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Cognitive-Behavioral Therapy: Advice for Adults with Aspergers

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If you are an older teen or adult with Aspergers or High-Functioning Autism, and are struggling to “make it” (i.e., cope) with real-world circumstances and social situations, then this may be the most important article you’ll ever read: The ideal treatment for Aspergers coordinates therapies that address core symptoms of the disorder, including poor communication skills and obsessive or repetitive routines. While most therapists agree that the earlier the intervention, the better, there is no single best treatment package. Aspergers treatment resembles that of other high-functioning Autism Spectrum Disorders except that it takes into account the linguistic capabilities, verbal strengths, and nonverbal vulnerabilities of children with Aspergers. A typical program generally includes: Cognitive behavioral therapy to improve stress management relating to anxiety or explosive emotions, and to cut back on obsessive interests and repetitive routines Medication, for coexisting con

Behavioral, Emotional and Cognitive Traits of Kids on the Autism Spectrum

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Based on the challenges that Autism Spectrum Disorders (ASD) present, it’s no surprise that kids and teens diagnosed with Asperger’s (AS) and High-Functioning Autism (HFA) often have behavioral and emotional problems. These challenges are most often connected to social deficits associated with the disorder (e.g., when the youngster fails to take his turn in a playground game because he doesn't understand the social rules of an activity). These challenges frequently involve feelings of stress, loss of control, or the inability to predict outcomes. Therefore, children with AS and HFA typically have behavior problems connected to their inability to function in a world they see as unpredictable and threatening. As a result, they may behave in ways that appear mean-spirited or malicious. But, this is an unfair assessment. While these “special needs” children do have behavioral difficulties, their problems are most often associated with their social ineptness, an obsessive interest

I've been diagnosed with Aspergers -- now what?

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Question I’m a 35-year-old male. My therapist has suggested that I may have high-functioning Aspergers (symptoms are difficulty with talking, words and overall social ability; extreme difficulty with change in routine; isolation; astounding and detailed long-term memory with poor short-term, etc.). I find it hard to believe that a "fully developed" adult can actually remedy this. Should I confront this diagnosis as a behavioral issue with cognitive behavioral therapy …or a biological one with medication? At this point, can a treatment do anything besides make me more comfortable with the disorder? I've asked my therapist, but because most medical literature addresses intervention in childhood, he can't say much. Answer Aspergers (high functioning autism) is nearly impossible to identify outside of the context of traditional social and cultural settings. The brain is simply wired a bit differently and acts on different sets of cues. You're not de

Finding Hidden Meaning Behind Problematic Behaviors in Kids with ASD

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"Question: How to know what triggers my son's (high functioning autistic) difficult behavior? Thanks in advance!" Many parents of children with ASD - Level 1 [High-Functioning Autism] have discovered that some of their youngster’s behaviors make no obvious sense and do not serve any clear purpose. But when these children engage in “odd” or confusing behavior, they are also sending the parent hidden clues about things that are important to them. Thus, it’s the parent’s job is to break the code so she can interpret the clues. By becoming more like a “detective,” parents can begin to notice coded messages they didn’t see before, and as a result, find more effective ways to help their “special needs” youngster. Becoming a good detective also helps parents respond more carefully to peculiar behaviors so they don’t unintentionally reinforce or reward them. Parents of autistic children can begin to develop “investigator skills” by recording problematic behaviors, similar

The Cycle of Anxiety to Inflexibility in Kids on the Autism Spectrum

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“My son on the autism spectrum (high functioning) is very stubborn - and is often angry and disobedient. He also has severe anxiety. Is it possible that the anxiety is causing him to act-out in various ways?” The short answer is “yes.” A common theme exists among children with Asperger’s and High-Functioning Autism (HFA) – specifically, their tendency to exhibit both behavioral and cognitive rigidity (which parents often perceive as stubbornness and disobedience) in response to anxiety. A strong correlation between anxiety and inflexibility is evident both at home and in the school environment.  Anxiety— A vulnerability to anxiety is an intrinsic feature of Asperger’s and HFA due to (a) specific neurotransmitter system defects, (b) a breakdown in circuitry related to extinguishing fear responses, and (c) a secondary consequence of the child’s inability to make appropriate social judgments. There are several factors at play that increase the anxiety level of children on

Aspergers Q & A: "My step-son has had numerous meltdowns off and on for most of his life..."

Question My step-son is about to turn 12. He has been diagnosed with Asperger's Syndrome. He currently lives with his mother and step-father and half sister. My husband and I live with our son and my two daughters. My step-son has had numerous meltdowns off and on for most of his life. He seems to pick one thing out of his life and fixate on it until he is so afraid of it that he has a meltdown. These fixation normally last for six months or more until all of a sudden, he is no longer afraid of it but finds a new thing to fear. Currently, he is fixated on being scared of coming to visit his dad and is constantly making up excuses not to visit. We have tried to explain to him that there is nothing to be afraid of. We love him very much. He told me that he is afraid that his dad will yell at him or get on to him. Now, I have been with my husband for 7 years and I have seen that the only thing he gets in trouble for is the normal everyday stuff that children get into trouble abo

Great Resources for the Management of Young People on the Autism Spectrum

Below is a list of resources for professionals who work with children and adolescents on the autism spectrum: 1.    Afzal N, Murch S, Thirrupathy K, Berger L, Fagbemi A, Heuschkel R. Constipation with acquired megarectum in children with autism.Pediatrics.2003;112 :939– 942 2.    Aman MG, Lam KS, Collier-Crespin A. Prevalence and patterns of use of psychoactive medicines among individuals with autism in the Autism Society of Ohio. J Autism Dev Disord.2003;33 :527– 534 3.    Aman MG, Novotny S, Samango-Sprouse C, et al. Outcome measures for clinical drug trials in autism. CNS Spectr.2004;9 :36– 47 4.    Aman MG. Management of hyperactivity and other acting-out problems in autism spectrum disorder. Semin Pediatr Neurol.2004;11 :225– 228 5.    American Academy of Pediatrics, Committee on Children With Disabilities. Auditory integration training and facilitated communication for autism. Pediatrics.1998;102 :431– 433 6.    American Academy of Pediatrics, Committee on Children With Disab