In DSM-5, the severity of an individual's intellectual disability is determined by:

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The severity of an individual's intellectual disability is determined by the level of adaptive functioning, which refers to the individual's ability to perform basic personal and social tasks independently. IQ scores are no longer the sole determinant of severity, as DSM-5 takes into account a broader range of factors that contribute to an individual's overall functioning. Self-report and school records may provide additional information but are not used to determine the severity of an intellectual disability.

In DSM-5, the Severity of an Individual's Intellectual Disability Is