The social-cultural adaptations that females are under more pressure to adapt to than males, are a key issue in why females may be missed in a diagnosis, however the androgyny and anorexia association may also contribute as factors to behavioral impairments associated with ASD, because of social-cultural pressures to adapt to gender roles that androgynous individuals may not be comfortable with.

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His answer to middle-class families who feel like they're standing on a trap door, just one pink slip or one medical diagnosis or one missed mortgage payment away from falling through and losing everything?

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The regulator also highlighted assessments that had missed vital information, such as a diagnosis of diabetes, and care records that were incomplete, meaning problems such as pressure ulcers could be missed by carers.

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"They are one pink slip, one missed mortgage payment, one medical diagnosis away from falling through, " she said.

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Her network, which included physicians, made a diagnosis that doctors might have missed.

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An intriguing finding is that perhaps higher-functioning girls with ASD are missed by clinicians who are not experts in diagnosis.

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They're just one diagnosis, one pink slip, one missed mortgage payment away from falling through and losing everything.

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But only one in a thousand of those in fact have a malignancy and are destined to die from it. (Most of the 4, 000 deaths per year from cervical cancer are in women who either never had a Pap smear or missed having one in the five years before a cancer diagnosis.) Over their lifetimes, 40% of women get a false alarm Pap.

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