Comorbid Autism, Anxiety, and ADHD in a Preadolescent Boy: Clinical Opportunities.

IF 3.4 4区 医学 Q2 PSYCHIATRY
Harvard Review of Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI:10.1097/HRP.0000000000000437
Elizabeth Steuber, Jason Fogler, Oscar Bukstein, Heather Potts
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引用次数: 0

Abstract

Autism spectrum disorder (ASD) is often comorbid with other psychiatric disorders, such as anxiety and attention-deficit hyperactivity disorder (ADHD). While common, individuals with autism and their families often face challenges accessing appropriate community-based treatment for coexisting disorders. The case of a preadolescent boy with ASD and comorbid anxiety and ADHD illustrates challenges and frustrations associated with fragmented health care systems, prolonged wait times for specialized services, and limited availability of clinicians trained in neurodevelopmental and psychiatric comorbidity interventions. Evidence-based psychotherapeutic and pharmacologic treatments for neurodivergent patients with psychiatric comorbidities are also discussed. Ongoing advocacy to reduce disparities and improve outcomes for children with neurodevelopmental and mental health needs is critically needed.

青春期前男孩的共病自闭症、焦虑和ADHD:临床机会。
自闭症谱系障碍(ASD)通常与其他精神疾病合并症,如焦虑和注意力缺陷多动障碍(ADHD)。自闭症患者及其家庭虽然很常见,但在获得针对共存障碍的适当社区治疗方面往往面临挑战。一名患有ASD和共病焦虑和ADHD的青春期前男孩的病例说明了与分散的卫生保健系统、专业服务的长时间等待以及在神经发育和精神共病干预方面受过培训的临床医生的有限可用性相关的挑战和挫折。以证据为基础的精神病学合并症患者的心理治疗和药物治疗也进行了讨论。迫切需要持续宣传,以减少差异,改善有神经发育和心理健康需要的儿童的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.50
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on important topics in psychiatry. Founded by the Harvard Medical School''s Department of Psychiatry, the Harvard Review of Psychiatry features review papers that summarize and synthesize the key literature in a scholarly and clinically relevant manner. Topics covered include: Schizophrenia and related disorders; Mood disorders; Personality disorders; Substance use disorders; Anxiety; Neuroscience; Psychosocial aspects of psychiatry; Ethics; Psychiatric education; and much more. In addition, a Clinical Challenges section presents a case with discussion from a panel of experts. Brief reviews are presented in topic-specific columns that include Cross-Cultural Psychiatry, History of Psychiatry, Ethics, and others.
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