Arnold LE, Vitiello B, McDougle C, et al. Parent-defined target symptoms respond to risperidone in RUPP autism study: customer approach to clinical trials. J Am Acad Child Adolesc Psychiatry.20– 1450 15. Autism and Developmental Disabilities Monitoring Network Surveillance Year 2002 Principal Investigators.

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It is important that the bed and the bedroom are associated with sleep and are not associated with activity. When young people with High-Functioning Autism or Asperger’s have sleep problems, it is highly recommended that their bed and bedroom activity be limited to sleep only. It is important to make sure that extreme changes in temperature are avoided during the night. Increasing light is associated with decreases in the release of the neuro-chemical melatonin which triggers sleep onset. Thus, it is important to get the sunlight flowing in the child’s room as soon as possible in the morning. Conversely, darkening the room at night is critical.

When a child’s fear of the dark is an issue, behavioral psychotherapy may be necessary. I also recommend moving the clock so that the child is not watching the time while lying in bed. Here are a few additional suggestions that will help facilitate a good night’s rest:. Cool colors (those from the left side of the color wheel) are thought to provide a sense of calm. Choose one of these for your child’s bedroom, and avoid bright, loud colors that are more exciting than soothing.

If your child needs a little light to sleep comfortably, consider adding a couple of nightlights or a dimmer switch rather than having him sleep with a lamp on all the time. Loud pipes might be keeping your child awake when one person makes a bathroom visit in the middle of the night. Look for the cause of any clanging and banging, particularly in a bathroom that may be adjacent to his bedroom. Make sure doors and windows are solid and secure, with no drafts or rattles.

Make sure that rooms adjacent to your child’s bedroom are not home to stereos, televisions or other noisy electronics. Most modern homes don't have completely soundproofed walls, and the bleed-through noise may be keeping him awake. Organize closets and keep your child’s clothing and other personal items in their places. A chaotic, messy room is stressful to the mind. Select light-blocking window treatments.

Even though the sun isn't out, plenty of light can sneak into the bedroom from outside, disrupting your child’s sleep patterns. Use an air purifier or humidifier to keep air quality at its best. Allergens and excessively dry air can interrupt a child’s sleep and make waking up unpleasant, too. Also, many machines create a white noise that drowns out other distracting sounds, which is often very appealing to children on the autism spectrum. “What medications are used to treat the symptoms of high functioning autism? Which ones have the best track record?

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And, what are the side effects of these medications?” There are several medications used to treat the symptoms associated with High-Functioning Autism (HFA) and Asperger’s (AS). Medications may be considered for problematic behaviors in these children and teens, for example:. aggression. anxiety. compulsions. depression. destructive behavior, or other disruptive behaviors.

hyperactivity. inattention. irritability.

mood lability. obsessions. perseveration. repetitive behaviors. self-injurious behavior. sleep disturbance.

stereotypic movements. After medical causes and environmental factors have been ruled out, a trial of medication may be considered if the behavioral symptoms cause significant impairment in functioning and are responsive to behavioral interventions. In some cases, the diagnosis of a comorbid disorder (e.g., major depression, bipolar disorder, anxiety disorder, etc.) can be made reasonably, and the child can be treated with medications.

Modifications of diagnostic criteria may be necessary to account for clinical presentations of psychiatric conditions in children with developmental disabilities, and certain tools (e.g., behavior checklists, structured interviews) may be helpful. In other cases, therapists opt to target specific problematic behaviors or symptom-clusters in the absence of a clear comorbid psychiatric diagnosis. Approximately 45% of kids and teens (and up to 75% of grown-ups) with HFA and AS are treated with psychotropic medication. Older age, lower adaptive skills and social competence, and higher levels of problematic behavior are associated with the likelihood of medication use. SSRIs— Selective serotonin-reuptake inhibitors (SSRIs), antipsychotic agents, stimulants, and α-adrenergic agonist antihypertensive agents are the most commonly prescribed classes of medications for kids on the autism spectrum. Double-blind, placebo-controlled studies have demonstrated the effectiveness of the SSRIs fluoxetine and fluvoxamine in the treatment of repetitive and other problematic behaviors in young people with HFA and AS.

Studies of these and other SSRIs have shown improvements in target symptoms, for example:. aggression. anxiety. aspects of social interaction and language. depressive symptoms. difficulty with transitions. irritability.

meltdowns. repetitive behaviors.

shutdowns. tantrums. Atomoxetine— Studies have suggested that atomoxetine may be effective for ADHD–like symptoms in kids and teens on the spectrum. Appetite suppression, dizziness, fatigue, liver injury, mood swings, nausea, and suicidal ideation are among the potential side-effects of atomoxetine. Melatonin— Studies suggest that sleep disorders affect 50 to 70 million individuals in the U.S.

Sleep disorders exist whenever a lower quality of sleep results in impaired functioning or extreme lethargy. Difficulties initiating and maintaining sleep are very common in young people on the spectrum, affecting about 15-25% of this population.

A large study revealed several of melatonin’s sleep-enhancing benefits. Reviewing 15 studies of sleep in healthy individuals, researchers noted that melatonin significantly reduced sleep latency (i.e., the amount of time needed to fall asleep), while boosting sleep efficiency (i.e., the percentage of time in bed spent asleep) and increasing total sleep duration. Studies demonstrate an important characteristic of melatonin: the hormone exerts its hypnotic (i.e., sleep-inducing) and sedative (i.e., anxiety-relieving) effects, regardless of dosage time. Produced by the pineal gland, melatonin is a noteworthy hormone that works both as a sleep aid and a potent antioxidant/immune booster.

Also, melatonin is a natural sleeping pill that shifts the body clock into the desired direction. When taken between 3:00 and 6:00 PM, melatonin tricks the body into thinking that dusk comes sooner. Thus, AS and HFA kids become sleepy earlier, helping them fall asleep at 10:00 or 11:00 PM, rather than tossing and turning all night.

It will be important for future research to address the need for more rigorous evaluation of safety and effectiveness of medication for kids and teens on the spectrum. When medications are used, baseline data regarding behaviors and somatic complaints should be collected, informed consent should be obtained, potential benefits and side-effects should be explained, and potential strategies for dealing with treatment failure or partial response should be reviewed. Also, it is important to have some quantifiable means of assessing the effectiveness of the medication and to obtain input from a variety of sources (e.g., moms and dads, educators, therapists, etc). Do you need some assistance in parenting your Aspergers or HFA child? To use Mark Hutten, M.A.

As your personal parent coach. Hello, I just wanted to say that I have gotten so much good information from this site, and especially the Adult Aspergers Chat website. This video describes me perfectly. How did you get inside 'my' head?:) Plus I'm not a 10 year old boy, I'm a 34 year old female, not yet diagnosed but I am going to pursue it soon. Thanks so much! Mary Thank you for getting back to me welcoming me. I’ve heard grate things about your page, and hopefully it can help me cope a little better.

Going thru the first week of training right now and so far I think your course is wonderful. I believe it is the answer to my prayers.

I plan to implement everything to the fullest. Hi, I'm also a clinician and found this so helpful for my practice!! I was dating someone with Aspergers and I thought I understood everything but he just could not commit and he would not go to counseling to understand how his relationships failed.

Your audio instruction really turned the light on and I'm so happy that I bought it. Best $19.00 I ever spend. Hope you are enjoying your Labor Day weekend:) Anastasia Geramanis, LCSW. I have two adopted (at birth) drug exposed children. Last night had big family meeting with son (methadone) who has RAD and other problems such as ADHD etc. I actually was looking up 'how to give up' on google because it is not in my nature and I don't know how to do that.

I Found a book I was going to order and then looked up 'how to give up on a child with Reactive Attachment disorder'.instead I found YOU. My son is not hugely symptomatic but has all the classic symptoms. But being told you are not loved or even liked and his sister is a meth baby that he doesn't like her either (this is in a stone cold even toned statement). Which came as no surprise since he barely ever says hi to her and treats her like a leper and I've heard it many times before. He does all you describe.mumbles, forgets what you say, flinches when you barely touch him, has tried to ruin every family get-together,stop having dinners together because by the time I was done with the constant little verbal jabs my stomach was in knots.

Long story short.sorry. I just bought your 'aspergers melt down' package (although she isn't autistic).haven't read it yet.and all the info that you gave about RAD teenager.is my child to a 'T'. I was praying last night and although I go to church every Sunday.I'm not a big prayerer.I asked for a message from God and found you. I don't know how that will play out yet.but as always hope springs up when I'm about to throw in the towel.

All I ever wanted was to be was a mom.the kool aid mom, the going on outings Mom, the pizza at my house mom for my teenage children mom. Even the mom who helps her child with daily struggles and illnesses.but this???

My daughter has apraxia and although she says maybe a 100 words we've never had a 'conversation'. Neither of them really have never used the words.ever 'I love you Mom'. Mr. Hutten, Hello. My name is Lisa.

I'm seeing a man who has a 21-year-old son with Asperger's. Sadly, this boy never got his GED (took it, but never passed it). He just sits at home.

The mother raised him while father worked 2 jobs. They are divorced but all live together. Well, I am seeing the father. It is a strange situation.

They are doing nothing to help son gain independence. He just sits at home. They act like he's only one with this problem. My question: I'm going camping this weekend with the father and son. I get stressed around his son due to his compulsive non-stop talking about zombies, etc! What do I do to survive this weekend trip? I have gone fishing for the day with him and got short with him at a restaurant as I was overloaded.

I'm afraid same will happen this weekend. I find it a real shame as this boy needs a life and they act like he's helpless. Makes me sick.

Father doesn't want to try helping as 'she' (mother) controls everything. Any advice to at least get me through the weekend???!!! Thank you SO MUCH for any advice!

Dear Mark, Have been reading your materials about Launching your Adult Children with Aspergers. I am impressed with your knowledge and approach. Are you available as a phone and online coach? I gave my son your question answer from the 36 yr old man who said he didn’t feel he was meant for this planet. It touched him a bit because he has been more cheerful since I gave it to him and said he would consider talking to you.

We live in Washington state but I think that it would be via phone or computer appeals to him more as he can communicate and pace in his own environment. He managed to transfer successfully to a 4 yr college away from home (The Evergreen State College, an hour away in Olympia ) after wandering through high school and community college and will be a junior next year.

Though he survived two quarters away at college last year, I know he had a couple of melt downs and had a couple this summer also. I know we need support but our insurance only covers generic therapists in their network and they don’t necessarily understand and are frequently unhelpful. He has refused to disclose his diagnosis at college and has not wanted to be seen as special ed any more. He had a Aspergers teaching assistant through 11th grade after I threatened to send him to a private school.

He signed up for Air Force and got through basic training but failed at Air Traffic Control School and they re-diagnosed him with Aspergers and discharged him. I was very impressed he made it through basic training.

He most recently worked part time as a dishwasher at an upscale supermarket deli kitchen while in Community College. I need support also as this has been a long journey with another son with ADHD and my first husband also having Aspergers. I am remarried to a supportive man but none of us are exactly neurotypical. I am reaching out regarding my son who is 14. He is diagnosed with HFA. He has obsessive qualities, as well as ADHD.

I am experiencing difficulties with helping him to regulate his anger, especially after he comes home from a visit with his father. I am divorced as of April, 2014, and this has been very stressful for him. He is not interested in a counseling relationship, so I am not pushing that, although I feel as if it would help him to mediate the emotional response that he has to his father and I no longer living together.

I am an LCSW and a psychoanalyst and I work with children in my practice, even kids on the spectrum, but I'm always interested in learning how to handle things better or to see if there is something that I am not handling correctly, so any input you can provide regarding how to help him with this change will be helpful. He is demonstrating periods of blind rage, where I feel scared and I'm sure he does too. He has never hurt anyone, but he is very angry, so that is why I am reaching out. Thank you, Mark! I was able to find you eBook for the teachers and staff at my son's school. Timothy just turned 14. His therapist gave him an IQ test last year and he was in the 98%!

This year, he was accepted into MENSA! I'm very proud of him. Unfortunately, 7th grade didn't go so well for him. I'm sure it was partly due to going into 7th grade, however, it was mostly because I don't think the teachers have a clue about the ASD and HFA. I want to offer them as much information as I can so Timothy doesn't slip through the cracks and so that he received the education he deserves. I appreciate all you are doing for parents and children with ASD/HFA!

Mark: I greatly appreciate your extremely fast response time.it is an amazing world. Thank you for taking the time and making the effort to have this website. It’s a new discovery for me.

My wife and I have a concern regarding our 12 year old son, starting 7th grade soon. His birthday is Sept 19, 2001. He was diagnosed with HFA a few years ago after having extreme trouble coping in 4th grade. Since then he has been doing so much better in school and at home. The boy is very smart, gets A and B grades, lots of enrichment at home and has two or three friends. We decided to test him for giftedness. Basically, he missed the cut off by three points of IQ having tested at 127.

We talked to his counselor who liked the idea of the gifted testing as something positive. My son is ok with missing the mark, but wryly says the 3 points shortfall makes it worse. We’ll test him again next year. Simultaneously with the gifted testing, the school added an accelerated 7th grade math class and gave a timed qualification test, which he got a 25% score.

This was mixed in an algorithm with other benchmarks. He doesn’t qualify mostly because of the timed test. My wife is all over this and wants to push the school into getting him into the advance math class because his other benchmarks on math are high. I firmly disagree, thinking only of the things we learned about his condition: “get him to like school, education is not a race, control anxiety, frustration, etc. We’ve been unsuccessful in finding any resources to help us sort out the matter of the accelerated class (to me this is really about how much frustration the boy can take) and the dual diagnosis; how this could help or hurt. We do know that IEP takes precedence over the GIEP, in our state of Pennsylvania. Needless to say, this is causing some parental stress.

I appreciate any thoughts or resources. Mr. Hutten, Our 14 year old daughter has Asperger Syndrome and is extremely intelligent. We have had her to OT for Sensory therapy where they used the 'How Does Your Engine Run' protocol. We have had her to Social Skills training. We have her in counseling. You name it, we've been there.

She knows what to do in certain instances, like what she needs to do to have her engine just right, how give and take goes in a conversation, how relationships work, etc, but does not know when and how to apply them in real life circumstances. How can this be taught?

Hello, My daughter is 11 years old and in the 6th grade. She was diagnosed with Aspergers almost 3 years ago. She just started 6th grade at a small private school after attending a public school since kindergarten. We moved her because she was unhappy at her old school because she was experiencing some teasing and had trouble fitting in and making friends at her old school. Also her class had 32 kids which made it difficult for her to concentrate. Additionally her father and I have divorced in the last year.

She attends a social skills group and also gets some one on one social skills training. Shes just started counseling because Im concerned about anxiety and depression which runs in the family. I thought she was happy at her new school but today the teacher pulled me aside and said that Mila was not doing her work and was hitting herself under the table. Later in a keyboard class, she hit the keyboard out of frustration. I asked Mila what happened and she said she didnt understand the work but the teacher said she didnt think the work was too difficult for her. She often displays destructive behavior when she is frustrated and my attempts to help her only makes her more frustrated. Her teacher asked me how to help her in these situations and I didnt have a good answer.

Honestly, I dont feel like I have a good grasp at all of how to deal with her behaviors so I tip toe around trying not to make her angry. I know we need a lot more help than you can give but am once again at a loss on how to help her and worried her new school may not be the solution I had hoped. Any suggestions?

Thanks for your support. My 8 year Asperges/ADHD has started refusing to go to school. Information supplied already has lead me to subscribe to as as a great resource.!!! Thank god for people like you it keeps parents like myself a little sane!!! QUESTION: My Aspergsr boyfriend does not have any tolerance for my two kids (from a previous marriage).

Is this typical for people with Aspergers? ANSWER: Unfortunately, many adults on the autism spectrum do not tolerate frustration well, and are perennial pessimists with a negative attitude (e.g., “nobody understands me” 'good things don't last' 'my future looks rather depressing'). These individuals often feel unappreciated, underpaid, cheated, mistreated and misunderstood.

They may chronically complain and criticize, and they may blame their failures and defeats on others, posing as victims of a heartless “neurotypical” world. I have a son with very mild autism and, I am getting very frustrated. I can afford to provide for him the rest of his life. He has taken so long to register for college that it will be next semester before he will attend but, so far this has been going on for over a year now!

He has a job but, eats all his income and, then some! What he doesn't eat he spends of porn, and, amazon. He makes very little income at his current job and, I need him to be able to live on his own, as much as that scares me. I don't know where he would be able to live basted on income and, the fact that he puts EVERYTHING off to the last minute!!! He also doesn't keep up with his medication for blood pressure and, is over weight causing health issues.

Help, I don't know where to go or what to do!!! I am becoming more and, more depressed over the situation after all these years and, have my own dilemmas. My children are taking a toll on me. I am aggravated with both my kids anymore. It is time for my son to move out, I feel. I was a single mom for most of there lives and, my ex-husband has never taken an interest in his children unless forced to! He hasn't help raise them unless paid to do so!

I bare all the burden along with my new husband, Tony. Tony is also getting aggravated with the situation! Please guide me on what to next to appease this situation and get him out on his own. Hello mark Thank you for being so accessible. There is nothing like this here in regional Australia and to get counselling from a professional you have to go through ridiculous hoops with mental health care plans first, then finding the right gp etc. My son is very creative with clothes and hair design and loves a party.

But he has developed some newly associated compulsions and very destructive repetitive behaviours and has felt suicidal all within the last 18 months. He is not working or studying.

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He has been ordered by our court system to attend counselling sessions because of anger management issues but needs constant prompting and reminding to do just every day tasks like showering and putting clothes on. He currently lives with his father who is also a high functioning aspergers individual. His father does work and looks after himself without assistance and is currently trying to help his son launch into adulthood and productivity but it seems our son couldn't care less about developing good independent productive habits. He seems to only live from moment to moment. How much do you charge per session? I myself have severe health issues and I am not working at present.

I derive a weekly disability payment from the federal govt. I am writing to you with question I am searching for help for my friend who's daughter now 47 has relied on her all of her life.

They are in crisis right now as daughter was just evicted & mother drove 3 hrs to collect her & her things, guilt & fear motivating her one more time to take in her daughter. I am only in town for another day & & trying to help by steering mother & adult child to help. It is not a good situation.

The mother has already raised her granddaughter (daughter of her 47 year old). Children have ruined her financially, her health is bad & she doesn't have capacity for this, yet as a parent is held hostage by fear of what happens to her daughter when she is left alone to fend for herself. It looks like your site focuses on children & young adults. Do you have or can you point to resources for a situation with Adult children with Aspergers who have failed to launch who are well into their 40s & 50s?

Is there hope? Hello Mark. My son is now 21 years old. He was diagnosed with adhd when he was about 7. I have not been sure about that diagnoses for many years and I now think he may have high functiong Aspergers. He has several of the tendencies, although not all. He has had trouble holding a job.

He is overweight. He did graduate from high school, ( not an easy task), but has had trouble going to college. Is there a test to take to find out if he has Aspergers and at this late date, is there much to help him? He knows he is different'. Is there anyone who can help us in our area?

We live in the Seattle-Tacoma are of WA. Dear Mark, I haven't been in touch with you for a long time, but your columns and books have helped our family a lot, and our son is maturing slowly and learning.often the hard way, but not always. My younger sister had children later than I did, and her 6-year-old daughter has many of the same attributes of my son, Will. He wasn't diagnosed with Asperger's until he was nearly 13, and the doc said this was too because we didn't have more time to work with him in therapy, home and at school when he was more likely to be ameniable to treatment. My sister's pediatrician said that girls with Asperger's or high-functioning autism are 'never' diagnosed before 10.

That sounds fishy to me. What do you say? So far, Caroline has done fine in school and easily makes friends, but my sister's been involved as a volunteer at school, which certainly helps; and Caroline had an older, wise, easy-going male teacher last year for first grade who played up her strengths and tried hard to teach her to read, but simply couldn't but didn't sweat it or make Caroline feel worried or like a failure.

She's in the NYC school system at a good school, but the school is fairly rigid about certain things and tests with lots of immigrant kids with hard-driven parents, and Caroline is prone to dig in her heels and want to do her own thing. She's very good at math and art and engineering-type stuff, but they do want her to have learned to read by now. She'll enter second grade in a week, and will turn 7 in early November so she's a young second grader, but they require kids to follow a strict calendar and be in a certain grade if their birthdays are in certain months in New York. My sister's a HUGE book reader and reads to Caroline constantly and Caroline loves books; she just hasn't learned to read yet.

Her older brother didn't pick up on reading very fast, but now is a great reader in third grade. He doesn't seem to have Asperger's.more normal smart kid anxiety overthinking, eager-to-please kind of kid. Sorry.more than you need to know.But I just can't help but think getting Caroline tested and diagnosed and armed with an IEP now is better than some teacher saying she's lazy or won't mind.or forcing her to read and making her hater reading, which is what my sister worries about. My sister and husband aren't pushovers. They provide structure and are better disciplinarians than we are with their children and demand good manners. And where best in New York to turn to get tested? Hi Mark, I bought and read your ebook.

How I wish I had found it when my son was younger. We are in the process of getting a proper diagnosis for my son who is now almost 20, but in the meantime I can find nothing to help with strategies to help him.

I think he is in denial that he has a problem even though he is willing to pursue a potential diagnosis. Much of the time he cannot see how his behaviour affects others.it is always someone else's fault. The problem is that he is unmanageable. He is aggressive towards his family a lot of the time. I see him as deeply unhappy. He hangs out with people of his own age who abuse him emotionally.

He thinks they are his friends but they will only let him hang out with them if he buys alcohol for them. Recently one of his 'friends' stole my engagement ring but my son will not cooperate with the police by giving names and addresses of people who were at out house that day as he feels he will 'lose his friends'! What can I do? I feel that he doesn't want our help but it's breaking my heart to see him losing the little self esteem and confidence that he has. I feel I am running out of options.I have, all his life been asking from help from his schools, taken him to ed psychs, all to no avail.

He displays so many of the classic aspergers traits but no teacher or test has ever said 'yes he has this problem', he has always never been 'bad' enough to get help. He has already been in trouble with the police. If you can advise me I would be grateful, or if you have colleagues in the UK who I could speak to that would be helpful. I feel very isolated. I don't want a counsellor, I don't need to examine my feelings, I need solution based strategies.