“…The size and direction of the group level verbalnonverbal discrepancy have varied across samples in the literature, and the school-age SSC sample is another data point within the range. The variation likely reflects small sample sizes as well as sampling differences in functioning level [e.g., Siegel et al, 1996], co-occurring conditions [e.g., Kanai et al, 2017], the selection on IQ [e.g., Lennen et al, 2010], diagnostic criteria [e.g., Ghaziuddin & Mountain-Kimchi, 2004, Lincoln et al, 1998], and stringent genetic inclusion criteria [e.g., Nowell et al, 2015 and the present study]. All of these factors likely affect the verbal-nonverbal discrepancy in autistic individuals, providing a further rationale to avoid incorporating a discrepancy into diagnostic decision-making.…”