Syndrome is a neurobiological disorder named after the Viennese
physician, Hans Asperger, who in 1944 published a research paper
which described a pattern of behaviors in several young boys
who had normal intelligence and language development, but who
also exhibited autistic-like behaviors and marked deficiencies
in social and communication skills. It wasn't until 1994 that
Asperger Syndrome was recognised a a unique disorder.
impairment in social interaction with at least two demonstrations
of impaired social interaction. The person:
Shows a marked inability to regulate social interaction by using
multiple non-verbal behaviors such as body posture and gestures,
eye contact and facial expression.
peer relationships that are appropriate to the developmental
Doesn't seek to
share achievements, interests or pleasure with others.
Lacks social or
and stereotyped patterns of behavior, interests, and activities,
as manifested by at least one of the following:
with abnormal (in focus or intensity) interests that are restricted
and stereotyped (such as spinning things).
Rigidly sticks to routines or rituals that don't appear to
have a function.
Has stereotyped, repetitive motor mannerisms (such as hand
Persistently preoccupied with parts of objects.
The symptoms cause clinically important impairment in social,
occupational or personal functioning.
There is no clinically
significant general delay in language (e.g., single words used
by age 2 years, communicative phrases used by age 3 years).
There is no clinically
significant delay in cognitive development or in the development
of age-appropriate self-help skills, adaptive behavior (other
than in social interaction), and curiosity about the environment
The patient doesn't
fulfill criteria for Schizophrenia or another specific Pervasive
features of Asperger's Syndrome which are not required for diagnosis
but are commonly present include delay in motor development
often seen as clumsiness, extreme sensitivities to sensations,
and excessive, but non-interactive, speech when related to areas
of interest. In addition, many children with Asperger's will
have behavior problems due to their difficulty in understanding
the world around them
Some disorders have similar symptoms. The clinician, therefore,
in his diagnostic attempt has to differentiate against the following
disorders which need to be ruled out to establish a precise
Behaviors in Active Children.
Under Stimulating Environments.
Another Mental Disorder.
Substance-Related Disorder Not Otherwise Specified.
Disorder is a milder variant of Autistic
Disorder. Both Asperger's
Disorder and Autistic Disorder
are in fact subgroups of a larger diagnostic category. This
larger category is called either Autistic
Spectrum Disorders or Pervasive
Developmental Disorders. See
There is no specific treatment for Asperger's
Disorder. All the interventions outlined below are mainly
symptomatic and/or rehabilitational.
and Psychotherapy [ See
Therapy Section ]:
psychotherapy to help the individual to process the feelings
aroused by being socially
education and training.
Social skills training.
Psychopharmacology Section] :
inattention and impulsivity: Psychostimulants (methyphenidate,
dextroamphetamine, metamphetamine, pemoline), Clonidine, Tricyclic
Antidepressants (desipramine, nortriptyline).
and aggression: Mood Stabilizers (valproate, carbamazepine,
lithium), Beta Blockers (nadolol, propranolol), Clonidine,
Naltrexone, Neuroleptics (risperidone, haloperidol).
rituals and compulsions: SSRIs (fluvoxamine, fluoxetine),
Tricyclic Antidepressants (clomipramine).
SSRIs (sertraline, fluoxetine), Tricyclic Antidepressants
(imipramine, clomipramine, nortriptyline)