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They also may be unable to consider results of their actions. They may miss cues used as subtle messages like gestures and facial expressions. They may be socially and emotionally immature and have difficulty getting along with peers. Children with FAS, ARND and ARBD can be easily influenced by others.
Several studies have shown an increased risk for cognitive disorders (e.g., memory loss), mental illness, or psychological disorders among people with FASDs. The most frequently diagnosed disorders are: Attention problems, including attention-deficit/hyperactivity disorder (ADHD)
Pediatrician/physician with expertise in FASD and differential diagnosis. Occupational therapist. Speech-language pathologist. Psychologist.
ND-PAE appears in the category Specified Other Neurodevelopmental Disorder, code 315.8 (page 86). The DSM-5 delivered a stand-alone diagnostic code that enables clinical tracking and epidemiologic monitoring of fetal alcohol spectrum disorder (FASD).
Therefore, it is recommended that it be made by a multidisciplinary team comprised of specialists such as pediatricians/physicians, psychiatrists, psychologists, speech-language pathologists, and occupational therapists, all of whom should be specifically trained in making FASD diagnoses.

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Overview of the Diagnostic Process A typical FASD evaluation is performed by a team consisting of a primary care clinician or developmental pediatrician, psychologist, social worker and speech-language pathologist. The team may also include an occupational therapist or educational specialist.
Diagnostic Criteria for Fetal Alcohol Syndrome Clinical featureCriteria Shortened palpebral fissures 10th percentile for age and racial norms Smooth philtrum Score of 4 or 5 on Lip-Philtrum Guide (Figure 3) Thin vermilion border of upper lip Score of 4 or 5 on Lip-Philtrum Guide 15 Jul 2005
If you or the doctor thinks there could be a problem, ask the doctor for a referral to a specialist (someone who knows about FASDs), such as a developmental pediatrician, child psychologist, or clinical geneticist.

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