How Do Autism Specialists View DSM‑5 vs ICD‑11?

PostedNovember 15, 2025

UpdatedNovember 15, 2025

ByMy Patient Advice

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Autism professionals often use both diagnostic systems, but perspectives can vary depending on their clinical environment and purpose. When comparing how specialists view DSM‑5 vs ICD‑11 usage, it’s clear that each framework offers unique strengths. DSM‑5 provides a detailed behavioural profile, while ICD‑11 aligns with global coding and health policy systems.

How Specialists Compare DSM‑5 and ICD‑11

Here’s how clinicians and researchers typically interpret the two leading diagnostic frameworks for autism:

DSM‑5 is preferred for clinical detail

Many specialists value DSM‑5’s structured definitions and symptom groupings, which support precise behavioural assessments and in-depth reports.

ICD‑11 supports health system alignment

Because ICD‑11 is tied to international medical coding, it’s more commonly used in hospitals, GP referrals, and national reporting.

Combined use is common

Experts often reference both systems. For example, a psychologist may use DSM‑5 during evaluation but document results using ICD‑11 for consistency with medical records and autism guidelines in public health services.

Why These Views Matter

Understanding the preferences of specialists regarding DSM‑5 and ICD‑11 highlights the importance of flexible, informed care. It also ensures that clinicians can align with both research standards and practical health systems. Their clinical opinions shape the way autism is defined, tracked, and supported around the world.

For guidance that reflects both major systems, visit providers like Autism Detect for expert advice.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Autism Diagnostic Criteria (DSM-5, ICD-11).

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.