Asperger’s syndrome is a neuro developmental disorder, also known as Asperger’s disorder. Clinical features of Asperger’s are characterized by difficultly in daily social interactions, repetitive and restricted patterns of interests, activities, and behavior. Dr. Hans Asperger who first illustrated the condition in 1944 observed features including poor communication skills ,lack of empathy, little ability to form relations such as friendship, obsessive schedules ,one-sided banter, extreme absorption in a special interest, and clumsy movements in his subjects. Even though there is no cure for Asperger’s disorder, multi dimensional treatment approach which incorporates wide variety of effective treatments help an individual to interact socially and more naturally by learning better social skills and communication cues,
Most usually preferred mode of treatment involves one or multiple social, behavioral, and/or educational interventions which helps, most individuals with Asperger’s Disorder lead improved lives, with close friends and family. Management of asperger’s syndrome usually consists of following :
Early exposure to educational therapies often yields very effective results. Highly structured educational programs consist of array of activities for social skills improvement, behavior modification and communication enhancement.
. Through series of simple steps , attention of individual with asperger’s syndrome is actively engaged to provide regular reinforcement in specific areas of improvement by focusing on ’s interest
Many behavioural therapies address the range of’ social behavioural difficulties related with asperger’s. Some therapies focus particularly on reducing problem behaviours and teaching new skills younger children who receive individualized behavioural interventions intensively often show good advancement
Language and communication therapies
It is one of the most important methods aiming at reducing the barrier of individual with asperger’s and his immediate environment. It helps the individual to learn how to act in social situations, and how to communicate better with others.
Social skills training
Individual psychotherapy is given to help the individual to detect social cues, to learn better social skilfulness and to deal with the emotions adjoining the disorder
Parent education and counselling
Understanding and support from family is integral for individual with Asperger’s, therefore supportive therapy for the parents family or loved ones is significant. It helps loved ones to have better understanding of the condition, and it facilitates them with skills to manage the problem behaviour of individual with Asperger’s. It also helps individual to promote daily living skills, communication and social interaction skills of the subject.
Parental counselling and supportive psychotherapy can be very useful in alleviating parental anxiety and trauma, and helping their active involvement in therapy.
Drug treatment can be used to manage symptoms such as inattention impulsivity anxiety and hyperactivity etc
Tricyclic Antidepressants (imipramine, clomipramine, nortriptyline) and SSRIs (sertraline, fluoxetine) are prescribed for anxiety
: Psychostimulants like methyphenidate, dextroamphetamine, metamphetamine , clonidine; Tricyclic Antidepressants like desipramine, nortriptyline and Strattera is usually prescribed for inattention,impulsivity ,hyperactivityand
:Tricyclic Antidepressants(clomipramine) and SSRIs (fluoxetine, fluvoxamine, , paroxetine), are usually given for preoccupations and compulsions
Mood Stabilizers such as valproate, carbamazepine, lithium and Beta Blockers such as nadolol, propranolol,and clonidine, naltrexone, Neuroleptics are given to manage irritability and aggression