Autism Treatment: Recent Review Suggests SSRI's are Not Effective
The Cochran Collaboration, a prestigious international nonprofit organization dedicated to making healthcare research available to consumers, posted a review this year on the use of Selective Serotonin Reuptake Inhibitors (SSRIs) for the treatment of autism. SSRIs are a common class of antidepressants that include Prozac and Celexa. The review concluded there was no evidence that children with autism spectrum disorders benefit from SSRIs, and only limited evidence for their usefulness in adults with autism. Studies found that compared to placebos, SSRI's did not reduce repetitive behaviors associated with autism.
Autism is a developmental disorder that involves significant problems in social interaction, communication skills, and behavior, although there's a wide variability in people with autism. In the past few decades, there has been an increase in diagnosis of autism. Reasons for this increase appear to be related to changes in how it is diagnosed, and that professionals are better trained in detecting it. What this means is that it is less likely there is an "autism epidemic"-as is sometimes reported in the popular press-than that professionals are better at diagnosing it. There's no compelling scientific evidence that autism is caused by childhood vaccinations, for example, as has been claimed. (For more on autism, check out this MHN post.)
Unfortunately, there aren't a lot of effective treatments for autism. Within this vacuum, a number of unsupported fringe therapies have claimed to be effective in treating autism. These include special diets, Facilitated Communication, and even what's called "Dolphin-Assisted Therapy" (which is even weirder than it sounds). Unfortunately, there's no compelling research supporting these treatments.
The most effective treatment for autism with the strongest research base remains Applied Behavior Analysis (ABA). (Check out this MHN article on ABA.) ABA is a very precise treatment that involves gradually teaching and strengthening particular behaviors over time. It doesn't sound nearly exciting as a treatment that involves dolphins-but it works. There is a strong research literature supporting the use of ABA in treating autism, and it has continued to grow more sophisticated over time. ABA is the only treatment for autism at this time that is supported by good science.