Tom Berney is a consultant in developmental psychiatry with the Northgate & Prudhoe NHS Trust (Prudhoe Hospital, Prudhoe, Northumberland NE42 5NT, UK. E-mail: t.p.berney{at}ncl.ac.uk) and at the Fleming Nuffield Child Psychiatry Unit, Newcastle upon Tyne. He is also honorary consultant to European Services for People with Autism, a registered charity that provides community services.
Asperger syndrome, a form of autism with normal ability and normal syntactical speech, is associated with a variety of comorbid psychiatric disorders. The disorder is well known to child psychiatry, and we are beginning to recognise the extent of its impact in adulthood. The article reviews the diagnosis and assessment of Asperger syndrome and its links with a wide range of psychiatric issues, including mental disorder, offending and mental capacity. It also describes the broader, non-psychiatric management of Asperger syndrome itself, which includes social and occupational support and education, before touching on the implications the disorder has for our services.
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