Clients with fragile X syndrome are often mistakenly identified as which other condition?

Clients with fragile X syndrome often present with characteristics that overlap significantly with autism spectrum disorder (ASD). This overlap can include social interaction difficulties, communication challenges, and repetitive behaviors, leading to a potential misdiagnosis. The fundamental reason for this confusion stems from the behavioral manifestations of fragile X syndrome, which can mimic those seen in autism.

Individuals with fragile X syndrome may display significant social anxiety and have trouble with peer interactions, much like those with autism. They may also engage in similar stereotypical movements or have a preference for routines, which are common traits in both populations. Consequently, clinicians may initially identify these clients as having autism rather than recognizing the underlying genetic condition.

While ADHD, Down syndrome, and intellectual disability may share some behavioral traits with fragile X syndrome, the distinct behavioral patterns and challenges that fragile X presents make the similarity with autism more pronounced, leading to this common misidentification.