Road work forces Desmond's mother to take a different route to the clinic. Desmond screams and cries for 20 minutes and repeatedly asks to go "the right way." This behavior best illustrates which restricted, repetitive behavior?
Show answer & explanation
Answer: B
Hyperreactivity to sensory input: Sensory hyperreactivity is an adverse response to a sensory stimulus such as noise; the trigger here is a change in route.
Insistence on sameness: Correct. Extreme distress at small changes and needing to take the same route every day are DSM-5-TR examples of insistence on sameness.
Highly restricted, fixated interest: A fixated interest is intense focus on a topic or object, not distress when a routine changes.
Stereotyped motor movements: Stereotyped movements are repetitive actions such as hand flapping or rocking, which are not described.
Insistence on sameness covers inflexible routines, ritualized patterns and extreme distress at small changes, such as a new route.