Behavioral Disorders in Young Children with Autism Spectrum Disorder

Abstract

(from the chapter) Although not a core aspect of ASDs, challenging behaviors, including stereotypes, self-injury, aggression, and disruptive/destructive behaviors frequently are observed and likely have their origins in early childhood, but often are overlooked or dismissed as transient until they cause significant problems, such as injury to the individual or others, or damage to property. As a result, there is a growing emphasis on early identification and intervention of these behaviors for children at risk for or exhibiting early signs of ASDs, especially since these behaviors often persist into adulthood, interfere with skill development, and are associated with several adverse outcomes for the individual. Given their severe nature, children presenting with challenging behaviors should be evaluated as early as possible by both a behavioral specialist (e.g., psychologist or certified behavior analyst) and psychiatrist, both of whom should have expertise in assessing and treating children with ASDs. Behavioral and psychiatric assessment techniques have evolved in recent years that are sensitive in identifying the nature and function of these behaviors, which leads to more successful treatments. Furthermore, behavioral and psychiatric interventions are available, which have proven efficacious in the treatment of these behaviors in young children. However, more, well-controlled studies to substantiate the use of several medications with this population are needed. In addition, there is a need for research that evaluates combined and coordinated behavioral and psychiatric interventions, which findings from studies with others disorders (e.g., ADHD, depression) support as the most effective treatments. (PsycINFO Database Record (c) 2015 APA, all rights reserved)