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Medications for Asperger's Syndrome

No specific treatment for the core symptoms of Aspergers is available, and no cure exists for the disorder. Educational and behavioral supports are the primary treatments used for chidlren with Aspergers. Psychopharmacology and other treatments may also be used to manage some of the problem behaviors associated with Aspergers. Some Aspergers children are on no medication.

In other cases, we treat specific target symptoms. One might use a stimulant for inattention and hyperactivity. An SSRI such as Paxil, Prozac or Zoloft might help with obsessions or perseveration. The SSRIs can also help associated depression and anxiety. In individuals with stereotyped movements, agitation and idiosyncratic thinking, we may use a low dose antipsychotic such as risperidone.


Comments—

We tried Abilify for my Aspergers son when he was about 16. Although it did make him a bit more comfortable and appropriate socially, it made him very groggy. The right balance of meds is very dependent on the individual. I chose to forego the social gains in favor of keeping him aware more of his involved in life. Tough call.

I've heard both from the Autism Center at the University of Washington and from our meds management PhD that Risperdal (Risperidone) is one of the few meds consistently proven effective in treating autism. It works for my son, although he must take it at bedtime to avoid the sleepiness it otherwise causes. He also takes another mood stabilizer, an SSRI antidepressant, and Straterra (a time-release form of methylphenidate) to aid in concentration. This "cocktail" doesn't resolve all his issues, but he's made tremendous progress while taking it. He's 19 now.

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My son is 8 now and has always been very unique. He has been and continues to be a very challenging child. As in the prior post my son rarely cries if at all and his emotions are typically expressed in angry outbursts. He is an avid reader and loves his computer and video games. He is extremely bright scoring in the 99th percentile nationwide. He hates homework, however and while accepted into an accelerated program at school does not exhibit the typical traits of a "gifted" child. He likes to be alone and will often complain about noise but sometimes noise seems not to bother him in the least. He speaks to others as if he were a 13 or 14 year old boy. He is often disrespectful and seems not to realize that he is offending others.


He has been prescribed Buspar and after only one day's worth of doses, was a completely different child. The medication seemed to work wonders but he complained of muscle spasms and the physician took him off and put him on Clonazepam, which seems to have done absolutely nothing at all. In fact, he complains of frequent headaches and begs not to take the medication. He prefers the Buspar despite the muscle spasms.

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While I was in the hospital for a week the doctors started me on Anafranil and Welbutran. I am curious as to how often doctors prescribe medication for Aspergers Syndrome. According to my doctor the Anafranil is used to help me think less obsessively, and the welbutran is to help cope with the depression that comes along with the social isolation. I think I can cope with Aspergers just fine, but recent circumstances caused me to get way overwhelmed with a lot of stuff causing very severe anxiety.

Aspergers & Depression

Depression is one comorbid condition of Aspergers and it is one disorder which is seen in almost every person suffering from Aspergers. This very disorder makes its appearance when the youngster with Aspergers is as young as three years of age and the parents will find that the youngster is prone to crying several times a day. This number can be more than twenty or thirty times in a single day and that too for the most trivial reasons. The youngster is unable to explain as to why he or she is crying as one with Aspergers has a difficulty in expressing their own feelings.

Soon enough it is likely that the youngster will begin to talk about death wishes and all of this will worsen as the youngster is admitted to school and when he or she faces the situation where he or she has to interact socially with the teachers as well as the other students of the same age. This depression can get really aggressive when the youngster might start talking about killing himself or herself or the person on whom he or she gets mad.

It is not very clear as to why Aspergers causes depression in a person but several reasons can come together to bring about the effects. The people who suffer from Aspergers are usually found to have anxiety disorder as well and this can be a reason as to why he or she gets depressed over trivialities. Being anxious all the time can cause a lot of stress and this often leads to depression even in those that do not have Aspergers.

Another reason, that may cause depression in a person with Aspergers, is the realization of being different from the rest of the people that live around them. When a youngster with Aspergers begins to go to school he or she realizes that the other kids can do a lot of things that he or she cannot and they start to feel that they are different. Again they are also unable to express their own feelings which will lead to frustration and gradually to depression for sure. Depression is caused within these kids and adults as they feel that everybody around them speak in a very different language and they also fail to get the social norms which everybody else follows pretty easily.

The best thing which can be done to help these kids and adults with Aspergers to cope with depression is to first know as much as one can about the Syndrome and then allow the youngster or the person to take breaks from school and from work. The youngster might enjoy long walks alone or a visit to the cafeteria and these are to be granted to him by the parents as well as the teachers. The people around the youngster and the adult with Aspergers can also talk with him or her about his or her favorite topic and also narrate funny stories every now and then to keep them at ease and in a jovial mood.

What are the common symptoms to look out for?

Question

For a mom or dad who suspects their youngster may have Aspergers, what are the common symptoms to look out for?

Answer

Aspergers is a developmental disorder that affects a youngster's ability to socialize and communicate effectively with others. Kids with Aspergers typically exhibit social awkwardness and an all-absorbing interest in specific topics.

Signs and symptoms of Aspergers include:

• Appearing not to understand, empathize with, or be sensitive to others' feelings
• Displaying unusual nonverbal communication, such as lack of eye contact, few facial expressions, or awkward body postures and gestures
• Having a hard time "reading" other people or understanding humor
• Having an odd posture or a rigid gait
• Moving clumsily, with poor coordination
• Showing an intense obsession with one or two specific, narrow subjects, such as baseball statistics, train schedules, weather or snakes
• Speaking in a voice that is monotonous, rigid or unusually fast

Autism and Aspergers are difficult to diagnose especially in young kids where language and cognitive skills are still developing. All kids are different, and many toddlers show a sign or symptom of Aspergers at some point. It's natural for small kids to be egocentric, and many little ones show a strong interest in a particular topic, such as dinosaurs or a favorite fictional character. These alone aren't reasons to be alarmed!

However, if your youngster has frequent problems in school or seems unable to make friends, it's time to consult your pediatrician. These difficulties have many possible causes, but developmental disorders such as Aspergers shouldn't be ruled out.


Aspergers Teens: Drug Abuse and Addiction

Whether you are a parent, grandparent or any other person who cares about an Aspergers child's future, it is important that you be knowledge about how to prevent drug abuse. It's hard for us to imagine that an Aspergers child we love could end up using drugs. But chances are, many Aspergers children will be faced with, "Should I, or shouldn't I?" As parents we must teach our kids to know that the answer is, "I shouldn't, and I won't."

If you suspect your Aspergers teen has been using drugs or drinking alcohol, it's important to act quickly: the longer your teen abuses substances, the more likely they are to become addicted. If you do find the problem is beyond your expertise, there are teen drug treatment programs that specialize in the special needs of this population.

Be especially scrutinizing as you determine the drug rehab program that meets your Aspergers child's specific needs.

Chemical dependency in Aspergers teens is a treatable condition. The first goal of treatment is abstinence. The chemically dependent child must stop using alcohol or drugs. This sometimes requires a period of medical detoxification.

Once alcohol and/or drug use is stopped, Aspergers teens may honestly feel that they have the desire and ability to remain sober. This period can last days, weeks or months before cravings (the obsessive pressure to use) return. To reduce the risk of a relapse, the Aspergers teen must address personal problems and life issues related to the chemical dependency.

Some of those issues are addressed in group therapy, individual counseling sessions, educational lectures, and discussion groups in chemical dependency treatment. The therapy process helps chemically dependent teens obtain the insight and skills needed to understand and deal with problems associated with their alcohol and drug use. They learn to deal with their problems from a psychological, emotional, and spiritual perspective as well as from a physical perspective. After treatment, personal problems and other major life issues can be handled at a higher level of functioning.

Treatment for chemical dependency is available in residential settings, in outpatient centers, and now online.

Asperger's Syndrome and Substance Abuse

Pain, loneliness and despair can lead to problems with drugs, sex and alcohol/drugs. In their overwhelming need to fit in and make friends, some Aspergers teens fall into the wrong high school crowds. Teens who abuse substances will use the "Aspie's" naivety to get him to buy or carry drugs and liquor for their group.

Growing from childhood into adulthood can be very difficult for those diagnosed with Aspergers, and the typical pressure of drinking can lead to substance abuse, especially since substance abuse can seem like a temporary “cure-all” or an escape method for coping with other issues. If the symptoms of Aspergers have never been successfully treated or acknowledged, this can make alcohol/drugs abuse an even more likelihood, just as there is an increased risk for substance abuse for anyone with untreated disorder such as depression.

Despite wanting to have friends and engage with others, the awkward attempts and social deficits of individuals with Aspergers often make them the outsider in their peer groups. “Aspies” are often bullied or made the butt of mean-spirited jokes. Older children, teens and adults may simply be ostracized. Their repeated, but often rebuked attempts at friendships, and their painful awareness of their differences from their peers, often lead individuals with Aspergers to develop anxiety and/or depression, which may lead to alcoholism and/or drug abuse as a way to cope.

Aspergers comes not only with its own characteristics, but also with a wide variety of comorbid conditions such as depression, anxiety, obsessive–compulsive disorder, attention-deficit hyperactivity disorder (ADHD), drug abuse, alcoholism, and relationship difficulties (including family/marital problems). It may predispose individuals to commit offences and can affect their mental capacity and level of responsibility as well as their ability to bear witness or to be tried. The syndrome can color psychiatric disorder, affecting both presentation and management, for children and adults across a wide range of functional ability.

It is important to understand that Aspergers does not cause substance abuse. Substance abuse can be caused by a number of circumstances, including social reasons, depression, and even genetics. However, those with Aspergers may be slightly more susceptible to substance abuse, just as those with depression or bipolar may also be. Alcohol/drugs is often seen as a way to self-medicate oneself or deal with problems. Perfectly “healthy” people are just at as much risk for substance abuse as someone with Aspergers may be.

Effects on Families and Relationships—

There is often a tremendous amount of stress on families (parents, grandparents, siblings) of children and teens with Aspergers, as well as spouses who are married to adults with Aspergers. Not everyone reacts similarly, nor do all families experience the full range of potential issues, but some of the issues to be aware of include the following:

• Having a romantic or intimate partner with Aspergers can affect the relationship in a number of ways, most notably in the areas of communication and emotional give-and-take. Incorrect assumptions made by the individual with Aspergers often lead to self-protective strategies of distancing oneself entirely and then not responding at all to one's partner. An emphasis by the non-affected partner on expressing feelings is likely to lead to frustration and dissatisfaction

• Parents may experience a range of concerns and emotions as they attempt to understand what caused the disorder. They may ask, "Was it my fault?" and inappropriately assign self-blame. They may feel guilt and grief over having an individual in their family they love who will suffer a lifelong disability. They may wonder and worry about what others will think, and feel personally inadequate. They may fret about how they will explain Aspergers to their family and friends, what can they do to help, and what financial resources will be necessary to help. And, they may worry about what will happen to this individual in the future, when the parents are no longer there to support him or her

• Siblings may often feel embarrassed around peers, frustrated by not having the type of relationship with their sibling that they wanted or expected, and/or angry that the child with Aspergers requires so much of the family's time and resources at their expense

Treatments—

Treatments are not cures, but there are a number of different interventions that have been shown to be effective in reducing symptoms associated with Aspergers. There are primarily three different environments for receiving services: schools, the physician's office, and various specialists' offices (including rehabilitation therapists, and mental health professionals).

School districts are required to provide a range of services from support in the mainstream classroom to special education classes, depending upon the needs of the individual.

A physician's treatment usually involves prescribing medication to address symptoms associated with Aspergers: attentional issues, obsessive-compulsive issues, anxiety and/or depression.

Rehabilitation therapy includes speech-language pathologists, occupational therapists, vision therapists, and art or music therapists.

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