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Telepsychiatry in Asperger’s syndrome

Published online by Cambridge University Press:  10 July 2017

C. S. Clarke
C. S. Clarke*
Affiliation:
Department of Child & Adolescent Psychiatry, Child & Adolescent Mental Health Service, Dublin, Ireland Centre of Health Sciences, University College Dublin, Dublin, Ireland
*
*Address for correspondence: Dr C. S. Clarke, Department of Child & Adolescent Psychiatry, University College Dublin, Dublin 1, Ireland. (Email: ciarans.clarke@hse.ie)
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Abstract

Background

Internet technology offers psychiatrists new opportunities for remote interaction with patients. It also raises issues regarding therapeutic effectiveness, safety, technical problems and possibilities for overcoming them, and matters related to specific mental health problems such as autism. The case presented concerns an adolescent male with severe social impairment and isolation as manifestations of Aspergers syndrome.

Methods

The patient was accepted contact with psychiatric services through telepsychiatry, which enabled initial assessment and the development of a therapeutic relationship.

Results

In due course the patient was able to attend the clinic in person. He became somewhat reconciled to his family. With appropriate adaptations he was able to resume his education and career.

Conclusions

Telepsychiatry shows promise in engaging with patients with autism spectrum disorders. As experience accrues, there is some evidence that it is safe and effective. Adaptations to traditional clinical psychotherapy may be required.

Keywords

AdolescenceASDAsperger’spsychotherapytelepsychiatry
Type
Case Report
Information
Irish Journal of Psychological Medicine , Volume 35 , Issue 4 , December 2018 , pp. 325 - 328
Copyright
© College of Psychiatrists of Ireland 2017 

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References

Berney, T, Brugha, T, Carpenter, P (2011). Royal College of Psychiatrists Diagnostic Interview Guide for the Assessment of Adults with Autism Spectrum Disorder (ASD). Royal College of Psychiatrists, College Education and Training Centre. http://www.rcpsych.ac.uk/pdf/asperger_interview_use_this_one.pdf Google Scholar
Boisvert, M, Lang, R, Andrianopoulos, M, Boscardin, ML (2010). Telepractice in the assessment and treatment of individuals with autism spectrum disorders: a systematic review. Developmental Neurorehabilitation 13, 423–432.Google Scholar
Browne, D, Reilly, M, Bradley, O (2006). Telepsychiatry in a child and adolescent psychiatric service. Irish Journal of Psychological Medicine 23, 21–23.Google Scholar
Chakrabarti, S (2015). Usefulness of telepsychiatry: a critical evaluation of videoconferencing-based approaches. World Journal of Psychiatry 5, 286–304.Google Scholar
Chamberlin, J (2010). The digital shift. (http://www.apa.org). Accessed 26 December 2016.Google Scholar
Cichonski, P, Millar, T, Grance, T, Scarfone, K (2012). Computer Security Incident Handling Guide. http://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-61r2.pdf Google Scholar
Deslich, S, Stec, B, Tomblin, S, Coustasse, A (2013). Telepsychiatry in the 21st century: transforming healthcare with technology. Perspectives in Health Information Management/AHIMA, American Health Information Management Association 10. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709879/. Accessed 26 December 2016.Google Scholar
Knutsen, J, Wolfe, A, Burke, BL, Hepburn, S, Lindgren, S, Coury, D (2016). A systematic review of telemedicine in autism spectrum disorders. Review Journal of Autism and Developmental Disorders 3, 330–344.Google Scholar
Myers, K, Cain, S, Work Group on Quality Issues, American Academy of Child and Adolescent Psychiatry Staff (2008). Practice parameter for telepsychiatry with children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 47, 1468–1483.Google Scholar
Savin, D, Garry, MT, Zuccaro, P, Novins, D (2006). Telepsychiatry for treating rural American Indian youth. Journal of the American Academy of Child & Adolescent Psychiatry 45, 484–488.Google Scholar
Tateno, M, Skokauskas, N, Kato, TA, Teo, AR, Guerrero, APS (2016). New game software (Pokémon Go) may help youth with severe social withdrawal, hikikomori – ClinicalKey. Psychiatry Research 246, 848–849.Google Scholar