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Asperger syndrome - Treatment

Alternative Names

Pervasive developmental disorder - Asperger syndrome; Autistic spectrum disorder - Asperger

Treatment:

There is no single best treatment for all children with Asperger syndrome. Most experts feel that the earlier treatment is started, the better.

Programs for children with Asperger syndrome teach skills by building on a series of simple steps, using highly structured activities. Important tasks or points are repeated over time to help reinforce certain behaviors.

Types of programs may include:

  • Cognitive behavior or talk therapy, to help children manage their emotions, repetitive behaviors, and obsessions
  • Parent training, to teach techniques that can be used at home
  • Physical or occupational therapy, to help with motor skills and sensory problems
  • Social skills training, often taught in a group
  • Speech and language therapy, to help with the skill of everyday conversation

Medications such as selective serotonin reuptake inhibitors (SSRIs), antipsychotics, and stimulants may be used to treat problems such as anxiety, depression, and aggression.

Expectations (prognosis):

With treatment, many children and their families can learn to cope with the problems of Asperger syndrome. Social interaction and personal relationships may still be problems. However, many adults work successfully in mainstream jobs and are able to have an independent life, if they have the right kind of support available.

Calling your health care provider:

Call for an appointment with your health care provider if your child:

  • Does not respond to people
  • Has odd or peculiar speech
  • Has behavior that may lead to self-harm
  • Reviewed last on: 4/26/2010
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Bostic JQ, Prince JB. Child and adolescent psychiatric disorders. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier;2008:chap 69.

Shah PE, Dalton R, Boris NW. Pervasive developmental disorders and childhood psychosis. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 29.

Asperger Syndrome Fact Sheet. NINDS. January 2005. National Institute of Neurological Disorders and Stroke. NIH Publication No. 05-5624. Last updated Octboer 19, 2009.

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