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Why “High-Functioning Autism” Is No Longer Used

The term high-functioning autism was once used to describe individuals with autism who had strong language or cognitive skills. However, it is no longer an official diagnosis. In 2013, the DSM-5 replaced this and other outdated terms with the broader classification of Autism Spectrum Disorder (ASD).


This change reflects a more accurate understanding of autism as a spectrum—a range of strengths, challenges, and support needs. The term “high-functioning” suggested that some individuals required little support, which often led to their struggles being overlooked. Conversely, “low-functioning” labels unfairly minimized the strengths and potential of others.


Today, clinicians describe autism using support levels (1, 2, or 3) based on how much assistance a person needs in daily life. This approach removes stigma and emphasizes individualized care.


At Steady Strides ABA, we focus on understanding each person’s unique abilities and challenges rather than fitting them into outdated labels. Our goal is to provide compassionate, personalized therapy that helps every individual reach their fullest potential.


Frequently Asked Questions

  • Why is the term “high-functioning autism” no longer used?

    The term is outdated and no longer used in clinical diagnosis because it oversimplifies the wide range of abilities and challenges experienced by autistic individuals.

  • What replaced the term “high-functioning autism”?

    The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) now uses the term Autism Spectrum Disorder (ASD) with levels of support needs instead of “high” or “low” functioning labels.

  • Why was this change made?

    The old labels created stigma and misunderstanding. Some people labeled “high-functioning” still face serious challenges, while those labeled “low-functioning” may have strong abilities in other areas.

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