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					| Asperger's Syndrome
		
			| Topic OverviewWhat is Asperger's syndrome?Asperger's syndrome is a developmental
		  disorder that makes it very hard to interact with other people. Your child may
		  find it hard to make friends because he or she is socially awkward. People with Asperger's syndrome have some traits of
		  autism. For example, they may have poor social skills,
		  prefer routine, and not like change. But unlike those who have autism, children
		  with Asperger's syndrome usually start to talk before 2 years of age, when
		  speech normally starts to develop.   Asperger's syndrome is a
		  lifelong condition, but symptoms tend to improve over time. Adults with this
		  condition can learn to understand their own strengths and weaknesses. And they
		  can improve their social skills. Both Asperger's syndrome and
		  autism belong to the group of disorders called
		  autism spectrum disorders (ASDs), once known as pervasive developmental disorders. You may hear the term ASD used to describe Asperger's syndrome. What causes Asperger's syndrome?The
		  exact cause of Asperger's syndrome is not known. And there is no known way to
		  prevent it. It tends to run in families. So researchers are doing studies to
		  look for a genetic cause. Asperger's syndrome is more common in males than in females. What are the symptoms?Asperger's syndrome is usually noticed at age 3
		  or later. Symptoms vary, so no two children are the same. Children with
		  Asperger's: Have a very hard time relating to others. It
			 doesn't mean that they avoid social contact. But they lack instincts and skills
			 to help them express their thoughts and feelings and notice others'
			 feelings.May be bothered by loud noises, lights, or strong tastes
			 or textures.Like fixed routines. Change is hard for
			 them.May not recognize verbal and nonverbal cues or understand
			 social norms. For example, they may stare at others, not make eye contact, or
			 not know what personal space means.May have speech that's flat and
			 hard to understand because it lacks tone, pitch, and accent. Or they may have a
			 formal style of speaking that's advanced for their age.May lack
			 coordination; have unusual facial expressions, body postures, and gestures; or
			 be somewhat clumsy.May have poor handwriting or have trouble with
			 other motor skills, such as riding a bike.May have only one or a
			 few interests, or they may focus intensely on a few things. For example, they
			 may show an unusual interest in snakes or star names or may draw very detailed
			 pictures.
 How is Asperger's syndrome diagnosed?If you are concerned about your child's behavior
		  or communication style, talk to your child's doctor. He or she will ask you
		  about your child's development and ask if other people have noticed your
		  child's social problems. The doctor may refer you to a specialist
		  to confirm or rule out Asperger's syndrome. The specialist may test your
		  child's learning style, speech and language, IQ, social and motor skills, and
		  more. The diagnosis of ASD typically occurs during childhood, but an adult can be diagnosed with ASD. How is it treated?Treatment is based on your child's unique symptoms. It may change often
		  so that it's most useful for your child. Doctors, teachers, and
		  mental health counselors can help your child improve his or her behavior and
		  build social and learning skills. School programs, job training, and
		  counseling can help too. Many children with Asperger's
		  syndrome also have other conditions, such as
		  ADHD or
		  obsessive-compulsive disorder. So they may need other
		  treatments, such as medicine.  At home, you can help build your
		  child's confidence and skills. Use rules and daily routines, visual aids, and
		  role-playing. Focus on your child's strengths. Encourage your child to explore
		  interests at home and at school. And stay informed about what is happening in
		  your child's classroom. Federal law requires public schools to have
		  programs for people ages 3 through 21 with special needs. Contact your school
		  district to find out what services your child can be a part of. How can you help your child succeed?It takes patience and support to help your child reach his or her full
		  potential. And it may take time to find a doctor who has experience treating
		  people with this condition. Try to learn as much as you can about
		  this condition, and talk to others about it. The more that teachers, your
		  child's peers, and other people learn, the better they can help and support
		  your child.  Many parents find comfort and build acceptance with
		  help from support groups, counseling, and a network of friends, family, and
		  community. Frequently Asked Questions| Learning about Asperger's syndrome: |  |  | Being diagnosed: |  |  | Getting treatment: |  | 
SymptomsAlthough there are many possible symptoms of
		  Asperger's syndrome, the main symptom is significant
		  trouble with social situations. Your child may have mild to severe symptoms or
		  have a few or many of these symptoms. Because of the wide variety of symptoms,
		  no two children with Asperger's are alike. Symptoms during childhoodParents often first
		  notice the symptoms of Asperger's syndrome when their child starts preschool
		  and begins to interact with other children. Children with Asperger's syndrome
		  may: Not pick up on social cues and may lack inborn
			 social skills, such as being able to read others' body language, start or
			 maintain a conversation, and take turns talking.Dislike any
			 changes in routines.Appear to lack empathy.Be unable
			 to recognize subtle differences in speech tone, pitch, and accent that alter
			 the meaning of others' speech. So your child may not understand a joke or
			 may take a sarcastic comment literally. And his or her speech may be flat
			 and hard to understand because it lacks tone, pitch, and
			 accent.Have a formal style of speaking that is advanced for his or
			 her age. For example, the child may use the word "beckon" instead of "call" or
			 the word "return" instead of "come back."  Talk a lot, usually about
			 a favorite subject. One-sided conversations are common. Internal thoughts are
			 often verbalized.Avoid eye contact or
			 stare at others.Have unusual facial expressions or
			 postures.Be preoccupied with only one or few interests, which he
			 or she may be very knowledgeable about. Many children with Asperger's syndrome
			 are overly interested in parts of a whole or in unusual activities, such as
			 designing houses, drawing highly detailed scenes, or studying astronomy. They
			 may show an unusual interest in certain topics such as snakes, names of stars,
			 or dinosaurs.Have delayed motor development. Your child may be
			 late in learning to use a fork or spoon, ride a bike, or catch a ball. He or
			 she may have an awkward walk. Handwriting is often poor.Have
			 heightened sensitivity and become overstimulated by loud noises, lights, or
			 strong tastes or textures. For more information about these symptoms, see
			 sensory processing disorder. 
 A child with one or two of these symptoms does not
		  necessarily have Asperger's syndrome. To be diagnosed with Asperger's syndrome,
		  a child must have a combination of these symptoms and significant trouble with
		  social situations.   Although the condition is in some ways
		  similar to
		  autism, a child with Asperger's syndrome typically has
		  normal language and intellectual development. Also, those with Asperger's
		  syndrome typically make more of an effort than those with autism to make
		  friends and engage in activities with others. Symptoms during adolescent and teen yearsMost
		  symptoms persist through the teen years. And although teens with Asperger's can
		  begin to learn those social skills they lack, communication often remains
		  difficult. They will probably continue to have difficulty "reading" others'
		  behavior.  Your teen with Asperger's syndrome (like other teens)
		  will want friends but may feel shy or intimidated when approaching other teens.
		  He or she may feel "different" from others. Although most teens place emphasis
		  on being and looking "cool," teens with Asperger's may find it frustrating and
		  emotionally draining to try to fit in. They may be immature for their age and
		  be naive and too trusting, which can lead to teasing and bullying.  All of these difficulties can cause teens with Asperger's to become
		  withdrawn and socially isolated and to have
		  depression or
		  anxiety.footnote 1 But
		  some teens with Asperger's syndrome are able to make and keep a few close
		  friends through the school years. Some of the classic Asperger's traits may
		  also work to the benefit of your teen. Teens with Asperger's are typically
		  uninterested in following social norms, fads, or conventional thinking,
		  allowing creative thinking and the pursuit of original interests and goals.
		  Their preference for rules and honesty may lead them to excel in the classroom
		  and as citizens.  Symptoms in adulthoodAsperger's syndrome is a lifelong condition,
		  although it tends to stabilize over time, and improvements are often seen.
		  Adults usually have a better understanding of their own strengths and
		  weaknesses. They are able to learn social skills, including how to read others' social
		  cues. Many people with Asperger's syndrome marry and have children.  Some traits that are typical of Asperger's syndrome, such as attention to
		  detail and focused interests, can increase chances of university and career
		  success. Many people with Asperger's seem to be fascinated with technology, and
		  a common career choice is engineering. But scientific careers are by no means
		  the only areas where people with Asperger's excel. Indeed, many respected
		  historical figures have had symptoms of Asperger's, including Wolfgang Amadeus
		  Mozart, Albert Einstein, Marie Curie, and Thomas Jefferson.  Other conditionsMany children with Asperger's
		  syndrome also have coexisting conditions and may have symptoms of these
		  conditions also. They include:Exams and TestsAsperger's syndrome is a developmental condition in which people have difficulties
		  understanding how to interact socially. A diagnosis is best made with input
		  from parents, doctors, teachers, and other caregivers who know or who have
		  observed the child. Asperger's syndrome is diagnosed when specific criteria are
		  met. These include: Poor social interaction.Unusual
			 behavior, interests, and activities.No delay in language
			 development.No delay in self-help skills and curiosity about the
			 environment.
 Your doctor will take a medical history by asking questions
		  about your child's development, including information about motor development,
		  language, areas of special interest, and social interactions. He or she will
		  also ask about the mother's pregnancy and the family's history of medical
		  conditions. Testing can help your doctor find out  whether your
		  child's problem is related to Asperger's syndrome. Your primary care provider
		  may refer your child to a specialist for testing, including:  Psychological assessment. Intellectual function and learning style are evaluated. IQ
			 (intelligence quotient) and motor skills tests are common. Personality
			 assessment tests may also be done.Communication assessment. Speech and formal language are evaluated. Children are
			 tested to find out how well they understand and use language to communicate
			 ideas. Your doctor will also test for understanding of nonverbal forms of
			 communication and nonliteral language skills, such as understanding of humor or
			 metaphor. He or she will listen to your child's voice for volume, stress, and
			 pitch. Psychiatric examination. Your doctor
			 may examine your child's family and peer relationships, reactions to new
			 situations, and the ability to understand the feelings of others and types of
			 indirect communication such as teasing and sarcasm. Your doctor may want to
			 observe your child at home and at school. He or she may also look for
			 conditions such as
			 anxiety and
			 depression, which are often found in people with
			 Asperger's syndrome.
 When making a diagnosis, your doctor will see if your child
		  meets the criteria published in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a publication of the American
		  Psychiatric Association.Treatment Overview Treatment for
		  Asperger's syndrome strives to improve your child's
		  abilities to interact with other people and thus to function effectively in
		  society and be self-sufficient. Each child with Asperger's syndrome has
		  differences in the number and severity of symptoms, so treatment should be
		  designed to meet individual needs and available family resources. Specific treatments are based on symptoms. Securing services Start by contacting your local
		  school district to find out which services are available for your child. Become
		  informed about your
		  child's educational rights. Federal law requires
		  public schools to provide appropriate educational services for people ages 3 to
		  21 who have disabilities (including Asperger's). Also, there may be state and
		  local laws or policies to aid children with Asperger's. You will
		  meet with school personnel to identify goals and establish an individualized
		  education program (IEP). IEPs are designed to fit the child's specific needs
		  based on the evaluation of his or her level of disability. School programs Look at what is being offered at
		  different schools to find out which services your child needs and where you can
		  best find them. Qualities to look for include:  Small work groups with individual
			 attention.A communication specialist with an interest in social
			 skills training.Opportunities for social interaction in a
			 structured setting and in supervised activities.A concern for
			 teaching real-life skills and encouraging a child's special interests and
			 talents.A willingness to individualize the
			 curriculum.A sensitive counselor who can focus on your child's
			 emotional well-being and serve as a liaison with the family.An
			 emphasis on respect for diversity and empathy for students.
 Stay informed about what is happening in your child's
		  classroom. Frequent communication can be managed with a communication diary
		  that goes back and forth between teacher and parent. Treatment strategiesTreatment is geared toward
		  improving communication, social skills, and behavior management. A treatment
		  program may be adjusted often to be the most useful for your child.  Take advantage of your child's strengths by encouraging him or her to
		  explore interests at home and at school. Activity-oriented groups and focused
		  counseling can also be helpful.  Many children with Asperger's
		  syndrome also have other coexisting conditions, including
		  attention deficit hyperactivity disorder (ADHD),
		  bipolar disorder,
		  obsessive-compulsive disorder (OCD),
		  social anxiety disorder, and
		  depression. These conditions can place extra demands
		  on parents who are already dealing with a child with extra needs. These
		  conditions may require treatment with medicines and other therapies.  For more
		  information, see: PreventionResearchers
		  have not yet found a way to prevent Asperger's syndrome. Some advocacy
		  groups claim the measles-mumps-rubella (MMR) vaccine causes Asperger's and
		  autism. But numerous studies have not found a link between these conditions and
		  the vaccine.footnote 2 Doctors recommend that you have your
		  children immunized, because not doing so puts them and others in your community
		  at risk for serious diseases and even death.Home TreatmentYou can best serve your child by
		  learning about
		  Asperger's syndrome and providing a supportive and
		  loving home environment. Remember that your child, just like every other child,
		  has his or her own strengths and weaknesses and needs as much support,
		  patience, and understanding as you can give.  Educating yourself
		  about the condition and about what to expect is an important part of helping
		  your child develop independence and succeed outside of his or her home. Learn about
		  Asperger's syndrome by talking to your doctor or contacting Asperger's
		  organizations. A good source is OASIS @ MAAP: The Online Asperger Syndrome Information and Support Center at www.aspergersyndrome.org. Learning about Asperger's will reduce your and your family
		  members' stress and help your child succeed.  The following are some suggestions on how to help your
		  child who has Asperger's syndrome. Some of the ideas will be helpful, and some
		  may not work for you. Flexibility, creativity, and a willingness to continue to
		  learn will all help you as you raise your child. General strategies for success Children with Asperger's syndrome benefit from
			 daily routines for meals, homework, and bedtime. They also like specific rules,
			 and consistent expectations mean less stress and confusion for
			 them.Many people with Asperger's syndrome do best with verbal
			 (rather than nonverbal) teaching and assignments. A direct, concise, and
			 straightforward manner is also helpful.People with Asperger's
			 syndrome often have trouble understanding the "big picture" and tend to see
			 part of a situation rather than the whole. That's why they often benefit from a
			 parts-to-whole teaching approach, starting with part of a concept and adding to
			 it to demonstrate encompassing ideas. Visual supports, including
			 schedules and other written materials that serve as organizational aids, can be
			 helpful.Be aware that background noises, such as a clock ticking
			 or the hum of fluorescent lighting, may be distracting to your
			 child.Children with autism spectrum disorders (which include Asperger's syndrome) may be especially interested in video games, computers, or other screen-based media such as TV.  If possible, keep televisions, video games, and computers out of your child's bedroom. When children with autism spectrum disorders (ASDs) have these devices in their bedroom, they  are more likely to sleep fewer hours. This is especially true when video games are in the bedroom. If your child doesn't get enough sleep, his or her ASD symptoms may be worse.Children with Asperger's syndrome often mature more slowly.
			 Don't always expect them to "act their age."Try to identify stress
			 triggers and avoid them if possible. Prepare your child in advance for
			 difficult situations, and teach him or her ways to cope. For example, teach
			 your child coping skills for dealing with change or new situations.
 Strategies for developing social skillsYour child may not understand the social norms
			 and rules that come more naturally to other children. Provide clear
			 explanations of why certain behaviors are expected, and teach rules for those
			 behaviors.Encourage your child to learn how to interact with
			 people and what to do when spoken to, and explain why it is important. Give
			 lots of praise, especially when he or she uses a social skill without
			 prompting.Practice activities, such as games or
			 question-and-answer sessions, that call for taking turns or putting yourself in
			 the other person's place.Help your child understand others'
			 feelings by role-playing and watching and discussing human behaviors seen in
			 movies or on television. Provide a model for your child by telling him or her
			 about your own feelings and reactions to those feelings. Teach
			 your child how to read and respond appropriately to social cues. Give him or
			 her "stock" phrases to use in various social situations, such as when being
			 introduced. You can also teach your child how to interact by
			 role-playing. Foster involvement with others, especially if your
			 child tends to be a loner.Teach your child about public and
			 private places, so that he or she learns what is appropriate in both
			 circumstances. For example, hugging may not be appropriate at school but is
			 usually fine at home. 
 Strategies for schoolUse visual systems, such as calendars,
			 checklists, and notes, to help define and organize schoolwork.
			 Orient your child to the school setting. Before the school year
			 starts, take time to "walk through" your child's daily schedule. You can also
			 use pictures to make your child familiar with the new settings before school
			 starts.Be aware of and try to protect your child from bullying and
			 teasing. Talk to your child's teacher or school counselor about educating
			 classmates about Asperger's syndrome.Ask your child's teacher to
			 seat your child next to classmates who are sensitive to your child's special
			 needs. These classmates might also serve as "buddies" during recess, at lunch,
			 and at other times.Encourage your child's teacher to include your
			 child in classroom activities that emphasize his or her best academic skills,
			 such as reading, vocabulary, and art.Set up homework routines for
			 your child by doing homework at a specific time and place every day. This will
			 help your child learn about time management. Use rewards to
			 motivate your child. Allow him or her to watch TV or play a favorite video game
			 or give points toward a "special interest" gift when he or she performs
			 well.Some children with Asperger's have poor handwriting. Typing
			 schoolwork on a computer may be one way to make homework easier. Using
			 computers can also help children improve fine motor skills and organize
			 information.
			 Occupational therapy may also be helpful.
Other Places To Get HelpOrganizationNational Institute of Neurological Disorders and Stroke (U.S.) www.ninds.nih.govReferencesCitationsVolkmar FR, et al. (2008). Asperger's syndrome of Pervasive developmental disorders. In RE Hales et al., eds., The American Psychiatric Publishing Textbook of Psychiatry, 5th ed., pp. 882-884. Washington, DC: American Psychiatric Publishing.Peacock G, Yeargin-Allsopp M (2009). Autism spectrum disorders: Prevalence and vaccines. Pediatric Annals, 38(1): 22-25.
 Other Works ConsultedReiff MI (2011). Autism spectrum disorders. In CD Rudolph et al., eds., Rudolph's Pediatrics, 22nd ed., pp. 352-355. New York: McGraw-Hill.Sadock BJ, et al. ( 2007). Pervasive developmental disorders. In Kaplan and Sadock's Synopsis of Psychiatry, Behavioral Sciences/Clinical Psychiatry, 10th ed., pp. 1191-1205. Philadelphia: Lippincott Williams and Wilkins.Volkmar FR, et al. (2009). Asperger's syndrome section of Pervasive development disorders. In BJ Sadock, VA Sadock, eds., Kaplan and Sadock's Comprehensive Textbook of Psychiatry, 9th ed., vol. 2, pp. 3554-3559. Philadelphia: Lippincott Williams and Wilkins.Woodbury-Smith MR, Volkmar FR (2009). Asperger syndrome. European Child and Adolescent Psychiatry, 18(1): 2-11.
CreditsByHealthwise StaffPrimary Medical ReviewerJohn Pope, MD - Pediatrics
 Kathleen Romito, MD - Family Medicine
 Specialist Medical ReviewerLouis Pellegrino, MD - Developmental Pediatrics
Current as of:
                May 3, 2017Volkmar FR, et al. (2008). Asperger's syndrome of Pervasive developmental disorders. In RE Hales et al., eds., The American Psychiatric Publishing Textbook of Psychiatry, 5th ed., pp. 882-884. Washington, DC: American Psychiatric Publishing. Peacock G, Yeargin-Allsopp M (2009). Autism spectrum disorders: Prevalence and vaccines. Pediatric Annals, 38(1): 22-25. Last modified on: 8 September 2017  |  |  |  |  |  |