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Asperger Syndrome

Diagnosis, symptoms, and treatment methods.

General Information About Asperger Syndrome

Asperger Syndrome is a neurodevelopmental difference that has been removed from being an independent disease in current medical classification (DSM-5) and defined as a 'high-functioning' subtype of Autism Spectrum Disorder (ASD). Unlike classic autism, individuals with Asperger's have NO intellectual disability or delay in speech (language development); in fact, their vocabulary and grammar can be at a professor's level. However, they experience severe difficulties in understanding social rules, empathizing, making eye contact, understanding metaphors/jokes, and engaging in mutual conversation. They generally have an 'obsessive and encyclopedic' level of interest in a specific subject such as astronomy, trains, or dinosaurs (Savant characteristic). In our Child and Adolescent Psychiatry units, these special individuals are supported with social skills training (Cognitive Behavioral Therapy) and integrated into society with their own strong abilities.

Disease Details and Frequently Asked Questions

You can find detailed information about the condition under the headings below.
What is Asperger Syndrome?

It is a mild autism spectrum condition where the individual's intelligence and language development are completely normal (even above normal), but they experience great difficulties in social relationships, reading facial expressions, and understanding metaphors.

What is the biggest difference from Classic Autism (ASD)?

In classic autism, a child may not speak even by age 3, eye contact is zero, and mental developmental delay may accompany it.
A child with Asperger's, on the other hand, starts speaking like a nightingale on time. Their intelligence is bright. The problem is not that they cannot speak, but that they do not know what, where, and how to speak (e.g., they might start reciting encyclopedic information at a funeral).

What are the symptoms? What does social blindness mean?

1. They do not understand metaphors: When you say 'it's raining cats and dogs', they literally look for cats and dogs falling from the sky (Concrete/literal thinking). They do not understand jokes and sarcasm.
2. Social Blindness: They cannot read from body language if the other person is bored, crying, or angry (Difficulty with empathy).
3. Monotone Voice: When speaking, their tone of voice is robotic or emotionless like a news anchor.
4. Routine Dependency: If the position of an item at home changes or if they take a different route to school, they suffer a meltdown (tantrum).

What are Obsessive Interests (Savant status) like?

Individuals with Asperger's usually have a narrow but extremely deep area of interest. For example, a 6-year-old child; can know by heart like an encyclopedia the serial numbers of all aircraft engines in the world, the bone structures of dinosaurs, or the arrival-departure times of subways. Thanks to this power of focus, when they grow up, they can become excellent software developers, engineers, or scientists (Elon Musk has announced that he has Asperger's syndrome).

How is it diagnosed? Does it go away when they grow up?

It is usually noticed at school age (when the child cannot socialize with other children, breaks the rules). The diagnosis is made by a Child Psychiatrist through developmental tests and clinical observation. Asperger's is a lifelong genetic coding, it DOES NOT GO AWAY when they grow up. The person merely adapts themselves by learning social rules.

How is treatment/support provided?

There is NO PILL OR MEDICATION for Asperger's (Medication is given only if there is accompanying ADHD or depression).
The main support is 'Social Skills Training': The child is taught and made to memorize like math formulas (through Drama and CBT therapies) that they should look into someone's eyes, what to say when someone is sad, and the rules of waiting one's turn and keeping a conversation going. When guided correctly, they become highly successful and genius individuals.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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