Reflecting tremendous gains over the past decade in our
understanding of the causes of autism, Clinical Manual for the
Treatment of Autism meets the increasing need for clear,
up-to-date, and evidence-based treatment. Internationally known
researchers -- who are also skilled in treating patients with
autism -- share treatment approaches they have either developed or
thoroughly tested for safety and efficacy.
The book describes in a straightforward manner how to diagnose
autism, recognizing that patients may vary greatly in intelligence,
language ability, disruptive behavior, and presence of comorbid
disorders. It outlines the appropriate instruments to use for
particular patients, providing examples and guidelines for
evaluation and testing of individuals of all ages and levels of
functioning, with a focus on initial diagnostic evaluation. It also
evaluates the appropriate role of various medications for specific
target symptoms and individuals: SSRIs and antidepressants,
focusing on the rationale for their use and clinical trials in
autism; anticonvulsants and mood stabilizers used to treat
disruptive behaviors and mood instability; conventional and
atypical antipsychotics, emphasizing studies using random
assignment to active and control treatments; cholinesterase
inhibitors, focusing on cholinergic mechanisms and treatment
experience in autism; and stimulants and nonstimulants for the
treatment of pervasive developmental disorder accompanied by
hyperactivity, distractibility, and impulsiveness. In addition to
pharmacological approaches, the book presents psychosocial
treatments and includes well-accepted psychoeducational models for
which there is sufficient evidence to recommend their use. In these
chapters, the book: - Covers the use of applied behavior analysis,
the DIR/Floortime approach, and peer relationship interventions.-
Presents educational approaches, based on the experience of the
TEACCH program in North Carolina, describing how its fundamental
principles are utilized across the age spectrum.- Describes
complementary and alternative treatments -- such as therapies
targeting gastrointestinal function or the immune system or the use
of nutritional supplements -- with an eye toward helping parents
make informed choices.- Explores promising new avenues of treatment
to address issues related to cognition and social and language
deficits, focusing particularly on the potential of medications
that target the glutamate and oxytocin brain systems.
Clinical Manual for the Treatment of Autism is an essential
resource for a broad range of professionals, including
psychiatrists, pediatricians, neurologists, psychologists,
educators, and behavioral, speech, and occupational therapists. It
is a state-of-the-art compendium of treatments that will help
advance the care that people with autism receive.
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