What is the best diagnostic label for Misha? At six years of age,she does not play with other children and turns away when they approach her.She spends much of her time spinning a pencil endlessly in her fingers.She does not talk to others although she does sing jingles from TV commercials.

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Misha displays several characteristics that are consistent with a diagnosis of autism spectrum disorder. Examples include avoidance of social interactions and communication, restricted and repetitive behaviors, and difficulty with imaginative play. Other diagnoses, such as intellectual disability and expressive language disorder, may not fully capture the range of Misha's symptoms. Rett's disorder, while also a developmental disorder, is typically associated with more severe impairments in motor and language skills, which do not match the description of Misha's symptoms.

What Is the Best Diagnostic Label for Misha? at Six