How do you approach treatment of obsessive behavior in patients with autism spectrum disorder?

This is such a rich topic, which comes up frequently in my practice, and the diagnostic distinction has real treatment implications. I think it’s helpful to start with some definitions, in which the key is function, not topography.

1. OCD obsessions/compulsions: ego-dystonic, anxiety-driven, patient r...

I find that a combination of SSRI/SNRI, stimulants, and atypical antipsychotics can have an impact on intrusive, repetitive thoughts, fixation, perseveration, and compulsive or obsessive behavior, in conjunction with therapy with an experienced clinician. It takes a nuanced approach because there ca...

This can be hard to differentiate depending on the cognitive level and level of ASD. Generally.

Obsessions related to OCD are typically driven by intrusive thoughts, are performed to reduce anxiety, and are mostly distressing. ASD kids may not be able to explain/recognize this.

Repetitive behaviors ...