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She was diagnosed with autism at 3 years old. She's my only child. I think she may have separation anxiety, being that she is always with my husband and I . Today, she had a hard time getting out of the car for ABA therapy.

April 29
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Reactions
A MyAutismTeam Member

Great, thank you.!

May 4
A MyAutismTeam Member

Every child is different but what I learned from my son is to watch for the early warning signs before anxiety gets worse. If you catch it early by reducing stimulation, offering a preferred activity, or just sitting quietly with them you can sometimes head it off completely.

May 2
A MyAutismTeam Member

Thank you for the information. It was very informative.

April 29
A MyAutismTeam Member

Key Aspects of Separation Anxiety and Autism:
Prevalence: Studies show separation anxiety disorder (SAD) is highly prevalent in autistic youth compared to the general population.
Triggers: Key triggers include changes in daily routine, new environments (e.g., school), and transition periods.
Causes: The anxiety often stems from a high need for predictability, difficulties with communication, and sensory sensitivities, which make unfamiliar situations overwhelming.
Signs: Symptoms can include tantrums, repetitive behaviors, excessive fear, nightmares about separation, and physical symptoms like stomachaches.

Support and Management Strategies:
Gradual Exposure: Slowly increase time away from the caregiver to build trust.
Predictable Routines: Maintaining consistent daily schedules provides a sense of security.
Visual Supports: Use visual aids or social stories to prepare the child for separations.
Goodbye Rituals: Develop consistent, quick routines for leaving to reduce stress.
Comfort Items: Allow the child to hold a favorite toy or item during separation.
Therapy: Cognitive Behavioral Therapy (CBT) and Applied Behavior Analysis (ABA) can help identify fears and create personalized coping strategies.
Stay Calm: Parents and caregivers should model calm, positive behavior during departures.

Separation anxiety in autistic individuals is often treated with SSRIs (e.g., fluoxetine/Prozac, sertraline/Zoloft) as the first line of care to manage anxiety, compulsive behaviors, and mood. While FDA-approved medication for autism-related anxiety is limited,, medications like buspirone are used for young children, and antipsychotics (e.g., Risperdal) may help extreme irritability.

Common Medication Approaches
SSRIs (Selective Serotonin Reuptake Inhibitors): Often used for anxiety and repetitive behaviors, including Prozac, Zoloft, Lexapro, Celexa, and Luvox.
Buspirone: A medication that can be used for anxiety in children with ASD, with some studies showing improvement in behaviors.
SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors): Options like venlafaxine (Effexor) can be used to treat severe anxiety and behavior.
Antipsychotics: Drugs like risperidone (Risperdal) and aripiprazole (Abilify) are commonly used to treat irritability, agitation, and self-injury, which can accompany anxiety.
Benzodiazepines: Medications such as Ativan or Klonopin may be used for acute, short-term relief of severe anxiety, though they are not typically for long-term use.

https://www.autismparentingmagazine.com/autism-...

Managing Separation Anxiety in Autistic Children
Managing Separation Anxiety in Autistic Children
April 29
MyAutismTeam

Good morning! What a caring parent you are for looking into this so thoughtfully. Anxiety, including separation anxiety, is a common experience for many autistic individuals, and there are options that can help.

When it comes to medication for anxiety in autism, there are no medications that treat autism itself, but some Show Full Answer

Good morning! What a caring parent you are for looking into this so thoughtfully. Anxiety, including separation anxiety, is a common experience for many autistic individuals, and there are options that can help.

When it comes to medication for anxiety in autism, there are no medications that treat autism itself, but some can help manage anxiety symptoms specifically. A doctor may consider the following types:

- Antidepressants/antianxiety medications – such as fluoxetine or sertraline, which can help with anxiety and panic
- Non-stimulants – such as guanfacine or clonidine, which can also help with anxiety-related symptoms

These are typically used alongside therapies like ABA, not as a replacement. The most important next step is speaking with her doctor β€” whether that's her pediatrician, a psychiatrist, or a developmental specialist. They can assess whether medication is appropriate and help weigh the benefits and any risks based on her specific situation.

Never start or stop any medication without consulting a healthcare professional first. Her ABA therapy team may also have helpful insights, since they see her regularly and could support a combined approach.

You're clearly doing a wonderful job advocating for her! πŸ’›

April 29

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