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Autism Spectrum Disorder (ASD) - Medscape Oct 3 2-2025

Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, NATC, ASDCS, ADHD-CCSP, C-DBT
Double Board Certified Licensed Clinical Psychotherapist - Specializing in ADHD

Autism Spectrum Disorder (ASD) - More than one Condition


Autism Is Not One Disorder — Summary | Double Board Certified Counseling Services
DB
Double Board Certified Counseling Services
Evidence-informed mental health care • ADHD • CBT • Trauma-informed

Summary: Autism Is Not One Disorder, New Data Show

Source: Medscape Medical News
Author: Megan Brooks
Published: October 3, 2025

New large-scale analyses suggest that autism is not a single, uniform condition. Individuals diagnosed early in childhood tend to show stable, early-onset developmental differences and are more likely to have global developmental delay and intellectual disability. Those diagnosed later (adolescence or adulthood) often show more typical early development but develop social/behavioral difficulties over time, with higher rates of co-occurring conditions (e.g., ADHD, depression).

Key Findings

  • Distinct developmental pathways: Early- vs. later-diagnosed groups follow different developmental trajectories.
  • Different genetic profiles: Early-diagnosed autism shows enrichment for rare deleterious variants, while later-diagnosed autism shows elevated polygenic risk patterns overlapping with ADHD/depression.
  • Clinical implications: Age at first diagnosis may help identify meaningful autism subtypes and guide tailored supports across the lifespan.
  • Caveats: Age at diagnosis is influenced by social and healthcare factors; findings should not be overgeneralized.

How This Helps Clinicians & Families

  • Assessment: Consider developmental timing as a practical lens when evaluating strengths, needs, and co-occurring conditions.
  • Care Planning: Align interventions with profile—e.g., early developmental supports vs. adolescent mental-health comorbidity planning.
  • Communication: Emphasize that “autism” encompasses diverse presentations; avoid one-size-fits-all framing of causes and treatments.

Read the full Medscape article

Prepared by Double Board Certified Counseling Services. This page summarizes and attributes the Medscape report for educational purposes.

Mark is a Certified Autism Spectrum Disorder Clinical Specialist (ASDCS), possesses advanced training and expertise in assessing, diagnosing, and treating individuals with Autism Spectrum Disorder (ASD). His certification highlights his proficiency in addressing the unique challenges associated with autism and his ability to provide personalized, evidence-based care.
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  • Home
  • Credentials
  • ADHD
    • Adult ADHD Self-Report Scale
    • ADHD Comprehensive Assessment
    • Cognitive Disengagement Syndrome (CDS).
    • ADHD Management
    • ADHD Atypical Symptoms
    • ADHD Impulse Pause & Reframe
    • Reaction Sensitivity Worksheet
    • SPIN (Social Phobia Inventory)
    • ADHD medications are Neuroprotective
    • ADHD Medications >
      • Adderall
      • Vyvanse
      • Methylphenidate
      • Concerta
      • Focalin (dexmethylphenidate)
      • Guanfacine (Intuniv)
      • Atomoxetine (Strattera)
      • Clonidine (Kapvay)
      • Onyda XR
      • Wellbutrin
      • Qelbree
      • Azstarys
      • Xelstrym
    • ADHD Medication for Anxiety >
      • Sertraline
      • Wellbutrin
      • Escitalopram (Lexapro)
      • Duloxetine (Cymbalta)
      • Venlafaxine (Effexor)
      • Buspirone (Buspar)
      • Hydroxyzine (Vistaril, Atarax)
      • Fluoxetine (Prozac)
      • Paroxetine (Paxil)
      • Propranolol (Inderal)
      • Accutane - Adverse effects
    • Pomodoro Technique
    • Pomodoro Worksheet
    • ADHD Neurochemical
    • ADHD Procrastination reduction worksheet
    • ADHD Task Prioritization Worksheet
    • ADHD Worksheets
    • ADHD and Autism Symptoms
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    • Y-BOCS OCD Assessment
    • OBQ-44 - OCD Assessment
    • PHQ-9 & GAD-7
    • Compulsive Activities Checklist
    • Cognitive Restructuring
    • Thought Stopping
    • Rumination Reduction Worksheet
    • DBT Tools Anxiety Reduction
    • medications to treat OCD
  • Anxiety
    • Panic Attacks
    • Panic Attacks reduction Worksheet
    • Exposure Ladder Worksheet
    • DBT Tools Anxiety Reduction
    • Progressive relaxation
    • Systematic desensitization
    • Why You Feel Tired Before It Rains
    • Anxiety Reduction Worksheet
    • Grounding Skills Worksheet
    • Social Engagement Worksheet
    • Self‑validation, Self‑esteem & Self‑efficacy Worksheett
    • Social anxiety self rating scale
    • Physical Symptoms Social Anxiety
    • PHQ-9 & GAD-7
    • Anxiety Medications >
      • Sertraline
      • Buspirone (Buspar)
      • Fluoxetine (Prozac)
      • Effexor
      • Paroxetine (Paxil)
      • Escitalopram (Lexapro)
      • Propranolol (Inderal)
      • Hydroxyzine (Vistaril, Atarax)
      • Duloxetine (Cymbalta)
    • Body Map of Emotions
    • Neurobiology of Anxiety
  • AUD
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      • Naltrexone
      • Acamprosate
      • Disulfiram (Antabuse)
      • Topamax
      • Gabapentin
    • What to expect
    • Nutrition
    • Resources
    • Overcoming Shame
    • Health and Alcohol
    • AUD Videos
  • Bipolar
    • Bipolar Disorder Treament
    • Bipolar Check List
    • Mood Disorder Questionnaire (MDQ) –
    • Bipolar II Traits Screener
    • Bipolar Disorder Worksheets
    • DBT Tools Anxiety Reduction
    • Dysthymia assessment
    • Dysthymia Disorder Description
    • Cyclothymic Disorder Assessment
    • Cyclothymic Disorder Description
    • Cocaine abuse causes bipolar symptoms
    • Bipolar Disorder Medications >
      • Abilify
      • Lamictal (Lamotrigine)
      • Seroquel (Quetiapine)
      • Lithium
      • Depakote
      • Olanzapine (Zyprexa)
      • Risperidone (Risperdal)
      • Carbamazepine (Tegretol)
      • Lumateperone (Caplyta)
      • Cariprazine (Vraylar)
      • Brexpiprazole (Rexulti)
      • Lurasidone (Latuda)
      • Olanzapine/Samidorphan (Lybalvi)
  • Autism
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    • Autism more than one condition
    • Autism Treatment
    • 4 Autism Subtypes
    • ASD Medications
    • Autism Spectrum Rating Scale
    • Developmental History
    • ABAS-3
    • SRS-2
    • SPIN (Social Phobia Inventory)
    • Physical Symptoms Social Anxiety
    • Social anxiety self rating scale
    • Social Engagement Worksheet
    • ADHD and Autism Symptoms
  • CBT and DBT
    • CBTWorkbook
    • Cognitive Distortions
    • Impulse Pause & Reframe
    • CBT Tools Comprehensive
    • Cognitive Restructuring
    • Self‑validation, Self‑esteem & Self‑efficacy Worksheett
    • Anxiety Reduction
    • Anger Exercise
    • Breathing >
      • Journaling Benefits
    • Physical Symptoms Social Anxiety
    • DBT Tools Anxiety Reduction
    • Congruence worksheet
    • CBT Worksheets
  • Narcissistic Abuse
    • Pathology of Narcissism
    • Covert Narcissistic traits
    • Psychopaths vs Narcissists
    • How to DEFEAT a Narcissist
    • Narcissistic Family Members
    • Impact of a Narcissist Parent
    • Brain Venn Diagram
    • Narcissist Red Flag Checklist
    • Partner Narcissistic Traits
    • Narcissist - short assessment
    • 1 ) Narcissistic Relationship Assessment
    • 2) Narcissistic Relationship Assessment
    • Trauma Education
    • Grounding Techniques
    • Breathing Technique
    • Trauma Worksheets
    • Trauma Assessments
    • PCL 5 Trauma Assessment
    • ACE Childhood Trauma
    • Dissociative Experiences Scale
    • Super Traits
    • Cognitive dissonance Checklist
    • Cognitive dissonance treatment exercise
    • Assertiveness Worksheet
    • Narcissistic Personality Inventory, NPI
    • DBT Tools Anxiety Reduction
    • Hypersensitive Narcissism Scale (HSNS)
    • Therapy for Narcissists
    • Therapist checklist
  • Post-Concussion Syndrome
    • PCS - Vestibular intake
    • Isolation intake
    • PHQ-9 & GAD-7
    • Social anxiety self rating scale
    • Psychological effects
    • Cognitive Focusing exercise
    • Eye tracking exercise exercise
  • Insurance
  • Contact
    • Consent form 1