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What's the difference between Asperger's and autism?

Asperger's is no longer a separate diagnosis; it is now part of autism. It once described autistic people without language delay or learning disability, but UK clinicians stopped giving it after ICD-11 in 2022.

Emma Owen, Owner of The SEN Support Studio — reviewer of this Remarkable Minds answer

Fact-checked by Emma Owen, Owner of The SEN Support Studio. Last reviewed .

Former Local Authority SEN Advisor & specialist SEN teacher · 6+ years across SEN

Asperger’s is no longer a separate diagnosis; it is now part of autism. It once described autistic people without language delay or learning disability, but UK clinicians stopped giving it after ICD-11 in 2022.

They are not two different conditions

This is the part the thin search results get wrong. You cannot compare Asperger’s and autism the way you compare two illnesses, because they are the same thing described at two points in time. "Asperger syndrome" was an older label for one part of the autism spectrum. It was folded into the single diagnosis of autism spectrum disorder (ASD) in the DSM-5 in 2013, and then in the World Health Organization’s ICD-11, which came into force across the UK on 1 January 2022 (Autism Europe, on the WHO ICD-11). A UK assessment today gives an autism diagnosis, not an Asperger’s one (NICE CG142).

Then versus now

Read this as a before-and-after, not as a side-by-side of two living diagnoses.

What you are comparingAsperger’s (old ICD-10 term)Autism / ASD (current ICD-11 term)
Language developmentNo significant delay in spoken languageDescribed individually; delay may or may not be present
Learning disabilityNot present (often average or above-average ability)Recorded separately if present, not assumed
Diagnostic statusRetired; not given by UK cliniciansThe single current diagnosis
Manual it sits inICD-10 (older), DSM-IVICD-11 and DSM-5
What support it gives access toSame as autism, with no re-assessment neededAutism support, EHCP route, NHS services

Why you still hear "Asperger’s"

Anyone diagnosed before the change keeps their original diagnosis on their records, and many adults still use the word as part of who they are. That is fine. A previous Asperger’s diagnosis is clinically equivalent to a current autism diagnosis and does not need to be redone (National Autistic Society). The term is also increasingly avoided because of what is now known about Hans Asperger’s conduct under the Nazi regime, and because most autistic people prefer to be called autistic rather than carry a sub-label (NHS Dorset).

Where the law comes from

This page is general information, not clinical or legal advice.

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Asperger's vs autism: what's the difference? | Remarkable Minds