Asperger Syndrome: General Information and Across the Lifespan (continued)

Although most children with AS are managed without medication and medication does not "cure" any of the core symptoms, there are specific situations where medication can occasionally be useful. Teachers should be alert to the potential for mood problems such as anxiety or depression, particularly in the older child with AS. Medication with an antidepressant (e.g., imipramine or one of the newer serotonergic drugs such as fluoxetine)may be indicated if mood problems are significantly interfering with functioning. Some children with significant compulsive symptoms are ritualistic behaviors can be helped with the same serotonergic drugs or clomipramine. Problems with inattention at school that are seen in certain children can sometime be helped by stimulant medications such as methylphenidate or dextroamphetamine, much in the same way they are used to treat Attention Deficit Disorder. Occasionally, medication may be needed to address more severe behavior problems that have not responded to non-medical, behavioral interventions. Clonidine is one medication that has proven helpful in such situations, and there are other options if necessary.

In attempting to put a comprehensive teaching and management plan into place at school, it is helpful for staff and parents to work closely together, since parents often are most familiar with what has worked in the past for a given child. It is also wise to put as many details of the plan as possible into an Individual Educational Plan so that progress can be monitored and carried over from year to year. Finally, in devising such plans, it can sometimes be helpful to enlist the aid of outside consultants familiar with the management of children with Asperger syndrome and other forms of PDD, such as behavioral consultants, psychologists, or physicians. In complex cases a team orientation is always advisable.