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Risperdal and Autism

by Deda Donaldson, R.N.
University of South Alabama
College of Nursing

Introduction

      Autism is developmental disorder in children and continues through adulthood. Currently, there is no known cause or cure for autism. Autism disorders range from mild symptoms, where the child seems “normal” but socially awkward, to severe symptoms, in which the child is non-verbal, and dependent on everyday care. Children with autistic disorders generally have difficulty with cognitive function, social interaction, and communication. Because of these social, cognitive, and communicative deficits, autistic children will often display behavior problems including aggression and irritability. The frustration builds, and the child does not know any other way to express himself. As with any medical condition, the earlier the diagnosis, the more effective the treatment is. Autism is no exception (Autism Research Institute, 2009).

Autism Treatment

      Treatment options have been and continue to be explored. In the past, treatment was aimed at behavior modification and life skills. No one single approach has worked, and the treatment is individualized. In October 2006, after many trials, the United States Food and Drug Administration (FDA) approved the use of the atypical antipsychotic, Risperdal (risperidone) for treatment of aggressive behavior in autistic patients ages 5-16 years old (United States Food and Drug Administration, 2006).

      As earlier stated, children with autism often display aggression and irritability. This is often caused by the frustration of not being able to express feelings or to communicate effectively. Fortunately, Risperdal is shown to help calm autistic individuals therefore enhancing communication as well as education ability. Autistic treatment now includes medical, social, and educational intervention (United States Food and Drug Administration, 2006).

      Individuals can be taught everyday life skills in education as well as behavior management. However, each autistic child is different, so each treatment plan should be individualized. Some autistic children have a severe deficit in cognitive and social skills, while others have very little problem at all. Hence, intervention must be approached on an individual basis (Autism Research Institute, 2009). 

Risperdal as a Treatment Option

      Since the FDA approved in October 2006, Risperdal is now prescribed as a treatment for aggressive, autistic children ages 5-16 years. Although the drug is not a cure, Risperdal helps in calming a frustrated, autistic child. Additionally, the medicine can prevent the child from becoming irritable and calm a hyperactive child, so he may learn or function in stressful situations. Risperdal may also help calm the child to prevent self injury or injury to others (United States Food and Drug Administration, 2006).

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