Overview

More than half of individuals diagnosed with Autism Spectrum Disorder (ASD) demonstrate self-injury or aggression. Prevalence estimates for self-injury range from 33% to 71% in ASD. Assuming the lowest frequency of approximately 33% of kids with Autism displaying some form of SIB, means that approximately 3000 children with Autism in BC display some form of SIB.

Our clinical experience suggests that we can make a major impact in the lives of these patients. Integration of medical, psychiatric and behavioural specialists is the key to successful treatments that can prevent the SIB from becoming chronic and intractable.

Publications

Characteristics of children with autism and unspecified intellectual developmental disorder (intellectual disability) presenting with severe self-injurious behaviours
International Journal of Developmental Disabilities
DOI: 10.1080/20473869.2022.2113321
2024

Autism today
British Columbia Medical Journal
2023

Psychiatric Manifestations in Patients with Biopterin Defects
Neuropediatrics
Parfyonov, M. and Friedlander, R. and Banno, B. and Elbe, D. and Horvath, G.
DOI: 10.1055/s-0042-1742323
2022

Lifesaving Electroconvulsive Therapy for a Child with Autism Spectrum Disorder, Severe Self-Injurious Behavior, and Neuroleptic Malignant Syndrome
Journal of ECT
González-Romero, M.F. and Avina-Galindo, A.M. and Elbe, D. and Friedlander, R. and Vila-Rodriguez, F.
DOI: 10.1097/YCT.0000000000000598
2019

Falling through the cracks: How service gaps leave children with neurodevelopmental disorders and mental health difficulties without the care they need
British Columbia Medical Journal
Ono, E. and Friedlander, R. and Salih, T.
2019

Reply: Atypical Antipsychotic Use in Treating Adolescents and Young Adults with Developmental Disabilities
The Canadian Journal of Psychiatry
Robin Friedlander and Susan Lazar and Joseph Klancnik
DOI: 10.1177/070674370204700817
11/2016

Vitamin E in aging persons with Down syndrome: A randomized, placebo-controlled clinical trial.
Neurology
Sano M and Aisen PS and Andrews HF and Tsai WY and Lai F and Dalton AJ and International Down Syndrome and Alzheimer's Disease Consortium
DOI: 10.1212/WNL.0000000000002714
PubMed: 27164691
05/2016

Psychosis
Health Care for People with Intellectual and Developmental Disabilities Across the Lifespan
DOI: 10.1007/978-3-319-18096-0_128
2016

Early onset psychosis in youth with intellectual disabilities
Contemporary Issues in Intellectual Disabilities
2010

Mental health assessment of children and adolescents with learning disabilities
Journal of Public Mental Health
Friedlander, R. and Moss, S.
DOI: 10.1108/17465729200900007
2009

A novel syndrome with psychiatric features and review of malformation syndromes with psychiatric disorders
American Journal of Medical Genetics, Part A
Du Souich, C. and Austin, J.C. and Friedlander, R. and Boerkoel, C.F.
DOI: 10.1002/ajmg.a.32709
2009

Characterization of a new X-linked mental retardation syndrome with microcephaly, cortical malformation, and thin habitus
American Journal of Medical Genetics, Part A
Du Souich, C. and Chou, A. and Yin, J. and Oh, T. and Nelson, T.N. and Hurlburt, J. and Arbour, L. and Friedlander, R. and McGillivray, B.C. and Tyshchenko, N. and Rump, A. and Poskitt, K.J. and Demos, M.K. and Van Allen, M.I. and Boerkoel, C.F.
DOI: 10.1002/ajmg.a.33071
2009

The other dual diagnosis: Developmental disability and mental health disorders
British Columbia Medical Journal
Tang, B. and Byrne, C. and Friedlander, R. and McKibbin, D. and Riley, M. and Thibeault, A.
2008

Treating Explosive Kids: The Collaborative Problem Solving Approach.
Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent
Friedlander R
02/2007

Crying as a Sign, Symptom & a Signal.
Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent
Friedlander R
02/2006

Mental health for persons with intellectual disability in the post-deinstitutionalization era: experiences from British Columbia.
The Israel journal of psychiatry and related sciences
Friedlander R
PubMed: 17338447
01/2006

Mental health for persons with intellectual disability in the post-deinstitutionalization era: Experiences from British Columbia
Israel Journal of Psychiatry and Related Sciences
Friedlander, R.
2006

Problems and questions in the dual diagnosis of schizophrenia and intellectual disability [1]
Mental Health Aspects of Developmental Disabilities
Friedlander, R. and Donnelly, T.
2006

Outcomes in Neurodevelopmental and Genetic Disorders.
The Canadian child and adolescent psychiatry review = La revue canadienne de psychiatrie de l'enfant et de l'adolescent
Friedlander R
05/2005

Early onset schizophrenia in a young woman with mild intellectual disability and unbalanced chromosomal translocation
Mental Health Aspects of Developmental Disabilities
Boulding, R. and Friedlander, R.I. and Jurenka, S. and Hrynchak, M. and Honer, W.
2005

Early-onset psychosis in youth with intellectual disability
Journal of Intellectual Disability Research
Friedlander, R.I. and Donnelly, T.
DOI: 10.1111/j.1365-2788.2004.00622.x
2004

Early-onset schizophrenia in children with mental retardation: Diagnostic reliability and stability of clinical features
Journal of the American Academy of Child and Adolescent Psychiatry
Lee, P. and Moss, S. and Friedlander, R. and Donnelly, T. and Honer, W.
DOI: 10.1097/00004583-200302000-00009
2003

Asperger Syndrome.
Journal of Psychiatry and Neuroscience
Friedlander R
01/2002

Obsessional slowness in Down's syndrome
Journal of Intellectual Disability Research
Charlot, L. and Fox, S. and Friedlander, R.
DOI: 10.1046/j.1365-2788.2002.00419.x
2002

ECT: Use in individuals with mental retardation
Journal of ECT
Friedlander, R.I. and Solomons, K.
DOI: 10.1097/00124509-200203000-00011
2002

Re: Atypical antipsychotic use in treating adolescents and young adults with developmental disabilities [1] (multiple letters)
Canadian Journal of Psychiatry
Bradley, E.A. and Lunsky, Y. and Berg, J.M. and Brooks-Hill, R.W. and O'Leary, D.A. and Harman, K.E. and Korossy, M. and Friedlander, R. and Lazar, S. and Klancnik, J.
DOI: 10.1177/070674370204700816
2002

Acquired childhood aphasia with convulsive disorder (Landau-Kleffner syndrome). A case report.
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
PubMed: 1689510
02/1990

Acquired childhood aphasia with convulsive disorder (Landau-Kleffner syndrome). A case report
South African Medical Journal
Penn, C. and Friedlander, R.I. and Saling, M.M.
1990