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's symptoms are consistent with those of autism spectrum disorder (ASD), particularly her lack of interest in social interaction and her repetitive behaviors such as spinning the pencil. Mental retardation and expressive language disorder do not fully capture her symptoms, and while Rett's disorder also involves repetitive behaviors, it is typically characterized by developmental regression and loss of previously acquired skills, which are not reported in this case.

What Is the Best Diagnostic Label for Misha? at Six