Autherapies | Evidence-based therapies

Vagal nerve stimulation

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Vagal nerve stimulation (VNS) is a medical treatment that involves delivering electrical impulses to the vagus nerve, which runs from the brainstem to the abdomen. It is primarily used to treat epilepsy and treatment-resistant depression. Recently, there has been interest in exploring VNS as a potential intervention for autism, particularly for addressing symptoms such as anxiety, aggression, and mood regulation. VNS involves implanting a device under the skin, usually in the chest, which sends electrical impulses to the vagus nerve. These impulses travel to the brain, where they can influence brain activity and neurotransmitter release. Research into the use of VNS for autism is still in its exploratory stages. Some small studies and case reports suggest that VNS might help reduce symptoms such as irritability, aggression, and anxiety in individuals with autism, particularly those who also have epilepsy. The results from these studies are mixed, and there is no consensus on the effectiveness of VNS for autism. The studies conducted so far have been small, and larger, more rigorous trials are needed to determine its safety and efficacy for autism. VNS involves surgery to implant the device, which carries risks such as infection, bleeding, and complications related to anesthesia. Common side effects of VNS include hoarseness, throat pain, coughing, and shortness of breath, particularly when the device is activated. These side effects could be uncomfortable or distressing for some individuals with autism. Vagal nerve stimulation (VNS) is an emerging and experimental intervention for autism, with limited research and mixed results. While it shows potential, particularly for individuals with co-occurring epilepsy, it is invasive and carries significant risks. Parents should carefully weigh the potential benefits and risks, and prioritize evidence-based, less invasive treatments. Consulting with healthcare providers and ensuring close monitoring are essential if VNS is considered as part of a treatment plan for autism.

References

Vagus Nerve Stimulation as a Treatment for Fear and Anxiety in Individuals with Autism Spectrum Disorder

Link Source

https://pubmed.ncbi.nlm.nih.gov/36303861/


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