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Dr. David J. Cipriano, PhD, MS is a psychologist in Wauwatosa, WI specializing in psychology. Dr. David J. Cipriano, PhD, MS is affiliated with Children’s Wisconsin, Froedtert & the Medical College of Wisconsin Regional Health Network and THE MEDICAL COLLEGE OF WISCONSIN INC.
1155 NORTH MAYFAIR ROAD
Wauwatosa, WI 53226
8915 W CONNELL COURT
Milwaukee, WI 53226
2323 N Lake Drive
Milwaukee, WI 53211
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Asperger's Syndrome
Asperger's syndrome is a developmental disorder characterized by difficulty in social interactions and repetitive patterns of behavior and interest. There is no known cause of Asperger's syndrome. Experts believe that genetic and environmental factors may play a role in its development, but no factors have been scientifically confirmed.
Asperger's syndrome was first identified by medical experts in the 1940s. It was thought to be a separate diagnosis from autism until 2013, when it was recognized as a form of autism. Asperger's is typically less severe than other types of autism, which can significantly limit cognitive ability. Many people with Asperger's have high intellectual ability and frequently excel in academics or a specific school subject, sometimes leading to the underdiagnosis of Asperger's syndrome. People with Asperger's also rarely exhibit speech delay, a predominant symptom of other forms of autism.
Early signs of Asperger's syndrome are typically displayed in childhood or adolescence. Some early signs of Asperger's syndrome include:
Children may be diagnosed with Asperger's syndrome by a pediatric neurologist, child psychologist, or pediatric neuropsychologist. Once a child is diagnosed with Asperger's, he or she may receive therapy or other treatments. While there are no drugs specifically intended for Asperger's, some doctors may prescribe antidepressant SSRIs (selective serotonin inhibitors) or stimulant medication to improve the mental health of some Asperger's patients.
Therapy can also help people with Asperger's, notably by improving their communication and guiding them to overcome personal issues and social difficulties. In particular, cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) can help patients identify patterns of repetitive behaviors and narrow interests that may hinder them. Conversely, therapists may also teach people how to take advantage of certain Asperger's symptoms, such as an intense focus on a single interest, and use it to positively affect themselves and others. Social skills training (SST) is another behavioral therapy that helps people with Asperger's. SST encourages people with Asperger's to refine their social and conversational skills in a safe environment. By learning social cues and practicing behaviors in real time, people can better adapt to social situations. For example, someone who struggles in workplace environments may memorize a number of talking points for use during normal conversation. Other treatments may include psychoactive prescription medications for stress and anxiety associated with Asperger's, as well as physical and occupational therapy for those struggling with coordination.
Although no cure for Asperger's syndrome currently exists, therapy can significantly enhance the quality of life for many "Aspies," or people with Asperger's syndrome. With ongoing therapy and support, people with Asperger's can learn to lessen their symptoms and while also strengthening their own interests and skills.
Attention Deficit Disorder (ADD/ADHD)
Attention Deficit Hyperactivity Disorder, or ADHD, is one of the most common disorders diagnosed in children. Nine percent of children in the USA have been diagnosed with ADHD. Symptoms, which include hyperactivity and difficulty maintaining focus or paying attention, can last into adulthood for some patients. Boys are four times as likely to be diagnosed as girls, although experts don't know why this is.
There are three main types of ADHD:
When diagnosing ADHD, it is important to rule out other issues that may be causing the symptoms. Seizure disorders, hearing loss, anxiety, and domestic problems are some examples of problems that can cause behaviors similar to those seen with ADHD.
Treatment can include stimulant medications, behavioral therapy to teach patients ways to navigate their world and control symptoms better, and accommodations at school or work. A structured environment (with lots of organization and well-defined rules) seems to help most kids with ADHD function at their best.
ADHD is mainly thought of as a disorder that affects children, but symptoms can last into adulthood for a third to half of those diagnosed. In adults, ADHD has similar symptoms as when it is seen in children: impulsive behavior, difficulty maintaining focus, being easily distracted, or a tendency to fidget. These symptoms can cause problems in a patient's careers and relationships. Additionally, adults with ADHD are at increased risk for substance abuse. Medications can be an important part of treatment for adults, as well as stress reduction techniques and organization skills training. Specialized ADHD coaches can help adults with ADHD manage their symptoms and succeed in all areas of their life.
Depression
Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."
Some common symptoms of depression include:
We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.
Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.
Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.
He has a state license in Wisconsin.
Licensed In: Wisconsin
Dr. David J. Cipriano, PhD, MS is associated with these hospitals and organizations:
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Dr. David Cipriano practices psychology. He is especially interested in depression, attention deficit disorder (ADD/ADHD), and asperger's syndrome. He is professionally affiliated with Children’s Wisconsin and Froedtert & the Medical College of Wisconsin Regional Health Network. Doctor.com reports that Dr. Cipriano is accepting new patients at his office in Wauwatosa, WI.