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Autism Spectrum Disorder in Adolescents

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Handbook of Adolescent Behavioral Problems

Abstract

Autism spectrum disorder (ASD) is characterized by impaired social-communicative abilities, as well as restricted or repetitive behavior, unusual sensitivity to environmental stimuli, and in some cases severe challenging behavior. This chapter considers the rising prevalence rates of ASD and recent changes to the DSM-5. In addition, three broad theoretical or biological perspectives including behavioral, relationship-based, and biomedical or complimentary and alternative medicine (CAM) are reviewed. The best available evidence to date suggests treatments derived from the field of applied behavior analysis can produce benefit for a range of areas (e.g., employment, sexuality education, social skills, etc.). For this reason, antecedent- and consequent-based interventions are recommended and should ideally be used simultaneously. Although available evidence is compelling, the preponderance of evidence supporting this approach has been generated for younger children on the autism spectrum. In addition, stereotypic and other maladaptive behaviors remain the most challenging targets to alter. Although psychopharmacological treatments are available to address associated behaviors (e.g., inattention, aggression, etc.), they often are prescribed “off label” and often result in significant side effects.

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Wilczynski, S., McIntosh, D.E., Tullis, C.A., Cullen, J., Querim, A. (2015). Autism Spectrum Disorder in Adolescents. In: Gullotta, T., Plant, R., Evans, M. (eds) Handbook of Adolescent Behavioral Problems. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7497-6_18

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