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Treating Children with Aspergers and Comorbid Bipolar Disorder

Kids and teenagers with pervasive developmental disorders, including Aspergers, often are seen by pediatricians, pediatric neurologists, child psychiatrists, and other professionals as having a variety of behavioral and emotional disturbances (1–3). Aggression and self-injury are among the most common problematic behaviors that come to the attention of clinicians. In some of these kids and teenagers, these disturbing behaviors are symptoms of a comorbid psychiatric condition. However, many clinicians continue to view them as part of the underlying developmental disorder. In consideration of the long-term disability associated with the pervasive developmental disorders and the absence of specific pharmacological treatments for the core deficits of this disorder, it is of paramount importance to recognize and treat comorbid psychiatric conditions in these kids, which can substantially improve functioning (2, 3). This report summarizes a clinical case conference presented at McLean Hos

Primary Comorbid Conditions Associated with Asperger's and High-Functioning Autism

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In 1987, I started doing music therapy with children who had High-Functioning Autism (HFA). Although we didn't call it HFA at that time, we knew that some autistic children were higher functioning than others. I have always said - and continue to believe - that if you have an undiagnosed HFA child WITHOUT any comordid conditions, you have a child who may go his or her entire life without ever being diagnosed with HFA. The child might be viewed as a little weird by peers, but without any comorbid conditions, few - if any - adults (e.g., parents, teachers, etc.) would ever suspect that the child had HFA. This is because HFA has few problematic symptoms in-and-of itself. Most often, it is the conditions associated with HFA that indicate something is not quite right. For example, an alarming number of children who were eventually diagnosed with Asperger's were first diagnosed with ADHD years earlier. Unfortunately, in my 25+ years of experience, I have never met a child

High-Functioning Autism and Associated (Comorbid) Disorders

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“We’re in the process of having our son assessed for high functioning autism. We’ve had numerous problems in the past that have brought us to this point. The doc said he believes our son may have several ‘comorbid’ conditions as well. What other conditions might there be?” When a youngster has one or more conditions along with the main disorder, it is defined as comorbid and comorbidity. High-Functioning Autism (HFA) – also called Asperger’s (AS) – is listed as an Autism Spectrum Disorder and rarely travels alone. Nearly 100% of the time, the child will have other issues that will need to be addressed. Here are some of the common comorbid conditions associated with HFA and AS: 1. Attention Deficit Hyperactivity Disorder (ADHD) is a very common comorbid condition of HFA and AS. Here the youngster is unable to concentrate and becomes impulsive to a great degree. 2. Depression and anxiety are the two most common disorders found in a youngster with AS or HFA. Adolescents

The Role of Environment in the Psychiatric Difficulties of Kids on the Spectrum

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In a multitude of ways, the environment affects children with Asperger’s and high-functioning autism (HFA), and is a major factor that influences the severity of comorbid psychiatric disorders (e.g., anxiety, depression, OCD, bipolar disorder, ADHD, Tourette Syndrome, personality disorders, ODD, etc.). Undeniably, the varied expression of psychiatric problems in kids with Asperger’s and HFA is directly related to environmental factors, which suggests the opportunity for planning various interventions. For example, family and daily routines should be considered as environmental factors that can lead to exacerbation (i.e., an increase in severity) or amelioration (i.e., a decrease in severity) of comorbid disorders. The challenge of understanding the special needs of Asperger’s and HFA kids, and the problems associated with building a close relationship with them, often contributes to increased stress in their moms and dads. Parents of kids on the autism spectrum have been sh

Aspergers and Comorbid Conditions

Children with Aspergers and High-Functioning Autism are known to have several comorbid conditions. Comorbid conditions are those conditions or diseases that go along with having Aspergers. One of these conditions is known as ADHD or attention deficit hyperactivity disorder. Sometimes, these children can be misdiagnosed as only having the more common ADHD, with the Aspergers being missed. MORE INFORMATION: ==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's ==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism ==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance ==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism ==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook ==

Is there a cure for Aspergers?

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Unfortunately, there is no cure for Aspergers; however, there are a wide variety of helpful treatments that help those with Aspergers to learn better social skills and communication cues, and to help them be able to interact socially more naturally. By focusing on learning ways to cope with the symptoms and pick up on social cues, most people with Aspergers lead fairly typical lives, with close friends and loved ones. The mainstay of management for Aspergers is behavioral therapy, focusing on specific deficits to address poor communication skills, obsessive or repetitive routines, and physical clumsiness. Most kids improve as they mature to adulthood, but social and communication difficulties may persist. Some researchers and individuals with Aspergers have advocated a shift in attitudes toward the view that it is a “difference” rather than a “disability” that must be treated or cured. Treatment for Aspergers attempts to manage distressing symptoms and to teach age-appropriat

High-Functioning Autism and Comorbid Conditions

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"Is it common for a child with Autism (high functioning) to also have other disorders? My son had been diagnosed with ADHD and ODD, but now they think he may also be on the autism spectrum." Children with High-Functioning Autism (HFA) and Asperger's (AS) are known to have several comorbid conditions. Comorbid conditions are those conditions that go along with having an Autism Spectrum Disorder. One of these conditions is known as ADHD. Sometimes, these young people can be misdiagnosed as only having the more common ADHD, with the ASD diagnosis being missed. Obsessive Compulsive Disorder (OCD) can be a comorbidity with HFA and AS. In some cases, this doesn’t show-up until the youngster is an adult. What both conditions have in common is the need for order, and the presence of compulsive, sometimes irrational, repetitive behaviors. Some researchers believe that there is a neurological relationship between the two conditions. Because those with HFA an