Mood swings and anger are common problems seen in teenagers and young adults. If these mood shifts are occurring in the context of Autism it should be approached through behavior therapy first. If behavior therapy fails and distinct maladaptive behaviors persist (self-destructive, aggressive behaviors) in such situations medications would help. Unprovoked aggression and self-mutilation are some common challenges seen in kids between ages 9-12. In these situations using medications does help. However, only for a few months as these medicines have far reaching side effects if taken on a long term basis. After 2-3 months the child must be taken back to behavior therapy to understand the challenges the child is facing. By understanding what is causing the maladaptive behaviour that are self destructive is very essential to determine the course of action for its management. Medication cannot be a permanent solution.
