Diagnostic Guide for Fetal Alcohol Spectrum Disorders - depts washington 2025

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DSM5 Diagnosis It requires evidence of both prenatal alcohol exposure and CNS involvement, as indicated by impairments in the following three areas: cognition, self-regulation, and adaptive functioning.
Thus, the 4-Digit Code 4444 reflects the most severe expression of FAS (significant growth deficiency, all three FAS facial features, structural/neurological evidence of CNS damage, and confirmed prenatal exposure to high levels of alcohol).
Specialists could be a developmental pediatrician, child psychologist, or clinical geneticist. In some cities, there are clinics whose staff members have special training in diagnosing and treating children with FASDs.
The DSM-5 Taskforce developed clinical mental health criteria to recognize Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (N D-PAE). The ND-PAE diagnosis requires evidence of more than minimal prenatal alcohol exposure.
There is no single test for FASDs. But your provider may: Check for intellectual disabilities and developmental delays. Look for certain physical features such as a small head, small eyes, and thin upper lip.
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The 4-digit diagnostic code The four digits of the diagnostic code reflect the magnitude of expression of four key diagnostic features of FAS in the following order: (1) growth deficiency; (2) the FAS facial phenotype; (3) brain damage/dysfunction; (4) gestational alcohol exposure (Fig. 1).
Fetal alcohol syndrome (FAS) is diagnosed by the presence of all of the following criteria: two of the three characteristic facial features (short palpebral fissures, thin vermillion border, and a smooth philtrum), growth ation (prenatally and/or postnatally), and central nervous system defects.

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