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Aspergers Plus ADHD

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Question My daughter is 9 and has ADHD and Asperger's. She takes Methylphenidate twice a day so that she may focus at school, but when the second dose wears off she becomes uncontrollable. She is loud & completely disobedient. I have a 6 year old son also and am a single mother. I am at my wits end. I feel like I have tried everything and nothing works. She talks back to me always. There is not one time that I ask her to do something that she doesn't argue back. Please help me :o) Answer It sounds like she does fine until her meds wear-off. We’ll start there… Have you tried sustained release forms of ADHD medication, or one of the long acting stimulants? Sustained release forms of these medications have the benefit that the medication is often still working after school, as your youngster is trying to do his homework. The sustained release pills must be swallowed whole (except for Adderall XR).The long acting stimulants generally have the duration of ...

The Gluten-free Casein-free Diet: Does It Really Work?

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A gluten-free, casein-free diet is definitely recommended for children with Aspergers and High Functioning Autism. Here’s why: The molecular structure of partially undigested proteins, called peptides, resembles opiates. These peptides have an effect much like opiates (i.e., morphine, heroin) in the brain and nervous system. Long-term exposure to these opiate peptides can have many damaging effects on the developing brain and also affects behavior, just as any narcotic would. The opioid peptides involved are identified as casomorphines from casein, and gluten exorphines and gliadorphin from gluten. Children with Aspergers and High Functioning Autism usually have gastrointestinal problems (e.g., reflux, constipation, diarrhea, vomiting, hiccups, etc.). Proteins found in wheat, rye, oats, barley and dairy products (gluten and casein) aren't completely broken down in the Aspergers child’s digestion process. These undigested proteins can leak into the bloodstream, potentially...

Aspergers: Different Levels of Severity

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Question As I read articles about Aspergers, I have to question if there are different levels of Aspergers? My son does not have extreme behavior however I also have to ask if some of the behavior training I have drilled into him is showing more now as he ages. Some of the stories that I read seem extreme. I can think of extreme behaviors that he has displayed and lack of reasoning skills that he has shown, social issues, but still I wonder if he was dx incorrectly or am I just grasping at straws? Answer Health care providers think of autism as a “spectrum” disorder, a group of disorders with similar features. One person may have mild symptoms, while another may have serious symptoms. But they both have an autism spectrum disorder. Different kids with an autism spectrum disorder can have very different symptoms. Aspergers (high-functioning autism) can range from mild to severe. A child might have a few traits of Aspergers, or might have a large number of traits, and...

Problems with Insurance Reimbursement

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Question My son has Aspergers, and I am having problems getting my insurer to pay for specialty medical treatments that should obviously be covered. Do you have any suggestion? Answer Unfortunately, this is not uncommon. I have found that parents with Aspergers (high functioning autistic) children not only have a tough enough time locating a good referral for either diagnosis or treatment of the disorder, but they also have problems with insurance reimbursement. Sometimes, parents simply need to do some good old fashion “ranting and raving” to get things done – seriously! When parents are in HMO's and they are only offered low level assistance by therapists who don't know about Aspergers – it’s time to get tough. Find out who in your area is an expert on Aspergers and demand that your insurer pay for that person (even if they are out of network). It’s up to YOU to make sure your insurers will pay! If you are in the U.S., ask your State Insurance Offi...

The Best Books About Aspergers

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Question I’m a psychologist in the Chicago area. I’ve been getting more and more Aspergers clients over the last year, but am not well versed with this disorder or its treatment. Are there any books on this subject that you would recommend? Answer The following is an alphabetical list of “must have” books if you’re really serious about becoming an “expert” in the Aspergers field. These are all in my personal library: 1. An Asperger Marriage by Gisela Slater-Walker 2. Aquamarine Blue 5: Personal Stories of College Students With Autism by Dawn Prince-Hughes 3. Asperger Syndrome and Long-Term Relationships by Ashley Stanford, Liane Holliday Willey 4. Asperger Syndrome in the Family: Redefining Normal by Liane Holliday Willey 5. Aspergers in Love: Couple Relationships and Family Affairs by Maxine Aston 6. B. Smith Myles, K. Tapscott Cook, N. E. Miller, L. Rinner, L. A. Robbins, Asperger Syndrome and Sensory Issues: Practical Solutions for Making Sense of the World , ...