ASD and Irritability Study Interest Form
Gender:
Female
Male
Non-Binary
Sex:
Female
Male
Intersex
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Argentina
Australia
Belgium
Brazil
Canada
Chile
Costa Rica
Dominican Republic
East Africa
France
Germany
Greece
Honduras
Hungary
India
Ireland
Italy
Kenya
Lebanon
Mexico
New Zealand
Netherlands
Panama
Poland
Portugal
Puerto Rico
Romania
Rwanda
South Africa
Spain
Sweden
Switzerland
Turkey
Ukraine
United Kingdom
This study is recruiting patients nationwide. Please select the California site you would prefer to visit (travel expenses are reimbursed).
San Rafael, California (Northern California)
Glendale, California (Southern California)
Interested in either location
Does your child have an Autism Spectrum Disorder diagnosis with irritability — like tantrums, aggression, mood swings, crying/screaming outbursts, self-harm, or slamming/banging things?
Yes
No
Not Sure
My child has not been diagnosed with autism
Which best describes your child's experience with risperidone (Risperdal) and aripiprazole (Abilify)?
My child has not tried either medication
My child has tried risperidone only
My child has tried aripiprazole only
My child has tried both, and at least one medication helped
My child tried both, but one or both were stopped early because of side effects or lack of continued access to the medication
My child tried both, but neither medication helped
I am not sure
