My ASD Child

The American Psychiatric Association's Diagnostic and Statistical Manual, Fourth Edition (DSM IV), defines oppositional defiant disorder (ODD) as a recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures that persists for at least 6 months. Behaviors included in the definition include the following: • actively defying requests • arguing with adults • being touchy, easily annoyed or angered, resentful, spiteful, or vindictive. • blaming others for one's own mistakes or misbehavior • deliberately annoying other people • losing one's temper • refusing to follow rules OPPOSITIONAL DEFIANT DISORDER is usually diagnosed when an Aspergers youngster has a persistent or consistent pattern of disobedience and hostility toward parents, teachers, or other adults. The primary behavioral difficulty is the consistent pattern of refusing to follow commands or requests by adults. Aspergers kids with OPPOSITIONAL DEFIANT DISORDER are ...

To meet DSM criteria, certain factors must be taken into account. First, the defiance must interfere with the Aspergers youngster’s ability to function in school, home, or the community. Second, the defiance cannot be the result of another disorder, such as the more serious conduct disorder, depression, anxiety, or a sleep disorder. Third, the Aspergers youngster's problem behaviors have been happening for at least six months. The diagnostic criteria for this disorder are as follows: Diagnostic Criteria: 1. A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four (or more) of the following are present (Note: consider a criterion met only if the behavior occurs more frequently than is typically observed in individuals of comparable age and developmental level): 1. is often angry and resentful 2. is often spiteful or vindictive 3. is often touchy or easily annoyed by others 4. often actively defies or refuses to comply with adul...

I have an 11 year old boy diagnosed with high functioning autism. He just started middle school and we're having a very difficult time. Academically he is starting to settle in and is in advanced classes with a B average. However, he is having behavior issues particularly in settings like lunch time, PE, etc. He is being bullied but nothing is being done. The school says they don't see any bullying. Last week the PE teacher left the class to "free play" allowing my son to use metal pole to hit a tennis ball. A large boy (150lbs, my son weighs 60) hit my son in the face with a dodge ball knocking his glasses off (this same child has continuously teased and taunted by son all year), my son ran after him (of course rod still in hand) and there the story gets murky depending on who you talk to - the teacher was still no where around. My son had a skinned up elbow and bruising, apparently so did the other child - not confirmed. The teacher admitted he saw my child with t...

Question My son was diagnosed last yr with aspergers -high functioning- and i have had no help from his school. He can't concentrate and we spend hrs at night doing work that he could not finish in school. Is there any medication to help him with this? Where should i go from here ? thank you Answer There is no one specific medication for Aspergers or high- f unctioning autism (HFA). Some 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 children with stereotyped movements, agitation and idiosyncratic thinking, we may use a low dose antipsychotic such as risperidone. Students with an autism spectrum disorder: are distracted by internal stimuli have difficulty sustaining focus on classroom activities (often it is not that the atten...

“Do younger kids with ASD have meltdowns on purpose? Can they be prevented? What's the best way to respond? Should the child be punished for having a meltdown? When might meltdowns be a sign of something more serious? Sorry for all the questions, but we are trying to learn all we can to help or little girl.”  A meltdown (which oftentimes looks like an intense temper tantrum) is the expression of an Aspergers or high-functioning autistic youngster's frustration with the physical, mental or emotional challenges of the moment. Physical challenges are things like hunger and thirst. Mental challenges are related to her difficulty learning or performing a specific task. Emotional challenges are more open to speculation. Still, whatever the challenge, frustration with the situation may fuel an ASD kid's anger — and erupt in a meltdown. Consider this: Most 2-year-olds have a limited vocabulary. Moms and dads may understand what a toddler says only 50 percent of the time. ...

Even the best-behaved Aspergers children can be difficult and challenging at times. Aspergers adolescents are often moody and argumentative. But if your Aspergers child or adolescent has a persistent pattern of tantrums, arguing, and angry or disruptive behaviors toward you and other authority figures, he or she may have oppositional defiant disorder (ODD). As many as one in 10 Aspergers children may have ODD in a lifetime. Treatment of ODD involves therapy and possibly medications to treat related mental health conditions. As a parent, you don't have to go it alone in trying to manage an Aspergers child with ODD. Doctors, counselors and child development experts can help you learn specific strategies to address ODD. Symptoms— It may be tough at times to recognize the difference between a strong-willed or emotional child and one with ODD. Certainly there's a range between the normal independence-seeking behavior of Aspergers kids and ODD. It's normal to exhi...

Question My son is 8 and has Asperger's with sensory integration disorder. Recently he was having a LOT of anxiety, biting his nails until they bleed, he worries, etc. His pediatrician prescribed a low dose of Prozac and we had 2 weeks of that. It was a disaster… it really badly affected his sleeping habits. We stopped him cold turkey and now realize that wasn't the right thing to do. We stopped the medication about 2 weeks ago. About one week ago he started having real problems in school with paying attention, etc. Now the Dr wants to put him on Concerta and I am just worried. He is very fidgety and has a really hard time sitting still and paying attention. But I fear that once we start on these meds it will be a merry-go-round that we can't get off of. Answer Although parents are often tempted to give up on a medicine when their youngster is having problems with it, since any medicine can cause side effects, it is often better to adjust the dose before...