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ASD: further implications• Severe cases should all be recognized in preschool (majorityunder 3 years of age)• <strong>Asperger</strong> syndrome will not usually be diagnosed until schoolage (risk that some of these will be missed under DSM-V),but some will have been diagnosed as autism or ADHDbefore that age• ASD predicts ASD, not necessarily bad outcome• The other <strong>ESSENCE</strong> problems may be more important foroutcome than ASD “per se”• Severe hyperactivity/”ADHD” often major presentingsymptom• Tics may be indicative of better prognosis• LD, epilepsy, CP, genetic disorders, and ADHD all contributeto worse prognosiswww.gnc.gu.se