Abstract
Asperger’s syndrome (AS) is a form of autism spectrum disorder (ASD) affecting many individuals today. Although neurobiological correlates for AS have been identified, like many ASDs, AS is not completely understood. AS as a distinct disorder is also not universally accepted and in the DSM-5 AS is not considered a separate nosological entity. In contrast to some other ASDs, individuals with AS are commonly characterized by having standard or higher than average intelligence, yet difficulties in social skills and communication can present challenges for these individuals in everyday functioning. Counseling a person with AS or autism presents a unique challenge for the mental health care provider. We have compiled this review consisting of some recent ideas regarding counseling the client with AS with the goal of providing some clinical insights and practical clues. Although the focus of the present paper is largely on AS, many of these strategies could also apply to individuals with high-functioning autism (HFA).
Highlights
Autism spectrum disorders (ASDs), including Asperger’s syndrome (AS), have been by the presence of a “triad” of impairments: 1) social deficits, 2) repetitive/stereotypical behaviors and interests and 3) communication difficulties [1]
Counseling individuals with AS and high-functioning autism (HFA) has some distinctions compared to other counseling populations
A great emphasis will often be placed on social interactions and understanding them
Summary
Autism spectrum disorders (ASDs), including Asperger’s syndrome (AS), have been by the presence of a “triad” of impairments: 1) social deficits, 2) repetitive/stereotypical behaviors and interests and 3) communication difficulties [1]. Single subject case reports have suggested that cognitive behavioral therapy (CBT) can be successful at treating anxiety, depression and social problems in clients with AS [60,61]. The authors of a three case-study report suggested that group therapy could be more effective than individual therapy for people with AS because it provides often isolated individuals with AS with support and opportunities for social learning, which is greatly needed by individuals with AS. In addition to the use of CBT for managing one’s own emotions, interactive media have been employed to teach adults with AS to effectively learn to recognize complex emotions in others [62] Based on these studies, emotional problems can be effectively treated in individuals with AS.
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