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An unusual manifestation of Diagnostic overshadowing - Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) by Separation Anxiety Disorder (SAD): A five year follow-up case study. |
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S.S. Meera - University of Bangalore, India.
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Ramesh Kaipa - University of Canterbury, Christchurch, New Zealand.
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Jaslin Thomas - Kara for Kids, Bangalore, India.
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N. Shivashankar - NIMHANS, Bangalore, India.
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| SRCLD Year: |
2010 |
| Presentation Type: |
Poster Presentation |
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| Presentation Time: |
(na) |
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| - Developmental Disabilities |
| - Other Language Impairment |
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Diagnostic overshadowing is the tendency to overlook co-morbid health problems in the presence of a disability. Children with communication disorders may present a range of co-morbid conditions. However, at times, one of the co-morbid conditions surfaces so strongly that the primary condition goes unnoticed by the clinician, resulting in diagnostic overshadowing. There is limited literature in this area of diagnostic overshadowing in the domain of developmental communication disorders. Keeping this in mind, we present a case of a child who was initially diagnosed to have Separation Anxiety Disorder (SAD) but who, during the course of follow up, exhibited features of Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS), thus highlighting the severity of SAD, which overshadowed PDD-NOS. This case exemplifies the phenomena of diagnostic overshadowing, where the primary disability was masked by a co-morbid condition, which is an unusual occurrence. Importance of follow up and the need for Speech-Language pathologists to be sensitive to possible multiple diagnoses are highlighted in the current case study. |
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