Asperger's

Asperger's is one of a group of neurological conditions characterized by a degree of impairment in language and communication skills, as well as repetitive or restrictive patterns of thought and behavior. Children with the condition exhibit an obsessive interest in a single object or topic. With effective treatment, children with Asperger's can learn to cope with their disabilities, but may still find social situations and personal relationships challenging.

 

What Is Asperger's?

Asperger's syndrome -- also known as Asperger syndrome or just Asperger's -- is a developmental disorder. It is an autism spectrum disorder (ASD), one of a distinct group of neurological conditions characterized by a greater or lesser degree of impairment in language and communication skills, as well as by repetitive or restrictive patterns of thought and behavior.
 
 
Unlike children with autism, children with Asperger's retain their early language skills.
 

Symptoms of Asperger's

The most distinguishing symptom of Asperger's is an obsessive interest in a single object or topic to the exclusion of any other. Children with this condition want to know everything about their topic of interest, and their conversations with others will be about little else.
 
Their expertise, high level of vocabulary, and formal speech patterns make them seem like little professors. Other Asperger symptoms include:
 
  • Repetitive routines or rituals
  • Peculiarities in speech and language
  • Socially and emotionally inappropriate behavior (and the inability to interact successfully with peers)
  • Problems with nonverbal communication
  • Clumsy and uncoordinated motor movements.
     
Children with this condition are often isolated because of their poor social skills and narrow interests. They often make normal conversation impossible by inappropriate or eccentric behavior, or by wanting only to talk about their singular interest. Children with Asperger's usually experience developmental delays in motor skills, such as catching a ball, pedaling a bike, or climbing outdoor play equipment. They are often awkward and poorly coordinated, with a walk that can appear either stilted or bouncy.
 

Treatment for Asperger's

The ideal Asperger treatment coordinates therapies that address the three core symptoms of the disorder: poor communication skills, obsessive or repetitive routines, and physical clumsiness. There is no single best treatment package for all children with the condition, but most professionals agree that the earlier the intervention, the better.
 
An effective treatment program:
 
  • Builds on the child's interests
  • Offers a predictable schedule
  • Teaches tasks as a series of simple steps
  • Actively engages the child's attention in highly structured activities
  • Provides regular reinforcement of behavior.
 
It may include social skills training, cognitive behavioral therapy, medication for coexisting conditions, and other measures.
 

What Is the Prognosis for Asperger's?

With effective treatment, children with Asperger's can learn to cope with their disabilities, but they may still find social situations and personal relationships challenging.
 
Asperger's is not fatal; it does not affect normal life expectancy.
 
Many adults with the condition are able to hold mainstream jobs, although they may continue to need encouragement and support to maintain an independent life.
 
Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD