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do Desenvolvimento e Comportamento

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Marilene Félix Nogueira

suavizar os sintomas. Além disso, é importante

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O Transtorno do Espectro do Autismo (TEA) é
um transtorno do desenvolvimento neurológico,
B@Q@BSDQHY@CN ONQ CHƥBTKC@CDR CD BNLTMHB@¢žN
DHMSDQ@¢žNRNBH@KDODK@OQDRDM¢@CDBNLONQS@-
mentos e/ou interesses repetitivos ou restritos.
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variável1. Trata-se de um transtorno pervasivo e
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precoces.
O TEA tem origem nos primeiros anos de
UHC@ L@R RT@ SQ@IDS®QH@ HMHBH@K MžN ¤ TMHENQLD
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logo após o nascimento. Na maioria dos casos,
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1
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CD HC@CD
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gestos comunicativos (apontar) e da resposta ao
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altamente plástico e maleável6,7.
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cos e do desenvolvimento de instrumentos de

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Asperger apresentam diagnóstico mais tardio,
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cializado em desenvolvimento neuropsicomotor, -escolar ou até mesmo escolarŔ.
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interdisciplinar especializado
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marco, de acordo com as escalas validades para
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principalmente os familiares, os cuidadores e os
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professores na escolaŔ.
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tismo/Transtorno do Espectro Autista (Depar-
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e evidentes deste diagnóstico ou de outros atra-
iniciais aconteceram em uma média de idade de
sos do desenvolvimento.
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para o neurodesenvolvimento e o da triagem
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 RT@QD@¢žN3RUH[HPSORRDDK@NTUDTLA@QTKGNDRSQ@MGNNTDMFQ@¢@CNNTU¥ 3DVVD )DOKD
TLAQHMPTDCNMNUNDK@NKG@O@Q@NRDTQNRSN

2T@BQH@M¢@FNRS@CD@SHUHC@CDRBNLLNUHLDMSN3RUH[HPSORRDQA@K@M¢@C@NT
 3DVVD )DOKD
OTK@QMNRRDTRINDKGNR

g#H@M@1NAHMR#DANQ@G%DHM,@QH@MMD!@QSNM

3RQWXD¦¢R7RWDO __________________

([DPHVGXUDQWHDLQYHVWLJD¦¢R $QDPQHVH

. CH@FM®RSHBN CD 3$  ¤ BK¨MHBN D @OQDRDMS@ O primeiro passo para o diagnóstico diferen-

OQDIT¨YNRM@RœQD@RC@BNLTMHB@¢žNDRNBH@KHY@- BH@K¤@ATRB@CDHMENQL@¢°DRBNKGHC@RCNRO@HR
¢žN @RRNBH@CNR @NR HMSDQDRRDR QDRSQHSNR D BNL- NT BTHC@CNQDR RNAQD @ FDRS@¢žN D @R BNMCH¢°DR
portamentos repetitivos. CNO@QSNCDRS@RBQH@M¢@R@SQ@U¤RCDTL@@M@L-
MDRDCDS@KG@C@


Transtorno do Espectro do Autismo

#DUDRD HCDMSHƥB@Q ONRR¨UDHR E@SNQDR CD QHR-
BN O@Q@ 3$  HC@CD CNR O@HR ƥKGNR CD O@HR L@HR
idosos apresentam risco maior para o desenvolvi-
LDMSNCN@TSHRLNFQ@UHCDYDRONMSMD@NTHMCT-
zida, uso de medicamentos, consumo de drogas
HK¨BHS@RœKBNNKDS@A@FHRLNCTQ@MSD@FDRS@¢žN
MN¢žNCDODQHFNDMžN@ONMS@Q@NRLDRDR.
-@ GHRS®QH@ E@LHKH@Q ¤ QDKDU@MSD @ OQDRDM¢@
de transtornos de desenvolvimento em familia-
res ou grupos populacionais circunscritos (onde
RD BNMRS@S@ TL@ HMBHC¥MBH@ @TLDMS@C@ DMSQD
HQLžNR PTD ONCD BGDF@Q @S¤ ADL OQ®WHLN CD
 @ OQDRDM¢@ CD R¨MCQNLDR FDM¤SHB@R ONHR
DRSTCNRQDBDMSDRBNMƥQL@L@RTRODHS@C@GDQD-
CHS@QHDC@CDCN@TSHRLNBNL@CDRBNADQS@CDPTD
.MžNBNLO@QSHKG@LDMSNCDNAIDSNRD
LTS@¢°DRMN#- LHSNBNMCQH@K@KSDQ@LNENQMD-
BHLDMSNCDDMDQFH@@NB¤QDAQNPTDCDSDQLHM@L
NCDRDMUNKUHLDMSNCDOQNAKDL@RMDTQNORHPTHœ-
tricos e do próprio autismo).
/@Q@NDRS@ADKDBHLDMSNCNCH@FM®RSHBNCHED-
QDMBH@KBNLOQNAKDL@RPTDONRR@L@EDS@QNCD-
RDMUNKUHLDMSNCNB¤QDAQND@BNFMH¢žNMNHM¨BHN
C@ HMEMBH@ U@KD HMUDRSHF@Q RD GNTUD DWONRH¢žN
CTQ@MSD@FDRS@¢žNCDRS@BQH@M¢@›@FDMSDRQDBN-
MGDBHC@LDMSDS®WHBNR
$WDLOKNRCDRRDR@FDMSDR
RžNNœBHCNU@KOQNHBNN##3DRDTRRTAOQNCTSNR
@KS@R BNMBDMSQ@¢°DR NR AHEDMHKNRONKHBKNQ@CNR
/"!RDLLDMNQBNMBDMSQ@¢žNDS@LA¤L@KFTMR
LDS@HR ODR@CNR BNLN BGTLAN D LDQBµQHN HMNQ-
FMHBN
$RS@RRTARSMBH@RS®WHB@RRžNBHS@C@RONQ
DRSTCHNRNR CN @RRTMSN BNLN B@TR@R @LAHDMS@HR
PTDETMBHNM@QH@LBNLNTLF@SHKGNO@Q@NCDRDM-
cadeamento desse transtorno.
2žN CD QDKDU@MSD HLONQSMBH@ C@CNR CN QD-
cém-nascido no momento do nascimento como
OQDL@STQHC@CD GHONWDLH@ D HRPTDLH@ PTD ON-
CDLB@TR@Q@KSDQ@¢°DRMNCDRDMUNKUHLDMSNMDT-
ropsicomotor, no aspecto cognitivo e comporta-
mental.
-@ @M@LMDRD ¤ HLONQS@MSD R@ADQ S@LA¤L @
¤ONB@DLPTDNRO@HRNTBTHC@CNQDRMNS@Q@LODQ-
C@CDG@AHKHC@CDRIœ@CPTHQHC@RNT@KSDQ@¢°DRMN
BNLONQS@LDMSN C@ BQH@M¢@ BNLN ONQ DWDLOKN
CHLHMTH¢žNCNBNMS@SNUHRT@KHMCHEDQDM¢@NTQDR-
ONRS@ QDCTYHC@ CD DWOQDRRžN @ CHEDQDMSDR DLN-
¢°DR QDCT¢žN CN RNQQHRN RNBH@K @SQ@RN MN @O@QD-

BHLDMSN C@ KHMFT@FDL BNLN A@KATBHN @NR MNUD
LDRDRMDMGTL@O@K@UQ@OQNMTMBH@C@@S¤NRCD-
YDRRDHRLDRDRMžNENQL@QEQ@RDR@S¤NRCNHR@MNR
DBNK@KH@ONTBNHMSDQDRRDDLODRRN@R@TR¥MBH@CD
QDRONRS@@NBG@L@LDMSNODKNRDTMNLDMžNSDQ
-N RDFTMCN @MN CD UHC@ M@R BQH@M¢@R BNL
TEA, podem aparecer os comportamentos re-
ODSHSHUNR S@MSN BNL N BNQON BNLN BNL NAIDSNR
sendo estes utilizados de modo nada comum,
BNLNDWDLOKNDMƥKDHQ@MCNRHRSDL@SHB@LDMSDNR
B@QQHMGNRDLCDSQHLDMSNCNTRNUDQRœSHKDBQH@SH-
UNPTDNARDQU@LNRDLBQH@M¢@RRDLDRSDSHONCD
OQNAKDL@
AQHMB@CDHQ@R BNKDSHU@R @K¤L CD ONTB@R @SHSTCDR
BNLTMHB@SHU@R ƥB@L L@HR DUHCDMSDR L@MSDMCN
@HMC@TLA@HWNBNMS@SNUHRT@K@K¤LCN@TLDMSN
C@HQQHS@AHKHC@CDDCDTL@CHƥBTKC@CDL@HNQPTD
NG@AHST@KDLQDFTK@Q@RDLN¢°DRMDF@SHU@R.
&RPRUELGDGHV
R L@MHEDRS@¢°DR BK¨MHB@R L@HR EQDPTDMSDR
@RRNBH@C@R@N3$ RžN
Ş SQ@MRSNQMNR CD @MRHDC@CD HMBKTHMCN @R FDMD-
Q@KHY@C@R D @R ENAH@R SQ@MRSNQMNR CD RDO@Q@-
¢žN SQ@MRSNQMN NARDRRHUN BNLOTKRHUN 3."
SHPTDR LNSNQDR CD CHE¨BHK CHEDQDMBH@¢žN BNL
estereotipias), episódios depressivos e com-
ONQS@LDMSNR @TSNKDRHUNR DL SNQMN CD 
dos casos;
Ş SQ@MRSNQMNRCDC¤ƥBHSCD@SDM¢žNDGHODQ@SHUH-
C@CDDLBDQB@CD
Ş CDƥBH¥MBH@HMSDKDBST@K#(
Ş C¤ƥBHSCDKHMFT@FDL
Ş @KSDQ@¢°DRRDMRNQH@HR
Ş CNDM¢@R FDM¤SHB@R BNLN 2¨MCQNLD CN 7 %Qœ-
FHK$RBKDQNRD3TADQNR@2¨MCQNLDCD6HKKH@LR
Ş SQ@MRSNQMNRF@RSQNHMSDRSHM@HRD@KSDQ@¢°DR@KH-
mentares;
Ş CHRSµQAHNRMDTQNK®FHBNRBNLN$OHKDORH@DCHR-
SµQAHNRCNRNMN
Ş BNLOQNLDSHLDMSN LNSNQ BNLN #HROQ@WH@ @K-
SDQ@¢°DRCDL@QBG@NT@KSDQ@¢°DRLNSNQ@Rƥ-
nas.
 #DO@QS@LDMSN"HDMS¨ƥBNCD/DCH@SQH@CN#DRDMUNKUHLDMSND"NLONQS@LDMSNŞ2NBHDC@CD!Q@RHKDHQ@CD/DCH@SQH@
'LDJQ²VWLFRGLIHUHQFLDO
 @KSDQ@¢žN
Os principais diagnósticos diferenciais do
 OHNQ@
3$ RžN
Ş C¤ƥBHSR @TCHSHUNR BNL @ CHEDQDM¢@ PTD MžN
/N-
SDLOQDIT¨YNM@RNBH@AHKHY@¢žNDQDRONMCDL@
NTSQNRDRS¨LTKNRRNMNQNR
Ş CDƥBH¥MBH@HMSDKDBST@K#(PTDBTQR@S@LA¤L
 „ TL PT@CQN FDM¤SHBN B@-
BNL@KSDQ@¢°DRMNCDRDMUNKUHLDMSNBNFMHSHUN
D BNLONQS@LDMS@K DME@SHY@MCN PTD BQH@M¢@R
BNL3$ OHNQ@L@RT@BNLTMHB@¢žNBNL@HC@-
CD @N BNMSQœQHN C@PTDK@R BNL N CH@FM®RSHBN
'œPTDC@M@BTQU@CNOD-
CD#(NMCD@RNBH@AHKHY@¢žNSDMCD@LDKGNQ@Q
com o tempo;
Ş SQ@MRSNQMNR CD KHMFT@FDL PTD @B@A@L HM-
SDQEDQHMCN M@ RNBH@AHKHY@¢žN ONQ¤L MžN UDL
@BNLO@MG@CNR BNL FDRSNR MDL BNLONQS@-
mentos repetitivos;
OQDIT¨YNRHFMHƥB@SHUN›KHMFT@FDL
mais precoce é a perda da linguagem receptiva
BNL@E@RH@CDDWOQDRRžNM@RDPT¥MBH@
CNPT@CQN¤OQNFQDRRHU@DONCD@A@QB@QOQDIT-
¨YNBNFMHSHUNDCNBNLONQS@LDMSNFKNA@K
Q¤L@K¤LCNHM¨BHNL@HRS@QCHNDRR@R¨MCQNLD
MžN@OQDRDMS@SNC@R@RB@Q@BSDQ¨RSHB@RCN3$
Ş 2¨MCQNLD CD 1DSS
Q@BSDQHY@CN ONQ OQDIT¨YNR BNFMHSHUN D E¨RHBNR
RHFMHƥB@SHUNR @RRHL BNLN QDFQDRRžN MN CD-
senvolvimento psicomotor normal após os
OQHLDHQNRLDRDR
Q¨LDSQNBDEœKHBNODQC@RCDG@AHKHC@CDRL@MT-
@HR CD KHMFT@FDL CD L@QBG@ D OQDRDM¢@ CD
estereotipias, além de comprometimento na
BNLTMHB@¢žNDM@HMSDQ@¢žNRNBH@K
Contudo, ao contrário do TEA, passada a fase
Ş 3# ' ONQ¤L @ @KSDQ@¢žN C@ BNLTMHB@¢žN RN-
BH@K D NR BNLONQS@LDMSNR QDODSHSHUNR RžN HM-
EQDPTDMSDRMN3# '
Ş SQ@MRSNQMNRCD@MRHDC@CDDSQ@MRSNQMNCN@OD-
FN QD@SHUN 3 1 DMSQ@L MN QNK CN CH@FM®RSH-
BN CHEDQDMBH@K ONQPTD @KSDQ@L @ BNLTMHB@¢žN
 -@ @U@KH@¢žN E¨RHB@ C@ BQH@M¢@ CD-
RNBH@K D @ RNBH@AHKHY@¢žN ONQ¤L DRS@R BQH@M-
¢@R @OQDRDMS@L LDKGNQ@ MDRS@R G@AHKHC@CDR
PT@MCN DRSžN DL @LAHDMSDR NMCD RD RDMSDL
BNMENQSœUDHRRDFTQ@RDL@HR@CDPT@CNRNPTD
MžN@BNMSDBDBNL@RONQS@CNQ@RCD3$ 
CDQDFQDRRžNMNS@RDHMBKTRHUD@RG@AHKHC@CDRCD
BNLTMHB@¢žNŔ.
([DPH)¬VLFR
. DW@LD E¨RHBN D OR¨PTHBN BNLOKDLDMS@ N
CH@FM®RSHBN
UDLRDQBGDB@CNRSNCNRNRRHRSDL@R@K¤LC@HM-
UDRSHF@¢žNLHMTBHNR@C@OQDRDM¢@CDCHRLNQƥ@R
PTDQDLDS@LNODCH@SQ@›RTRODHS@CDR¨MCQNLDR
genéticas associadas.
"NMSQNKDCDODRNDRS@STQ@DLDCHC@CNODQ¨-
Ş 3Q@MRSNQMNNARDRRHUNBNLOTKRHUN3."
.HM¨- LDSQNBDEœKHBNRžNHSDMRNAQHF@S®QHNRM@BNMRTKS@
BHNCN3."¤L@HRS@QCHNDFDQ@KLDMSDMžNDRSœ pediátrica.
@RRNBH@CN@OQDIT¨YNM@BNLTMHB@¢žNBNLNMN
 HMROD¢žN C@ ODKD O@Q@ CDSDB¢žN CD KDR°DR
TEA. Além disso, no TOC, as estereotipias se
GHODQ NT GHONOHFLDMS@C@R ONCDL RTFDQHQ 2¨M-
apresentam como movimentos mais comple-
CQNLDR-DTQNBTSMD@R

WNRPTDRDCDRSHM@L@@OK@B@Q@@MRHDC@CDQD-
RTKS@MSDCNODMR@LDMSNNARDRRHUN KSDQ@¢°DR MDTQNK®FHB@R BNLN GHODQ NT GH-
Ş $RPTHYNEQDMH@
 RRHLBNLNMN3$ RDB@Q@BSD- ONQQD@SHUHC@CD @ DRS¨LTKNR RDMRNQH@HR CN @L-
QHY@ONQOQDIT¨YNRM@HMSDQ@¢žNRNBH@KDONQO@- AHDMSD @KSDQ@¢°DR M@R OQNU@R CD BNNQCDM@¢žN
CQ°DR CD ODMR@LDMSNR HMBNLTMR
 $MSQDS@MSN LNSNQ@CNRO@QDRBQ@MH@MNRCNS¯MTRDQDƦDWNR
@ DRPTHYNEQDMH@ BNRSTL@ RD L@MHEDRS@Q @O®R RTODQƥBH@HR OQNETMCNR D OQHLHSHUNR CDUDL RDQ
TL ODQ¨NCN MNQL@K CD CDRDMUNKUHLDMSN D BNQQDK@BHNM@CNRBNLB@C@CNDM¢@DRODB¨ƥB@.
@OQDRDMS@S@LA¤LCDK¨QHNRD@KTBHM@¢°DRHMD-  NARDQU@¢žN CN BNLONQS@LDMSN DMFKNA@ @
xistentes no TEA; HMSDQ@¢žNC@BQH@M¢@BNLNRRDTRE@LHKH@QDRBNL
Ş 2¨MCQNLD CD +@MC@T*KDƤMDQ NT @E@RH@ DOH- NDW@LHM@CNQBNLNLDHNDBNLNRAQHMPTDCNR

K¤OSHB@ @CPTHQHC@
 3Q@S@RD CD R¨MCQNLD DOH- „HLONQS@MSDBGDB@QRD@BQH@M¢@QD@FDONRHSHU@-
K¤OSHB@ PTD RD HMHBH@ DMSQD  D  @MNR BNL LDMSDPT@MCNBG@L@C@ODKNRDTMNLDUNKS@M-

11
Transtorno do Espectro do Autismo

CNNNKG@QO@Q@PTDL@BG@L@ -DRSDLNLDMSN KH@¢žNBNLONQS@LDMS@K¤QD@KHY@C@RžNCDKHMD@-

NARDQU@RD S@LA¤L @ RT@ DWOQDRRžN E@BH@K RD
 K¤L CN
HLHS@ FDRSNR D O@K@UQ@R RD O@QSHBHO@ CD AQHMB@-
CDHQ@RCDENQL@ETMBHNM@KRDONRRTHOQDEDQ¥MBH@
@NAIDSNRDLQDK@¢žN@NNKG@QNTE@BDGTL@M@RD
NKG@MNRNKGNRCDENQL@RTRSDMS@C@RD@OQDRDM-
ta rigidez comportamental, se faz o uso dos pais
BNLN NAIDSN O@Q@ ODF@Q N PTD CDRDI@ RD @OQD-
RDMS@ HQQHS@AHKHC@CD CDROQNONQBHNM@K › RHST@¢žN
CD EQTRSQ@¢žN D DRSDQDNSHOH@R LNSNQ@R UDQA@HR
ou rituais.
3DRSDR O@CQNMHY@CNR CD @U@KH@¢žN ENQL@K CN
#-/,RžNNAQHF@S®QHNRO@Q@@U@KH@QRDNRDTCD-
RDMUNKUHLDMSN C@ BNFMH¢žN CN BNLONQS@LDMSN
DC@KHMFT@FDLDRSžN@CDPT@CNRO@Q@@RT@HC@-
de cronológica.
 @U@KH@¢žN @TCHNK®FHB@ CDUD CHEDQDMBH@Q NR
C¤ƥBHSR @TCHSHUNR D N @BNLO@MG@LDMSN BNL
TL@ ENMN@TCH®KNF@ ONCD BNMSQHATHQ O@Q@ TL
diagnóstico precoce e mais preciso.
„BNMRDMRNM@KHSDQ@STQ@L¤CHB@PTDPT@MSN
L@HR BDCN ENQDL QDBNMGDBHC@R @R @KSDQ@¢°DR MN
CDRDMUNKUHLDMSNDBNLONQS@LDMSNC@RBQH@M¢@R
MNPTDCHYQDRODHSN›RT@GHRS®QH@CDUHC@@EDSHU@
social e escolar, mais precoce poderá ser a inter-
UDM¢žNDLDKGNQDRRDQžNNRQDRTKS@CNR
PT@MSHC@CDHC@CDDRS@CNCDR@µCDDDLNBHN-
2DFTMCN Q@µINNADLDRS@QD
4XHVW´HVGH&RJQL¦¢R&RPSRUWDPHQWR
6RFLDOL]D¦¢RH5RWLQDV
.RO@BHDMSDRBNL3$ @OQDRDMS@L@KSDQ@¢°DR
 . /DCH@SQ@ SDL TL
BNLONQS@LDMS@HR QDK@BHNM@C@R ›R G@AHKHC@CDR
CD BNLTMHB@¢žN D RNBH@KHY@¢žN ONCDMCN DRS@Q
@RRNBH@C@R @ C¤ƥBHSR BNFMHSHUNR
 #DRS@ ENQL@ QDK@¢žN›RPTDRS°DRCDRS@B@C@R
CNR NR NAIDSHUNR CD B@C@ HMSDQUDM¢žN
OQNFQ@L@CDDRSHLTK@¢žN@@ANQC@FDLCNBNL-
ONQS@LDMSNC@BQH@M¢@¤@LOK@DDMUNKUDUœQHNR
@RODBSNRCDRT@UHC@PTDCDUDLRDQ@U@KH@CNRD
LNMHSNQ@CNRO@Q@TLLDKGNQOQNFM®RSHBNŔ:
Ţ 5RWLQD GL¢ULD GD FULDQ¨D CDPT@¢žN MTSQHBHN-
M@KGNQœQHNCDHM¨BHNCNRNMNCTQ@¢žNDPT@-
KHC@CDSDLONDBNMSDµCNCDSDK@RDLQDK@¢žN
@NPTD¤QDBNLDMC@CNO@Q@B@C@HC@CD@SHUH-
C@CDR@N@QKHUQDLNC@KHC@CDCDAQHMB@CDHQ@R
GNQœQHN D @CDPT@¢žN DRBNK@Q @FDMC@ CD @SH-
vidades extracurriculares e terapias comple-
LDMS@QDRB@AD@NODCH@SQ@NQHDMS@QCHRBTSHQD
LNMHSNQ@Q@RE@L¨KH@RDLQDK@¢žN@NRDFLDMSN
DL C@R QDBNLDMC@¢°DR Iœ OTAKHB@C@R MNR CN-
BTLDMSNR BHDMS¨ƥBNR C@ 2NBHDC@CD !Q@RHKDHQ@
CD/DCH@SQH@D@ B@CDLH@ LDQHB@M@CD/DCH@-
SQH@RNAQD@RQNSHM@RR@TCœUDHRDAQHMB@CDHQ@R.
Ţ )DP®OLD(MUDRSHF@QSDLONPT@KHS@SHUNCNRO@HR
D E@LHKH@QDR CDRSHM@CNR @N O@BHDMSD PT@KHC@-
CD C@R QDK@¢°DR DMUNKUDMCN O@QDMS@KHC@CD D
BNMITF@KHC@CD OQDRDM¢@ CD E@SNQDR CD QHRBN
O@Q@DRSQDRRDS®WHBNOQDRDM¢@CDCNDM¢@RMNR
BTHC@CNQDR CDOQDRRžN SQ@MRSNQMNR ORHPTHœ-
SQHBNR SQ@¢NR @TS¨RSHBNR D NTSQNR OQNAKDL@R
M@KCDHQLžNR
DMUNKUHLDMSN CD SNCNR NR LDLAQNR C@ E@L¨-
KH@¤HLOQDRBHMC¨UDKO@Q@NLDKGNQ@OQNUDHS@-
mento do potencial de neurodesenvolvimento
dos pacientes com TEA
HLONQS@MSDO@ODKMN@BNKGHLDMSNHMRSQTLDM-
S@KHY@¢žNB@O@BHS@¢žNDHMBDMSHUN@NRO@HRDL
SNQM@RDHLONQS@MSD@@U@KH@¢žNHMCHUHCT@KHY@C@
CDRSDR O@BHDMSDR @ ƥL CD CHQDBHNM@Q @ SDQ@OH@
@SQ@U¤R CD DRSHLTK@¢žN ONQ OQœSHB@R A@RD@C@R
DL DUHC¥MBH@R CD ENQL@ OQDBNBD D HMSDMRHU@ D
treinamento de pais e cuidadores realizada por
OQNƥRRHNM@KB@O@BHS@CNFDQ@KLDMSDNORHB®KNFN
KDFHRK@¢žNUHFDMSD
Ţ (VFROD CDPT@¢°DR DRBNK@QDR DL QDK@¢žN @N
BNMSDµCN D OK@MDI@LDMSN ODC@F®FHBN HM-
BKTRžN DRBNK@Q BNL ONRRHAHKHC@CD CD LNMHSNQ
HMCHUHCT@K@ƥLCDONSDMBH@KHY@Q@@OQDMCHY@-
FDL D RNBH@KHY@¢žN BNL RDTR O@QDR RDFTMCN

DRSHLTK@¢žNO@Q@@@OQDMCHY@FDLDCDRDM-
4XHVW´HVGH&RPXQLFD¦¢RH/LQJXDJHPQR
UNKUHLDMSN CD G@AHKHC@CDR RNBH@HR D BNFMHSHU@R
(VSHFWURGR$XWLVPR
por meio de estratégias de ensino visa promover
@ MDTQNOK@RSHBHC@CD @BDKDQ@MCN @R RDPT¥MBH@R ,THSNEQDPTDMSDLDMSDNCH@FM®RSHBNCHEDQDM-
CN CDRDMUNKUHLDMSN HME@MSHK  RRHL PTD @ @U@- cial entre os transtornos do espectro do autismo

12
 #DO@QS@LDMSN"HDMS¨ƥBNCD/DCH@SQH@CN#DRDMUNKUHLDMSND"NLONQS@LDMSNŞ2NBHDC@CD!Q@RHKDHQ@CD/DCH@SQH@

3$  D @KFTL CHRSµQAHN CD BNLTMHB@¢žN ONCD Mais recentemente o diagnóstico de Apra-
RDQMDBDRRœQHN  RPT@SQNOQHMBHO@HR@KSDQM@SHU@R WH@ CD %@K@ C@ (MEMBH@  %( SDL RHCN @SQHAT¨CN
QDK@BHNM@C@R › BNLTMHB@¢žN D KHMFT@FDL PTD MN!Q@RHK@TLMµLDQNLTHSNFQ@MCDCDBQH@M¢@R 
CDL@MC@L BNMRHCDQ@¢žN BTHC@CNR@ RžN RTQCDY (MSDQM@BHNM@KLDMSDBNMRHCDQ@RDPTD@ %(@SHM-
NTCDƥBH¥MBH@R@TCHSHU@RFQ@UDRCHRSµQAHNRDR- FD TL@ BQH@M¢@ DL LHK  .T RDI@ SQ@S@RD CD TL
ODB¨ƥBNRCDKHMFT@FDL#$+@OQ@WH@CDE@K@C@ transtorno raro. O diagnóstico de apraxia de fala
HMEMBH@ %(DCHRSµQAHNRCDBNLTMHB@¢žNRNBH@K DRSœQDK@BHNM@CN@CHƥBTKC@CDRMNOK@MDI@LDMSN
LNSNQ C@ E@K@ PTD QDRTKS@ DL HLONQS@MSD HMHM-
O desenvolvimento das técnicas de diag-
SDKHFHAHKHC@CD OQHMBHO@KLDMSD ONQPTD @R SQNB@R
M®RSHBN D HMSDQUDM¢žN OQDBNBD @RRNBH@CN @ ON-
ENM¥LHB@RRžNHMBNMRHRSDMSDRD@@QSHBTK@¢žNHL-
K¨SHB@R OµAKHB@R B@C@ UDY L@HR DƥBHDMSDR MDRR@
OQDBHR@ $LANQ@EQDPTDMSDLDMSD@RBQH@M¢@RBNL
œQD@ SDL ODQLHSHCN PTD @R CDƥBH¥MBH@R @TCHSH-
3$  MžN @OQDRDMSDL CHƥBTKC@CDR @QSHBTK@S®QH@R
vas sejam diagnosticadas cada vez mais cedo e
QDKDU@MSDR PT@MCN Gœ RTRODHS@ CD TL SQ@MRSNQ-
PTD@HMSDQUDM¢žN@CDPT@C@RDI@OQNONQBHNM@C@
MNLNSNQC@E@K@DLFDQ@K¤LTHSNCHE¨BHKNASDQ
EQDPTDMSDLDMSD O@Q@ BQH@M¢@R BNL LDMNR CD 
@ RT@ BNK@ANQ@¢žN O@Q@ @U@KH@¢°DR RHRSDLœSHB@R
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Ş (VWLPXOD¨¤R &RJQLWLYR &RPSRUWDPHQWDO ED-
C@RCµUHC@RCNCH@@CH@PTDMžNBNMRDFTDLRDQ VHDGD HP $%$ programa comportamental
esgotadas durante as consultas. @LOK@LDMSDTSHKHY@CNDQDBNMGDBHCNPTDUHR@

16
 #DO@QS@LDMSN"HDMS¨ƥBNCD/DCH@SQH@CN#DRDMUNKUHLDMSND"NLONQS@LDMSNŞ2NBHDC@CD!Q@RHKDHQ@CD/DCH@SQH@

CDRDMUNKUDQG@AHKHC@CDRRNBH@HRDBNLTMHB@SH-
U@R@NK@CNC@QDCT¢žNCDBNMCTS@RMžN@C@O-
S@SHU@RO@QSHMCNCDDRSQ@S¤FH@RCDQDENQ¢N
Ş ŝ&RDFKLQJ 3DUHQWDOŞ NQHDMS@¢°DR E@LHKH@QDR D
treinamento dos pais, visando manejo do com-
ONQS@LDMSNCNRBTHC@CNQDR@CDPT@¢°DRCDQN-
/DRPTHR@RQDBDMSDRBNMƥQ-
3$ M@SQ¨@CDBK¨MHB@CDCHƥBTKC@CDRHMSDQ@¢žN
BNLTMHB@¢žN D BNLONQS@LDMSNR QDODSHSHUNR D
interesses restritos).
.R O@HR S@LA¤L CDUDL RDQ B@O@BHS@CNR ONQ
DRRDROQNƥRRHNM@HRO@Q@SQ@A@KG@QBNL@BQH@M¢@
MNLAHSNCNLHBHKH@Q
SHM@RDBNQDRONMR@AHKHY@¢žNO@Q@DRSHLTK@¢žN L@L PTD E@L¨KH@R PTD QDBDADQ@L SQDHM@LDMSN
Ş &RPXQLFD¨¤RVXSOHPHQWDUHDOWHUQDWLYD a par- BNLONQS@LDMS@K A@RD@CN DL !  SHUDQ@L QD-
SHQCNTRNCDRHM@HRFDRSNRR¨LANKNRDƥFTQ@R RTKS@CNR RHFMHƥB@SHU@LDMSD LDKGNQDR MNR L@HR
BNLN N /$"2 2HRSDL@ CD "NLTMHB@¢žN ONQ variados contextos61.
3QNB@CDƥFTQ@RDL@TSHRS@RMžNUDQA@HR
Ş 0ªWRGR 7($&&+ 7UDWDPHQWR H (GXFD¨¤R SDUD ,QWHUYHQ¦´HVGLHW¨WLFDV
&ULDQ¨DV$XWLVWDVHFRPRXWURVSUHMX®]RVQDFR-
4L @RODBSN ADL BNMGDBHCN DL O@BHDMSDR
PXQLFD¨¤R mais utilizado no campo da edu-
BNL3$ RžN@KSDQ@¢°DRMNGœAHSN@KHLDMS@QRDM-
B@¢žN HLOKHB@ M@ DRSQTSTQ@¢žN CN @LAHDMSD
CN CDRBQHS@R CDRCD @UDQRžN RDKDSHUHC@CD @S¤ @
ODC@F®FHBNSDQ@O¥TSHBN BNL N DRS@ADKDBH-
LDMSN CD QNSHM@R D N OK@MDI@LDMSN C@ RDPT-
¥MBH@DCTQ@¢žNC@R@SHUHC@CDR
Ş 7HUDSLD GH LQWHJUD¨¤R VHQVRULDO O@Q@ BQH@M¢@R
 $WHRSDL S@LA¤L @RRNBH@-
@TSHRS@R PTD CDLNMRSQ@L @KSDQ@¢°DR MN OQN-
cessamento sensorial;
Outras estratégias podem envolver o recur-
/QDU@K¥MBH@DKDU@C@CD
RNCDTL@BNLO@MG@MSDSDQ@O¥TSHBND@O@QDKGNR
de alta tecnologia, incluindo jogos e aplicativos
CDRDMUNKUHCNRDRODBHƥB@LDMSDO@Q@NCDRDMUNK-
 -N DMS@MSN LTHS@R
UHLDMSNCDG@AHKHC@CDRBNLTMHB@SHU@R.
.SQ@S@LDMSNCDUDDMUNKUDQ@DPTHODCDR@µ-
CD@DPTHODODC@F®FHB@D@E@L¨KH@
DWBKTRžN CD @CHSHUNR @KHLDMS@QDR D CHDS@ ®KHFN-
recusa total de determinados alimentos e com-
ONQS@LDMSNR NARDRRHUNR CHRETMBHNM@HR @K¤L CD
efeitos adversos de alguns medicamentos como
QDCT¢žN CN @ODSHSD
¢°DREQDPTDMSDR@S¤CDRHMSNL@RF@RSQNHM-
SDRSHM@HR BNLN BNMRSHO@¢žN CH@QQDH@ CHRSDMRžN
F@RNR@DCNQ@ACNLHM@K
L@MHEDRS@¢°DR @K¤QFHB@R QDROHQ@S®QH@R D NT @KH-
mentares) e autoimunes em pacientes com TEA
S@LA¤L ENQ@L CDRBQHS@R
ODRPTHR@RRNAQD@DƥBœBH@CDL@MHOTK@¢°DRCHD-
S¤SHB@RBNLNSQ@S@LDMSN@CHBHNM@KMžNE@QL@BN-
K®FHBNBNLDWBKTRžNCDFKµSDMDNTKDHSDCDU@B@
(TXLSHLQWHUGLVFLSOLQDU
.R OQHMBHO@HR OHK@QDR RžN @ E@L¨KH@ @ DPTHOD
CDDCTB@¢žND@CDR@µCDO@Q@@BNMCT¢žN@CD-
 -žN
PT@C@ C@R BQH@M¢@R BNL 3$  BNL N NAIDSHUN CD
@OQDMCHY@CN D LNCHƥB@¢°DR BNLONQS@LDMS@HR
SQ@A@KG@C@R ONQ DPTHODR HMSDQCHRBHOKHM@QDR ORH-
cólogos, fonoaudiólogos, terapeutas ocupacio-
M@HR ORHBNODC@FNFNR @RRHRSDMSDR RNBH@HR ƥRHN-
 K¤LCHRSN@RQDRSQH¢°DR
SDQ@ODTS@RDCTB@CNQDRE¨RHBNR
@KHLDMS@QDRONCDLRD@RRNBH@Q›QDIDH¢žNRNBH@K
O pediatra tem papel importante no encami-
MG@LDMSNDM@@QSHBTK@¢žNCDRRDROQNƥRRHNM@HR
PTDCDUDQžNQDBNQQDQ@LNCDKNRSDQ@O¥TSHBNRHM-
SDQCHRBHOKHM@QDR SNL@Q CDBHR°DR D SQ@A@KG@Q DL
BNMITMSN D BNL @ O@QSHBHO@¢žN C@ E@L¨KH@ O@Q@
OQNLNUDQ N CDRDMUNKUHLDMSN C@ BQH@M¢@ BNL
@MSHF¥MHB@ ENQMDBDQ@L QDRTKS@CNR BNMƦHS@MSDR
HMBNMBKTRHUNRNTDEDHSNRBK¨MHBNRLNCDRSNR
R DUHC¥MBH@R PTD CžN RTONQSD @ TL@ CHDS@
RDL FKµSDM D NT B@RD¨M@ RžN BNMSQNUDQR@R
GœDLA@R@LDMSNM@KHSDQ@STQ@PTDITRSHƥPTDQDR-
SQH¢°DR@KHLDMS@QDRO@Q@O@BHDMSDRBNL3$ ONHR
S@HRCHDS@RDWO°DLNRO@BHDMSDR@NTSQNROQDIT-
¨YNR MTSQHBHNM@HR PTD ONCDL BNLOQNLDSDQ RDT
MDTQNCDRDMUNKUHLDMSN
DRSHFL@SHY@¢°DRDCHƥBTKC@CDRM@RNBH@KHY@¢žND
HMSDFQ@¢žNBNLONSDMBH@KDEDHSNR@CUDQRNRO@Q@
o paciente.
Dessa forma, os pacientes com TEA só devem
RDQ RTALDSHCNR @ CHDS@R CD DWBKTRžN B@RN G@I@
CH@FM®RSHBNRBNMƥQL@CNRCD#NDM¢@"DK¨@B@HM-
17
Transtorno do Espectro do Autismo
SNKDQMBH@@NFKµSDMMžNBDK¨@B@@KDQFH@@KHLDM-
S@QNT@KFTLSHONCDHMSNKDQMBH@NTGHODQRDMRH-
AHKHC@CD@@KHLDMSNR.
„CDFQ@MCDQDKDUMBH@@@U@KH@¢žNENQL@KC@
CDƥBH¥MBH@CDLHBQNDL@BQNMTSQHDMSDR@SQ@U¤R
do diário nutricional e de exames complementa-
4L@QDUHRžNRHRSDLœSHB@
QDRPT@MCNMDBDRRœQHNDRT@QDONRH¢žN@ƥLCD
OK@BDANDLO@BHDMSDR
garantir o crescimento e desenvolvimento satis-
fatórios.
 $MSQDS@MSN
7UDWDPHQWRPHGLFDPHQWRVR
.ODCH@SQ@¤@ƥFTQ@BDMSQ@KBNL@ST@¢žNON-
SDMBH@KLDMSDCDBHRHU@O@Q@C@QHM¨BHN@NOQNBDR-
RNSDQ@O¥TSHBNCNO@BHDMSDBNL3$
.ROQNAH®SHBNRS¥LRHCNTSHKHY@CNRBNLA@RD
SQ@C@R ONQ DRODBH@KHRS@R PTD SDMG@L GœAHSN M@
RT@HMCHB@¢žNOQDBHR@.
O uso de melatonina em pacientes com TEA
SDL RHCN @RRNBH@CN @ LDKGNQDR O@QLDSQNR CN
RNMN QDRTKS@CNR @CUDQRNR L¨MHLNR D LDKGNQ
BNLONQS@LDMSNCHTQMN
CNTRNCDLDK@SNMHM@U
LNRSQNTTL@LDKGNQ@CDLHMTSNRMNRNMNSN-
S@K D  LHMTSNR MN HM¨BHN CN RNMN
ODRPTHR@RRžNMDBDRRœQH@RO@Q@CDSDQLHM@QPT@HR
OQNAKDL@RCDRNMNQDRONMCDL@GHFHDMDCNRNMN
DHMSDQUDM¢°DRBNLONQS@LDMS@HRDPT@HRQDPTD-
QDLHMSDQUDM¢žNL¤CHB@.
Geralmente o paciente com autismo deman-
da tratamento psicofarmacológico para controle
CDRHMSNL@R@RRNBH@CNR@NPT@CQNPT@MCNDRSDR
HMSDQEDQDL MDF@SHU@LDMSD M@ RT@ PT@KHC@CD CD
vida. Quando necessário, restringe-se a um pe-
-NDMS@MSN
PTDMN FQTON PTD L@MHEDRS@ BNLONQS@LDMSNR
CHRQTOSHUNR BNLN HQQHS@AHKHC@CD HLOTKRHUHC@CD
@FHS@¢žN @TSN D NT GDSDQN@FQDRRHUHC@CD D CDR-
SQTSHUHC@CD
 ,DQDBDL @SDM¢žN S@LA¤L @R BN- ƥNRNK®FHBNR66.
LNQAHC@CDR @MRHDC@CD CDOQDRRžN SQ@MRSNQMN
MNDHWNB¤QDAQNHMSDRSHMNUHR@MCNQDRS@TQ@Q@LH-
BQNAHNS@CDO@BHDMSDRBNL3$ PTD@OQDRDMS@L
CHRSµQAHNR F@RSQHMSDRSHM@HR KHF@CNR › CHRAHNRD D
PTDONCDLONQDRRDLNSHUN@OQDRDMS@QTL@S@W@
L@HR@KS@CDHQQHS@AHKHC@CDQ@HU@BNLONQS@LDM-
SNR@FQDRRHUNRDCHRSµQAHNRCNRNMN
DUHC¥MBH@RL@HRR®KHC@RRžNMDBDRRœQH@RRNAQDN
O@ODK CNR OQNAH®SHBNR M@ CHRAHNRD HMSDRSHM@K D
RNAQDNRO@QLDSQNRBNLONQS@LDMS@HRDMDTQN-
NARDRRHUNBNLOTKRHUN3."SQ@MRSNQMNCDC¤ƥ-
7UDWDPHQWRVDOWHUQDWLYRV
BHSCD@SDM¢žNDGHODQ@SHUHC@CD3# 'DOHKDORH@
e transtornos do sono. ANQC@FDMR @KSDQM@SHU@R NT BNLOKDLDMS@-
QDRRžNEQDPTDMSDLDMSD@CNS@C@RODK@RE@L¨KH@R
$MSQD @R LDCHB@¢°DR L@HR TSHKHY@C@R DRSžN @
@ODR@QC@E@KS@CD@ONHNDLO¨QHBN
$LANQ@@KFT-
QHRODQHCNM@ TL @MSHORHB®SHBN @S¨OHBN AKNPTD@-
L@RCDRR@R@ANQC@FDMRSDMG@LOQNLDRR@SD®QH-
CNQ RDQNSNM¤QFHBN D S@LA¤L CNO@LHM¤QFHBN @
B@ D LDQD¢@L ODRPTHR@R @CHBHNM@HR ONQ DWDL-
NK@MYDOHM@@PTDSH@OHM@@YHOQ@RHCNM@@BKNY@-
OKN œBHCNR FQ@WNR ¯LDF@  CHDS@R DRODBH@HR
pina e o aripiprazol. Sendo a risperinona e o ari-
OQNAH®SHBNRNTSQ@RRžNONSDMBH@KLDMSDOQDITCH-
OQHO@YNKNRµMHBNRLDCHB@LDMSNRBNLHMCHB@¢žN
BH@HR ONQ DWDLOKN PTDK@¢žN NT RHLOKDRLDMSD
da Food and Drug Administration dos Estados
B@Q@RDNTHMDƥB@YDRONQDWDLOKNRDBQDSHM@D@
4MHCNR O@Q@ NR RHMSNL@R QDK@BHNM@CNR @N 3$

ocitocina).
3NCNR DƥB@YDR BNLN @MSHORHB®SHBNR CD RDFTMC@
FDQ@¢žN L@R ONCDMCN OQNUNB@Q DEDHSNR BNK@SD- "@AD @N ODCH@SQ@ @KDQS@Q NR E@LHKH@QR RNAQD
Q@HRHLONQS@MSDRBNLN@TLDMSNCDODRNR¨MCQN- NRSQ@S@LDMSNRPTDONRRTDLDPTDMžNONRRTDL
LD LDS@A®KHB@ GHODQOQNK@BSHMDLH@ R¨MCQNLD BNLOQNU@¢žNBHDMS¨ƥB@

DWSQ@OHQ@LHC@KCHLHMTH¢žNCNKHLH@QBNMUTKR¨FD-
MNDLTHSNQ@Q@LDMSD@R¨MCQNLDMDTQNK¤OSHB@
2DGROHVFHQWHFRP7UDQVWRUQR
L@K¨FM@
/NQS@MSNM@@TR¥MBH@CDRHMSNL@RPTD
GR(VSHFWURGR$XWLVPR
ITRSHƥPTDL RDT TRN @ BQH@M¢@ ONCD D CDUD RDQ
tratada sem o emprego de psicofármacos, e estas  OTADQC@CD @BNLO@MG@ @ @CNKDRB¥MBH@ D
CQNF@R ONCDQžN DWBDOBHNM@KLDMSD RDQ @CLHMHR- OQDBDCD @ ITUDMSTCD
 R LTC@M¢@R E¨RHB@R C@


 #DO@QS@LDMSN"HDMS¨ƥBNCD/DCH@SQH@CN#DRDMUNKUHLDMSND"NLONQS@LDMSNŞ2NBHDC@CD!Q@RHKDHQ@CD/DCH@SQH@

OTADQC@CD @ @PTHRH¢žN CD B@Q@BSDQDR RDWT@HR O adolescente deve ter um suporte familiar
primários, secundários e o crescimento trans- D ORHBNK®FHBN @CDPT@CN CD ENQL@ @ KHC@Q BNL
formam o corpo infantil no corpo adulto. A RHST@¢°DRDLPTD@RCDL@MC@RRNBH@HRDWBDC@L
@CNKDRB¥MBH@ ¤ DRR@ CDKHB@C@ SQ@MRH¢žN DMSQD @R B@O@BHC@CDR KHLHS@C@R D PTD @R DRSQ@S¤FH@R
@ HMEMBH@ D HC@CD @CTKS@
  ATRB@ CD @TSNMN- @OQDMCHC@R @S¤ DMSžN MžN RDI@L RTƥBHDMSDR
 .
LH@DLQDK@¢žN@NRO@HRD@HMRDQ¢žNDLMNUNR @CNKDRBDMSD CDUDQœ SDQ RTONQSD @CDPT@CN O@Q@
FQTONRRNBH@HRD@BNMRSQT¢žNCDO@QBDQH@R@LN- QDCTYHQ@RCHƥBTKC@CDRM@BNMRSQT¢žNCNETMBHN-
rosas representa um desafio. Nessa perspecti- M@LDMSNRNBH@KOQNƥRRHNM@KNTDLNTSQ@RœQD@R
va, o adolescente com TEA se depara com uma HLONQS@MSDRC@UHC@CNHMCHU¨CTN

OQDRDMSHEHB@¢žN HMSDMR@ CD PTDRS°DR PTD ONQ
Adolescentes com TEA associado a outro
UDYDRBNLNSQ@S@LDMSNRDQDCTYHQžN@NKNMFN
transtorno do neurodesenvolvimento, mental ou
C@UHC@
.DRSœFHNDLPTDNOQDIT¨YNETMBHNM@K
BNLONQS@LDMS@KCDUDQœSDQTLOQNIDSNSDQ@O¥T-
fica evidente irá variar de acordo com caracte-
SHBN PTD BNMSDLOKD N @ONHN MDBDRRœQHN @ B@C@
Q¨RSHB@R CN HMCHU¨CTN D RDT @LAHDMSD
  ENQL@
TL CNR CNL¨MHNR ORHBNO@SNK®FHBNR
 (LONQS@MSD
PTD@@CNKDRB¥MBH@HQœRDL@MHEDRS@QCDUDQœRDQ
U@KNQHY@Q@RG@AHKHC@CDRO@Q@NQHDMS@¢žNC@RDR-
avaliada na particularidade de cada caso, pois
BNKG@R DRBNK@QDR OQNƥRRHNM@HR D @EDSHU@R
 #DR-
@R L@MHEDRS@¢°DR CN SQ@MRSNQMN U@QH@L CDODM-
CDMCNC@FQ@UHC@CDC@BNMCH¢žN@TSHRS@.
.R C¤EHBHSR ODQRHRSDMSDR M@ BNLTMHB@¢žN D
HMSDQ@¢žN RNBH@K CHEHBTKS@L @ QDBHOQNBHC@CD RN-
BH@KD@HMRDQ¢žNMNRFQTONRCD@CNKDRBDMSDRD
M@ ATRB@ CD TL@ O@QBDQH@ @LNQNR@ DNT RDWT-
al. Tal fato pode intensificar a dificuldade para
.@CNKDRBDMSDDRT@E@L¨KH@@OQDRDM-
BNLO@QSHKG@Q HMSDQDRRDR DLN¢°DR NT @EDSN D
QDRONMCDQPTDRS°DRMNB@LONC@HMSDQ@¢žNRN-
cial. O adolescente para se aproximar afetiva ou
RDWT@KLDMSDCDNTSQNSDLPTDUDMBDQ@CHEHBTK-
C@CD S@MSN M@ BNLTMHB@¢žN UDQA@K BNLN MžN
UDQA@K CHEHBTKS@MCN @ HMHBH@¢žN L@MTSDM¢žN D
BNLOQDDMRžNCNRQDK@BHNM@LDMSNR
-NRFQTONR
CD @CNKDRBDMSDR @ HMRDQ¢žN ¤ CHEHBTKS@C@ ODKN
desafio em ajustar o comportamento para ade-

PT@Q @ BNMSDWSNR RNBH@HR CHEHBTKC@CD DL BNL-
O@QSHKG@QAQHMB@CDHQ@RHL@FHM@SHU@RNTDLE@YDQ
@LHFNR
 KFTMR@CNKDRBDMSDRBNL3$ MžNBNM-
RDFTDL TKSQ@O@RR@Q @ @TR¥MBH@ D HMSDQDRRD ONQ

pares. Outro fator agravante, no processo de
BNMUHU¥MBH@RNBH@K¤NO@CQžNQDRSQHSNDQDODSH-
tivo de comportamento, interesse ou atividade
@DHMEKDWHAHKHC@CD@CNS@MCNQNSHM@RNTO@CQ°DR
QHST@KHY@CNR CD BNLONQS@LDMSN UDQA@K NT MžN
UDQA@K
 GHODQNTGHONQQD@SHUHC@CD@DRS¨LTKNR
sensoriais ou interesse incomum por aspectos
 K¤L CHRRN @ DRSHLTK@¢žN OQDBNBD
RDMRNQH@HR CN @LAHDMSD CHEHBTKS@L PTD N @CN-
KDRBDMSD EQDPTDMSD DRO@¢NR BNLN RGNOOHMFR

S@B@RDPTDB@C@@CNKDRBDMSDCDU@CDRDMUNKUDQ
DRSQ@S¤FH@RBNLODMR@S®QH@RO@Q@@KFTMRCDR@ƥNR
RNBH@HRL@REQDPTDMSDLDMSDDKDRDMEQDMS@LCH-
ƥBTKC@CDRDLRHST@¢°DRMNU@RNTRDL@ONHNRN-
EQDMCNBNLNDRENQ¢ND@MRHDC@CDO@Q@RD@CD-
PT@Q@NRNBH@KLDMSDHMSTHSHUNO@Q@@L@HNQH@CNR
HMCHU¨CTNR
S@LMDBDRRHC@CDRPTDDRSžNCD@BNQCNBNLRT@
ETMBHNM@KHC@CDCHMLHB@E@LHKH@QQDBTQRNRPTD@
comunidade oferece e um plano individualizado
CDHMSDQUDM¢žNPTDCDUDDMUNKUDQN@CNKDRBDM-
SDRT@E@L¨KH@DRT@DRBNK@.
3URJQ²VWLFRHFRQVLGHUD¦´HVƩQDLV
2DFTMCN @ KHSDQ@STQ@ N 3$  MžN SDL BTQ@
$MSQDS@MSN@RCDRBNADQS@RC@-DTQNBH¥MBH@D@R
SDQ@OH@R CD HMSDQUDM¢žN OQDBNBD ONCDL @OQD-
RDMS@Q QDRTKS@CNR CD F@MGNR RHFMHƥB@SHUNR MN
CDRDMUNKUHLDMSNMDTQNORHBNLNSNQC@RBQH@M¢@R
0T@MSNL@HROQDBNBD@CDSDB¢žNC@R@KSDQ@¢°DR
MN #-/, L@HNQ @ B@O@BHC@CD CD NQF@MHY@¢žN
neural através da neuroplasticidade e poten-
BH@K CD LHDKHMHY@¢žN BDQDAQ@K TL@ UDY PTD MNR
OQHLDHQNR @MNR CD UHC@ PTD @ ENQL@¢žN RHMœOSH-
ca apresenta maior velocidade e resultados sa-
SHRE@S®QHNR
@OQNUDHS@NODQ¨NCNRDMRHSHUNCDSDQLHM@CNODK@R
I@MDK@RCDNONQSTMHC@CDRMNB¤QDAQNC@BQH@M¢@
RGNVREDRS@RA@QTKGDMS@RPTDCDRODQS@LFQ@M- "NMBKTHRDPTDCDENQL@OQDBNBDDHMSDMRHU@¤
de interesse para outros adolescentes. ONRR¨UDKENQL@Q@RQDCDRMDTQ@HRPTDRDQUHQžNCD


Transtorno do Espectro do Autismo

A@RDC@@QPTHSDSTQ@BDQDAQ@KC@BQH@M¢@LNKC@M- Ş (VFDVVH]GHDWLYLGDGHVGHOD]HUHHGXFDFLR-

CN@SDMC¥MBH@FDM¤SHB@@SQ@U¤RC@DOHFDM¤SHB@
BNLQDRTKS@CNRCDHMCHU¨CTNRL@HRB@O@BHS@CNR
com seu potencial máximo aproveitado e com
PT@KHC@CDCDUHC@
ODK@ BQH@M¢@ PTD RD SNQM@L NR OQHMBHO@HR
. HM¨BHN CN BNMU¨UHN CN CH@FM®RSHBN CD 3$ 
M@ E@L¨KH@ FDQ@ LµKSHOK@R MDBDRRHC@CDR BNLN
@RRHRS¥MBH@ L¤CHB@ @CDPT@C@ D HMSDQCHRBHOKHM@Q
QDLVDGDSWDGDVSDUDFULDQ¦DVFRP7($ Fator
BNLOQNLDSDCNQ C@ PT@KHC@CD CD UHC@ D C@
QD@AHKHS@¢žN C@ BQH@M¢@ D CNR QDRONMRœUDHR
OQNUDCNQDR CD DCTB@¢žN D QDK@¢°DR RNBH@HR
CNREHKGNR
Ş 6LWXD¦¢R ƩQDQFHLUD Diante da demanda de
ATRB@CD@ONHNRNBH@KBNLNHMRDQ¢žNDLFQTONR
de apoio para pais, acesso a atividades de lazer e
DMSQDSDMHLDMSNDBQDM¢@QDKHFHNR@.
KHSDQ@STQ@CDLNMRSQ@RNAQDB@QF@DLNBHNM@K
CNRO@HRBNLNTLCNROQHMBHO@HRCDR@ƥNRDMBNM-

SQ@CNR ONQ E@L¨KH@R BNL BQH@M¢@R BNL CH@FM®R-
tico de TEA. Os principais fatores responsáveis
ODK@RNAQDB@QF@DLNBHNM@K@TLDMS@C@CNRO@HR
CDRR@RBQH@M¢@RENQ@LBK@RRHƥB@CNRDLRDHRB@SD-
FNQH@R@R@ADQ
Ş 3RVWHUJD¦¢RGLDJQ²VWLFD A falta de capacita-
¢žNCNROQNƥRRHNM@HRDCNTRNCDHMRSQTLDMSNR
@CDPT@CNR ONQ O@QSD CNR ODCH@SQ@R M@ OTDQH-
BTKSTQ@C@RBQH@M¢@R¤TLE@SNQQDK@BHNM@CN›
ONRSDQF@¢žNCH@FM®RSHB@
 K¤LCNOQDIT¨YNMN
QDRTKS@CNC@QD@AHKHS@¢žNC@BQH@M¢@¤TLE@-
-NPTDRDQDEDQD
tor de estresse para os parentes e cuidadores
D HMCTY RDMSHLDMSNR CD HLONS¥MBH@ D CDRDR-
ODQ@M¢@ONQO@QSDCNRO@HR
Ş 'LƩFXOGDGHGHOLGDUFRPRGLDJQ²VWLFRHFRP
RV VLQWRPDV O diagnóstico de TEA desenca-
CDH@RDMSHLDMSNRCDBTKO@D@MFµRSH@MNRO@HR
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PRESIDENTE:
Luciana Rodrigues Silva (BA)
1º VICE-PRESIDENTE:
Clóvis Francisco Constantino (SP)
2º VICE-PRESIDENTE:
Edson Ferreira Liberal (RJ)
SECRETÁRIO GERAL:
Sidnei Ferreira (RJ)
1º SECRETÁRIO:
Cláudio Hoineff (RJ)
2º SECRETÁRIO:
Paulo de Jesus Hartmann Nader (RS)
3º SECRETÁRIO:
Virgínia Resende Silva Weffort (MG)
DIRETORIA FINANCEIRA:
Maria Tereza Fonseca da Costa (RJ)
2ª DIRETORIA FINANCEIRA:
Ana Cristina Ribeiro Zöllner (SP)
3ª DIRETORIA FINANCEIRA:
Fátima Maria Lindoso da Silva Lima (GO)
DIRETORIA DE INTEGRAÇÃO REGIONAL:
Fernando Antônio Castro Barreiro (BA)
Membros:
Hans Walter Ferreira Greve (BA)
Eveline Campos Monteiro de Castro (CE)
Alberto Jorge Félix Costa (MS)
Analíria Moraes Pimentel (PE)
Corina Maria Nina Viana Batista (AM)
Adelma Alves de Figueiredo (RR)
COORDENADORES REGIONAIS:
Norte: Bruno Acatauassu Paes Barreto (PA)
Nordeste: Anamaria Cavalcante e Silva (CE)
Sudeste: Luciano Amedée Péret Filho (MG)
Sul: Darci Vieira Silva Bonetto (PR)
Centro-oeste: Regina Maria Santos Marques (GO)
ASSESSORES DA PRESIDÊNCIA:
Assessoria para Assuntos Parlamentares:
Marun David Cury (SP)
Assessoria de Relações Institucionais:
Clóvis Francisco Constantino (SP)
Assessoria de Políticas Públicas:
Mário Roberto Hirschheimer (SP)
Rubens Feferbaum (SP)
Maria Albertina Santiago Rego (MG)
Sérgio Tadeu Martins Marba (SP)
Assessoria de Políticas Públicas – Crianças e
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Alda Elizabeth Boehler Iglesias Azevedo (MT)
Eduardo Jorge Custódio da Silva (RJ)
Assessoria de Acompanhamento da Licença
Maternidade e Paternidade:
João Coriolano Rego Barros (SP)
Alexandre Lopes Miralha (AM)
Ana Luiza Velloso da Paz Matos (BA)
Assessoria para Campanhas:
Conceição Aparecida de Mattos Segre (SP)
GRUPOS DE TRABALHO:
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Evelyn Eisenstein (RJ)
Doenças Raras:
Magda Maria Sales Carneiro Sampaio (SP)
Atividade Física
Coordenadores:
Ricardo do Rêgo Barros (RJ)
Luciana Rodrigues Silva (BA)
Membros:
Helita Regina F. Cardoso de Azevedo (BA)
Patrícia Guedes de Souza (BA)
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Teresa Maria Bianchini de Quadros (BA)
Alex Pinheiro Gordia (BA)
Isabel Guimarães (BA)
Jorge Mota (Portugal)
Mauro Virgílio Gomes de Barros (PE)
Colaborador:
Dirceu Solé (SP)
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Gisélia Alves Pontes da Silva (PE)
Cláudio Leone (SP)
Pediatria e Humanidade:
Álvaro Jorge Madeiro Leite (CE)
Luciana Rodrigues Silva (BA)
João de Melo Régis Filho (PE)
Transplante em Pediatria:
Themis Reverbel da Silveira (RS)
Irene Kazue Miura (SP)
Carmen Lúcia Bonnet (PR)
Adriana Seber (SP)
Paulo Cesar Koch Nogueira (SP)
Fabianne Altruda de M. Costa Carlesse (SP)
Oftalmologia Pediátrica
Coordenador:
Fábio Ejzenbaum (SP)
Membros:
Luciana Rodrigues Silva (BA)
Dirceu Solé (SP)

Diretoria
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Galton Carvalho Vasconcelos (MG) Paulo Cesar Pinho Pinheiro (MG)
Julia Dutra Rossetto (RJ) Flávio Diniz Capanema (MG)
Luisa Moreira Hopker (PR) EDITOR DO JORNAL DE PEDIATRIA (JPED)
Rosa Maria Graziano (SP) Renato Procianoy (RS)
Celia Regina Nakanami (SP) EDITOR REVISTA RESIDÊNCIA PEDIÁTRICA
DIRETORIA E COORDENAÇÕES: Clémax Couto Sant’Anna (RJ)
DIRETORIA DE QUALIFICAÇÃO E CERTIFICAÇÃO PROFISSIONAL EDITOR ADJUNTO REVISTA RESIDÊNCIA PEDIÁTRICA
Maria Marluce dos Santos Vilela (SP) Marilene Augusta Rocha Crispino Santos (RJ)
COORDENAÇÃO DO CEXTEP: Márcia Garcia Alves Galvão (RJ)
Hélcio Villaça Simões (RJ) CONSELHO EDITORIAL EXECUTIVO
COORDENAÇÃO DE ÁREA DE ATUAÇÃO Gil Simões Batista (RJ)
Mauro Batista de Morais (SP) Sidnei Ferreira (RJ)
COORDENAÇÃO DE CERTIFICAÇÃO PROFISSIONAL Isabel Rey Madeira (RJ)
José Hugo de Lins Pessoa (SP) Sandra Mara Moreira Amaral (RJ)
Bianca Carareto Alves Verardino (RJ)
DIRETORIA DE RELAÇÕES INTERNACIONAIS Maria de Fátima Bazhuni Pombo March (RJ)
Nelson Augusto Rosário Filho (PR)
Sílvio da Rocha Carvalho (RJ)
REPRESENTANTE NO GPEC (Global Pediatric Education Consortium) Rafaela Baroni Aurilio (RJ)
Ricardo do Rego Barros (RJ)
COORDENAÇÃO DO PRONAP
REPRESENTANTE NA ACADEMIA AMERICANA DE PEDIATRIA (AAP) Carlos Alberto Nogueira-de-Almeida (SP)
Sérgio Augusto Cabral (RJ) Fernanda Luísa Ceragioli Oliveira (SP)
REPRESENTANTE NA AMÉRICA LATINA COORDENAÇÃO DO TRATADO DE PEDIATRIA
Francisco José Penna (MG) Luciana Rodrigues Silva (BA)
DIRETORIA DE DEFESA PROFISSIONAL, BENEFÍCIOS E PREVIDÊNCIA Fábio Ancona Lopez (SP)
Marun David Cury (SP) DIRETORIA DE ENSINO E PESQUISA
DIRETORIA-ADJUNTA DE DEFESA PROFISSIONAL Joel Alves Lamounier (MG)
Sidnei Ferreira (RJ)
COORDENAÇÃO DE PESQUISA
Cláudio Barsanti (SP) Cláudio Leone (SP)
Paulo Tadeu Falanghe (SP)
Cláudio Orestes Britto Filho (PB) COORDENAÇÃO DE PESQUISA-ADJUNTA
Mário Roberto Hirschheimer (SP) Gisélia Alves Pontes da Silva (PE)
João Cândido de Souza Borges (CE) COORDENAÇÃO DE GRADUAÇÃO
COORDENAÇÃO VIGILASUS Rosana Fiorini Puccini (SP)
Anamaria Cavalcante e Silva (CE) COORDENAÇÃO ADJUNTA DE GRADUAÇÃO
Fábio Elíseo Fernandes Álvares Leite (SP) Rosana Alves (ES)
Suzy Santana Cavalcante (BA)
Jussara Melo de Cerqueira Maia (RN)
Edson Ferreira Liberal (RJ) Angélica Maria Bicudo-Zeferino (SP)
Célia Maria Stolze Silvany (BA) Silvia Wanick Sarinho (PE)
Kátia Galeão Brandt (PE) COORDENAÇÃO DE PÓS-GRADUAÇÃO
Elizete Aparecida Lomazi (SP) Victor Horácio da Costa Junior (PR)
Maria Albertina Santiago Rego (MG) Eduardo Jorge da Fonseca Lima (PE)
Isabel Rey Madeira (RJ) Fátima Maria Lindoso da Silva Lima (GO)
Jocileide Sales Campos (CE) Ana Cristina Ribeiro Zöllner (SP)
COORDENAÇÃO DE SAÚDE SUPLEMENTAR Jefferson Pedro Piva (RS)
Maria Nazareth Ramos Silva (RJ) COORDENAÇÃO DE RESIDÊNCIA E ESTÁGIOS EM PEDIATRIA
Corina Maria Nina Viana Batista (AM) Paulo de Jesus Hartmann Nader (RS)
Álvaro Machado Neto (AL) Ana Cristina Ribeiro Zöllner (SP)
Joana Angélica Paiva Maciel (CE) Victor Horácio da Costa Junior (PR)
Cecim El Achkar (SC) Clóvis Francisco Constantino (SP)
Maria Helena Simões Freitas e Silva (MA) Silvio da Rocha Carvalho (RJ)
DIRETORIA DOS DEPARTAMENTOS CIENTÍFICOS E COORDENAÇÃO Tânia Denise Resener (RS)
DE DOCUMENTOS CIENTÍFICOS Delia Maria de Moura Lima Herrmann (AL)
Dirceu Solé (SP) Helita Regina F. Cardoso de Azevedo (BA)
DIRETORIA-ADJUNTA DOS DEPARTAMENTOS CIENTÍFICOS Jefferson Pedro Piva (RS)
Lícia Maria Oliveira Moreira (BA) Sérgio Luís Amantéa (RS)
DIRETORIA DE CURSOS, EVENTOS E PROMOÇÕES Gil Simões Batista (RJ)
Lilian dos Santos Rodrigues Sadeck (SP) Susana Maciel Wuillaume (RJ)
COORDENAÇÃO DE CONGRESSOS E SIMPÓSIOS Aurimery Gomes Chermont (PA)
Ricardo Queiroz Gurgel (SE) Luciano Amedée Péret Filho (MG)
Paulo César Guimarães (RJ) COORDENAÇÃO DE DOUTRINA PEDIÁTRICA
Cléa Rodrigues Leone (SP) Luciana Rodrigues Silva (BA)
COORDENAÇÃO GERAL DOS PROGRAMAS DE ATUALIZAÇÃO Hélcio Maranhão (RN)
Ricardo Queiroz Gurgel (SE) COORDENAÇÃO DAS LIGAS DOS ESTUDANTES
COORDENAÇÃO DO PROGRAMA DE REANIMAÇÃO NEONATAL Edson Ferreira Liberal (RJ)
Luciano Abreu de Miranda Pinto (RJ)
Maria Fernanda Branco de Almeida (SP)
Ruth Guinsburg (SP) COORDENAÇÃO DE INTERCÂMBIO EM RESIDÊNCIA NACIONAL
COORDENAÇÃO PALS – REANIMAÇÃO PEDIÁTRICA Susana Maciel Wuillaume (RJ)
Alexandre Rodrigues Ferreira (MG) COORDENAÇÃO DE INTERCÂMBIO EM RESIDÊNCIA INTERNACIONAL
Kátia Laureano dos Santos (PB) Herberto José Chong Neto (PR)
COORDENAÇÃO BLS – SUPORTE BÁSICO DE VIDA DIRETOR DE PATRIMÔNIO
Valéria Maria Bezerra Silva (PE) Cláudio Barsanti (SP)
COORDENAÇÃO DO CURSO DE APRIMORAMENTO EM NUTROLOGIA COMISSÃO DE SINDICÂNCIA
PEDIÁTRICA (CANP) Gilberto Pascolat (PR)
Virgínia Resende S. Weffort (MG) Aníbal Augusto Gaudêncio de Melo (PE)
PEDIATRIA PARA FAMÍLIAS Isabel Rey Madeira (RJ)
Luciana Rodrigues Silva (BA) Joaquim João Caetano Menezes (SP)
Coordenadores: Valmin Ramos da Silva (ES)
Nilza Perin (SC) Paulo Tadeu Falanghe (SP)
Normeide Pedreira dos Santos (BA) Tânia Denise Resener (RS)
Fábio Pessoa (GO) João Coriolano Rego Barros (SP)
PORTAL SBP Maria Sidneuma de Melo Ventura (CE)
Flávio Diniz Capanema (MG) Marisa Lopes Miranda (SP)
COORDENAÇÃO DO CENTRO DE INFORMAÇÃO CIENTÍFICA CONSELHO FISCAL
José Maria Lopes (RJ) Titulares:
Núbia Mendonça (SE)
PROGRAMA DE ATUALIZAÇÃO CONTINUADA À DISTÂNCIA Nélson Grisard (SC)
Altacílio Aparecido Nunes (SP)
Antônio Márcio Junqueira Lisboa (DF)
João Joaquim Freitas do Amaral (CE) Suplentes:
DOCUMENTOS CIENTÍFICOS Adelma Alves de Figueiredo (RR)
Luciana Rodrigues Silva (BA) João de Melo Régis Filho (PE)
Dirceu Solé (SP) Darci Vieira da Silva Bonetto (PR)
Emanuel Sávio Cavalcanti Sarinho (PE) ACADEMIA BRASILEIRA DE PEDIATRIA
Joel Alves Lamounier (MG) Presidente:
DIRETORIA DE PUBLICAÇÕES Mario Santoro Júnior (SP)
Fábio Ancona Lopez (SP) Vice-presidente:
EDITORES DA REVISTA SBP CIÊNCIA Luiz Eduardo Vaz Miranda (RJ)
Joel Alves Lamounier (MG) Secretário Geral:
Altacílio Aparecido Nunes (SP) Jefferson Pedro Piva (RS)