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25.10.07

Aspergers syndrome and High Functioning Autism

Aspergers syndrome and high functional autism are considered separate diagnoses along the spectrum of autistic disorders. Even so, there are many similarities between the disorders so that some consider them to be different labels for the same condition.

Both those with Aspergers syndrome and those with high functioning autism have difficulties with sensory functioning and cannot tolerate certain noises or certain kinds of tactile stimuli. By definition, those with either disorder have an IQ which is at, near or above the normal intelligence range. Both conditions involve a child or adult who has learned to function in society or in their surroundings by relying on the skills they happen to be good at.

Children with high functioning autism and those with Aspergers syndrome think better in visual terms. They see pictures in their heads when recalling something and don’t have a particularly good ability to think in words. Both diagnoses are associated with a relative inability to understand nonverbal cues and facial expressions.

The primary difference noted in the diagnostic criteria for each disorder is the finding of a greater speech delay in high functioning autistics when compared to those with Aspergers syndrome. Others feel this represents a continuum and that this shouldn’t be enough to establish one diagnosis over another. Albert Einstein, for example, was felt to have characteristics of Aspergers syndrome, yet he couldn’t speak until he was three years old.

Unfortunately, there are no specific blood tests or other diagnostic tests to differentiate between the two diagnoses. Instead the diagnosis is based on clinical judgment and observation. Some children with tentative high functioning autism will catch up on verbal skills and will carry the same diagnostic appearance that Aspergers syndrome patients do. Their IQ may be at least as high as other children labeled with Aspergers syndrome.

Children with Aspergers syndrome and high functioning autism are both high functioning and, in general, they can all read, write, speak and understand. In the end, the final subtleties between the two diagnoses may just be a matter of semantics and may not represent a true difference in diagnoses.

The Parenting Aspergers Resource Guide: A Complete Resource Guide For Parents Who Have Children Diagnosed With Aspergers Syndrome.

Parenting Defiant Aspergers Teens

Although Aspergers is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager with Aspergers are more difficult than they would be with an average teen. Complicated by defiant behavior, the Aspergers teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

The standard disciplinary techniques that are recommended for “typical” teenagers do not take into account the many issues facing a child with a neurological disorder. Violent rages, self-injury, isolation-seeking tendencies and communication problems that arise due to auditory and sensory issues are just some of the behaviors that parents of teens with Aspergers will have to learn to control.

Parents need to come up with a consistent disciplinary plan ahead of time, and then present a united front and continually review their strategies for potential changes and improvements as the Aspergers teen develops and matures.

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How to Prevent Meltdowns in Aspergers Children

Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's child is totally out-of-control. When it ends, both you and the Asperger’s child are totally exhausted. But...

Don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

If your child suffers from Asperger’s Syndrome, expect him to experience both minor and major meltdowns over incidents that are part of daily life. He may have a major meltdown over a very small incident, or may experience a minor meltdown over something that is major. There is no way of telling how he is going to react about certain situations. However, there are many ways to help your child learn to control his emotions.

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Aspergers Children “Block-Out” Their Emotions

Parenting children with Aspergers can be a daunting task. In layman’s terms, Aspergers is a developmental disability that affects the way children develop and understand the world around them, and is directly linked to their senses and sensory processing. This means they often use certain behaviors to block out their emotions or response to pain.

Although they may vary slightly from person to person, children with Aspergers tend to have similar symptoms, the main ones being:

=> A need to know when everything is happening in order not to feel completely overwhelmed
=> A rigid insistence on routine (where any change can cause an emotional and physiological meltdown)
=> Difficulties with social functioning, particularly in the rough and tumble of a school environment
=> Obsessive interests, with a focus on one subject to the exclusion of all others
=> Sensory issues, where they are oversensitive to bright light, loud sounds and unpleasant smells
=> Social isolation and struggles to make friends due to a lack of empathy, and an inability to pick up on or understand social graces and cues (such as stopping talking and allowing others to speak)

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