AspergersAsperger’s treatment include adult directed behavioral programs using principles

AspergersAsperger’s Syndrome: Diagnosis and Treatment.” American Journal of Psychiatry, ajp.psychiatryonline.org/doi/abs/10.1176/appi.ajp.2008.08020272.History:labeled “autistic psychopathy” by Asperger in 1944Wing came up with the term asperger’s syndromeTerm appeared 7 decades after asperger’s contributionAsperger contributed greatly to the fieldCharacteristics: patients described as having above-average intellectual and language abilities significant disturbances in social and affective communicationSome cases showed low intellectual and language abilities individuals with widely varying intellectual and language abilities presaged the current notion of a “spectrum” of autistic disorders Depression In 41% of patientsanxiety (8%)bipolar disorder (9%) schizophrenia (9%)Diagnosis: Wing Describes a spectrum in varying degrees in intensity impairment in social interactionimpairment in communicationhigh-functioning autism at the time describe what was asperger’s syndrome todayDiagnosis includes:a detailed developmental history and review of social, communication, and behavioral development. Autism Diagnostic Interview—Revised (18, 19) Direct observation of the patient, using the ADOS Diagnosed at 11Causes:Pre-Treatment:screening for medical and psychiatric problemsSuch as seizures, sleep difficulties, sensory problems, anxiety,depressionschool records, previous testing and interventionsconsultation with the child’s teachers for their observations, particularly of peer interactionsoccupational therapy evaluation, with assessment of strategies to mitigate sensory issuesTreatment:approaches to treatment include adult directed behavioral programs using principles of applied behavior analysisnaturalistic child-centered approaches combination approach drawing on behavioral, developmental, and social-pragmatic principles A primary focus  is on enhancing social competenceSocial skills are typically taught using a variety of methodsSuch as:  friendship groups, classroom activities, privately taught social skills group therapy programs       To teach social skills:direct instructionrole playingModelingsocial storiesin vivo practice with peers, and constructive feedback             Woods, Alisa G, et al. “Treating Clients with Asperger’s Syndrome and Autism.” Child and Adolescent Psychiatry and Mental Health, BioMed Central, 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3851204/.History:Characteristics:3 common things: Lacking social skillsCyclical behaviors and or  objects of interest1/88 have  as in the usHas a higher prevalence among males 4 time the likelihoodAs does not impeded language development Does not impede child developmentMore common to be clumsy and movement problemsAS: may cause nonverbal learning difficultiesDifficulties having a conversationAny social interactionA feeling of isolation causes them to lack those skillsAre not aware the effect of actions Have trouble projecting nd or expressing their emotions May have anger issues Their actions may not represent their inner feelingsHave trouble understanding underhanded commentsunderstand straight forward commentsDon’t understand how to express feelingsAre overwhelmed by their feelingsMore Likely to experience bullying and abuse than othersMood disordersCan experience sensory overloadMay have sensory issuesDiagnosis:Use Dsm-5Or Dsm-IVTreatment:Therapy would be the best optionTo improve communication and social skillsAn aspect of teaching can also positively affect patientThis is if patient is uncomfortable with a groupHow patient feels in a major keyMust be an environment patients feels safeThis is to allow the patient to unwindAllows patient to discover himself and his feeling Counselor must be empathetic and honest CBTCognitive orientationOccupational performanceOccupational therapy

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