As most teens and adults with Asperger syndrome know, people with Asperger syndrome can be significantly depressed. The rates of diagnoses of depression vary among studies, from 18% to 22%. The most commonly quoted rate of a depression in the general population of the US  is 6.7%. Most of the research shows both genders have these high rates of depression.

Studies focused on males and females and not those who are transgender. There are more people who identify as transgender in the AS population than in the general population and transgender people have a higher rate of depression. One would guess that someone who is both AS and transgender might have a high tendency towards depression.

Interestingly, non-autistic full siblings and half-siblings of individuals with ASD (not just Asperger syndrome) also had higher rates of depression than the general population, although at half the rate of those with ASD. Studies of suicide attempts are also very troubling. In studies of suicide, the rate of suicidal thoughts and attempts are prevalent, especially in adolescence and young adulthood.

It’s critical to identify depression, since it can be treated.

It’s obviously important to understand why rates of depression and suicidal thoughts are so high. One factor, given the findings in siblings, is that there is an increased genetic vulnerability to depression, although large studies haven’t supported a common genetic overlap. We have to look to other factors to account for these high rates of depression.

It’s important to diagnose clinical depression for anyone for a simple reason – depression is treatable with a variety of modalities:

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As students with AS and NLD of all ages return to school, there’s two challenges: making the transition from summer to the school routine, and setting up the year to maximize success. Transitions and novelty often are the source of anxiety, so many AS and NLD students are increasingly anxious as that first day back to school approaches.

Anticipatory anxiety can be expressed as headaches, stomach aches, and specific fears of the year ahead: who’s in the classes, will there be bullying, what’s expected by teachers, having to take gym.

How can a parent help (or an older student prepare)?

Deal with anxiety:

  1. Recognize anxiety is a real feeling, but not an accurate prediction of what’s going to happen. Too often parents get caught up in the anxiety themselves.
  2. Meditation has been proven to turn off the “fight flight” response, and the breathing techniques are useful to use when there’s challenges or frustration. It’s a good time to start practicing daily. There’s apps for all ages.
  3. Exercise is another good way of dealing with anxiety. It doesn’t have to be a sport. Walking outside can be calming.
  4. AS and NLD students usually have ideas of what helps with anxiety but sometimes don’t initiate doing those things: reading, music, playing with pets.
  5. Use self talk – realistic self encouragement can be thought through ahead of time: “I can handle this,” “I know I can get help if I need it” are examples.

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