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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.


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