A member asked:

Cognitive behavioral therapy not working, what do you advise?

3 doctors weighed in across 2 answers
Dr. Johanna Fricke answered

Specializes in Pediatrics - Developmental and Behavioral

1) Assessment for: genetic or other medical cause of ASD by Developmental/Behavioral Pediatrician & Chromosomal Microarray, DNA Probe for Fragile X, possibly MRI & EEG. 2) Assessment of cognition & degree of ASD by Neuropsychologist 3) Functional Behavioral Assessment 4) Communication by picture exchange apps on an iPad 5) Evaluation for need for medication for associated ADHD or irritability. 6) Consistency

Answered 5/14/2014

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CBT: Speaking as a psychoanalyst, CBT treatment effects are not as long lasting as psychodynamic/psychoanalytic treatment. When a patient wonders where the distortions in their thought processes began, that is when CBT ends and psychodynamic therapy or psychoanalysis begins, and gets to the root of the problem instead of focusing on the symptom.

Answered 3/21/2015

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