Purpose: The purpose of this tutorial is to provide speech-language pathologists (SLPs) with general information regarding the most commonly prescribed medications for children with autism spectrum disorder (ASD; e.g., central nervous system stimulants, noradrenergic reuptake inhibitors, alpha-2 adrenergic agonists, antipsychotics,…

Professional school counselors are likely to work with students who are experiencing mental health issues including self-injury, eating disorders, depression and suicidality, as well as those associated with dating violence and bullying. This paper discusses two key areas school counselors are encouraged to reflect upon in determining if there is…

An eclectic form of psychodynamic psychotherapy is presented to address the emotional problems of exceptionally and profoundly gifted adolescents and adults. The approach includes cognitive/behavioral techniques as well as psychologically informed mentoring, coaching, and advising. Once a psychodynamic formulation was established, it was used to…

Autism spectrum disorders (ASDs) are a complex group of neurodevelopmental conditions that develop in early childhood and involve a range of impairments in core areas of social interaction, communication, and restricted behavior and interests. Associated behavioral problems such as tantrums, aggression, and self-injury frequently compound the core…

Youth suicide is one of the most serious preventable health problems in the United States. It is the third leading cause of death among adolescents. According to a recent national survey of students in grades 9-12, nearly 15% of respondents had seriously considered suicide and 7% actually had attempted suicide in the previous 12 months. Moreover,…

Severe behavior disorders are among the most perplexing conditions encountered by clinicians, and as a front page article in the past Christmas Day's "New York Times" illustrates ("Parents defend school's use of shock therapy"), treatment options remain a topic of contentious debate. Not all that long ago physical restraint was the only option,…

This document provides policy recommendations of the Council for Children with Behavioral Disorders regarding the use of seclusion procedures in schools. It includes (a) an introduction, (b) a declaration of principles, and (c) recommendations regarding the use of seclusion in school settings. Explanation or elaboration of policy recommendations…

Over the past several decades, research has focused increasingly on developmental precursors to psychological disorders that were previously assumed to emerge only in adulthood. This change in focus follows from the recognition that complex transactions between biological vulnerabilities and psychosocial risk factors shape emotional and behavioral…

Play is a complex phenomenon that occurs naturally for most children; they move through the various stages of play development and are able to add complexity, imagination, and creativity to their thought processes and actions. However, for many children with autism spectrum disorders (ASD), the various stages of play never truly develop, or occur…

This paper reviews behavioral and pharmacological approaches to the treatment of self-injurious behavior in autism. Both behavioral and pharmacological approaches offer a multitude of treatment options which we hope to elucidate. In providing this review, the goal is to provide an awareness of the treatment options available and to prompt further…

Autism spectrum disorders (ASD) are considered to be among the most serious of the mental health conditions. Concomitant with many cases of ASD is intellectual disability. Further compounding the disability is the fact that both conditions are known risk factors for self-injurious behavior (SIB). To date, the most effective intervention methods,…

In the everyday bustle of high school life, a student can have wounds--physical or emotional--that often go unnoticed. A lot of issues affect adolescents of all backgrounds. Two particularly serious issues among U.S. high school students are suicide and self-injury. This article discusses what school mental health professionals can do about…

We evaluated the effects of systematic application and removal of protective equipment on three topographies of self-injurious behavior (SIB) exhibited by a girl who had been diagnosed with autism. Results showed that when protective equipment was applied, SIB decreased to near-zero levels. In addition, withdrawal of protective equipment for…

A growing number of students presenting with nonlethal self-injury has recently captured the attention of school nurses. The purpose of intentional self-harm is aimed at reducing emotional distress. This is not a new phenomenon, but what is alarming is the increasing incidence of self-injurious behavior among adolescents. This behavior is raising…

When good people do violently bad things, one seeks answers, drawing from one's repertoire of theories and concepts that have served him/her well. Underlying one's attempts to understand violent behavior is the belief that one can impose sense on seemingly insensible actions. Sometimes, in the face of inexplicable events, one is left to try to…