AtSouthDam, what an awesome sister she is to do the play training for you. It's great that your DD's learning-- those skills are important.
But the ability to learn those skills by rote with lots of practice is not enough to rule out an ASD. I'd find a specialist for a second opinion. You should not be pinched or head butted, so something has to change...
The ADOS is a very good test that evaluates social and play skills; our practitioners use it as the main test to decide if someone is on the spectrum or just quirky. It is a good test for teasing out how many subtle symptoms are present or absent.
HTH,
DeeDee
