How do you approach treatment of obsessive behavior in patients with autism spectrum disorder?

This is such a rich topic, which comes up frequently in my practice, and the diagnostic distinction has real treatment implications. I think it’s helpful to start with some definitions, in which the key is function, not topography.

1. OCD obsessions/compulsions: ego-dystonic, anxiety-driven, patient re...

I find that a combination of SSRI/SNRI, stimulants, and atypical antipsychotics can have an impact on intrusive, repetitive thoughts, fixation, perseveration, and compulsive or obsessive behavior, in conjunction with therapy with an experienced clinician. It takes a nuanced approach because there ca...