversation, we dissect the clinical foundations of autism, from childhood assessment to contemporary neurodevelopmental criteria. Topics Covered: The Historical Evolution of Diagnosis: How the understanding of autism has changed since Leo Kanner's first clinical description in 1943 and Hans Asperger's observation of high abilities. The Two Central Pillars (DSM-5 Criteria): The diagnosis of ASD is based on two main axes. The first is impairment in communication and social interaction. The second is the presence of restricted and repetitive behaviors. We discussed how these symptoms vary in severity across support levels 1, 2, and 3. Early Signs in Childhood: What parents and pediatricians should look for in early screening starting at 18 months. Sensory Processing and Selective Eating: Sensory hyper- or hyporesponsiveness as a central diagnostic element within the criteria of restricted and repetitive behaviors. The Danger of Nonspecific Tests and Real Assessment: The diagnosis of autism is primarily clinical. We discussed the danger of using screening scales (such as the SRS) to assess complex conditions, as they contain nonspecific items such as "playing alone" or "difficulty making friends." We explained the real function of standardized instruments and structured interviews (such as the CARS, ADOS, and ADI-R scales). Listen and share on social media! In our next episode, we will address the diagnosis of Autism in Adults and the increase in prevalence. Guest: Dr. Joana Portolese @joanaportolese Hosts: • Dr. Pedro Gomes Rosa @drpedrogomesrosa • Dr. Marcelo Brañas @drmarcelobranas • Dr. Marcos Croci @drmarcoscroci