Practical Aspects of ASD Management—What Pediatricians Should Know
Abstract
The increasing prevalence of autism spectrum disorder (ASD) warrants higher levels of clinical attention to optimally manage children with ASD. There is mounting evidence that early intervention programs can help improve developmental functioning, maladaptive behaviors, and core ASD symptoms. The most thoroughly investigated and evidence-based therapies have been developmental, behavioral, and educational interventions mediated by either professionals or parents. Other commonly available interventions include speech and language therapy, occupational therapy, and social skills training. Pharmacological interventions, where needed, are used as an adjunct to treat severe problem behaviors and manage medical and psychiatric comorbidities. Complementary or alternative medicine (CAM) approaches have not proven to be of any benefit, and some of them may be harmful to the child. As the child's first point of contact, the pediatrician is well-positioned to effectively guide the families to therapies that are evidence-based and safe and also collaborate with various specialists to provide seamless, coordinated care for these children so as to improve their developmental outcomes and social functioning.
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Similar treatment guidelines published to date are either now outdated or offer guidance on one co-occurring condition but may not serve as a reference across multiple symptom domains, present which drugs may be used in ASD without walking through the nuanced decision-making process of choosing and prescribing a drug to match the unique needs of individual patients, or do not specifically discuss,
“Similar treatment guidelines published to date are either now outdated or offer guidance on one co-occurring condition but may not serve as a reference across multiple symptom domains, present which drugs may be used in ASD without walking through the nuanced decision-making process of choosing and prescribing a drug to match the unique needs of individual patients, or do not specifically discuss”
From Pharmacological treatment in autism: a proposal for guidelines on common co-occurring psychiatric symptoms (2025) · cites this paper as [32]
Cites
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“Pediatricians should guide families to refrain from adopting these modalities and instead help them gain access to therapies that are evidence-based and safe [22, 23].”
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“Parental involvement in treatment and intervention has been effective in reducing symptoms of ASD and those treatments that include parent training components have far-reaching beneficial outcomes [11, 12].”
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Manter, M. A., Birtwell, K. B., Bath, J., Friedman, N. D. B., Keary, C. J., Neumeyer, A. M., Palumbo, M. L., Thom, R. P., Stonestreet, E., Brooks, H., et al. (2025) · BMC Medicine · doi:10.1186/s12916-024-03814-0 · Cited by 51 · see citing works
- Authors
- Juneja, M., Sairam, S., Jain, R., & Gupta, A.
- Affiliations
- Maulana Azad Medical College (IN)
- Lok Nayak Jai Prakash Narayan Hospital (IN)
- Corresponding author
- Juneja, Monica
- Venue
- Indian Journal of Pediatrics
- Published
- 2023-02-16
- Volume
- 90
- Issue
- 4
- Pages
- 369-376
- ISSN
- 0019-5456 (ISSN-L)
- 0973-7693
- OpenAlex
- W4321004759
- Cited by
- 7
- References
- 7
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- The Indian Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- autism spectrum disorder, early intervention, behavioral interventions, developmental intervention, speech therapy, occupational therapy, social skills training, pharmacotherapy, psychiatric comorbidity, complementary and alternative medicine, pediatrician role, care coordination, evidence-based treatment
- MeSH terms
- Autism Spectrum Disorder, Pediatricians, Child, Humans, Parents
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