The Acquired Autonomic Dysfunction Program at Children's Hospital of Philadelphia (CHOP) combines the expertise of pediatric specialists across the hospital to support children with complex, multisystem symptoms. 

We recognize the connection between the brain and the body and how that connection influences the autonomic nervous system (ANS), which controls the automatic functions of the body such as heart rate, breathing, digestion and temperature regulation. Many factors, including biological, psychological, environmental and social circumstances, influence how the ANS functions. 

Our approach to treating acquired autonomic dysfunction

In the Acquired Autonomic Dysfunction Program (AADP), we want your child to feel better and get back to the things that matter — school, friends and everyday life. Our care focuses on helping your child build strength, manage symptoms and learn practical strategies to feel more in control. We work together to create a plan that supports your child’s physical health and emotional well-being.  

While medications can sometimes help, we use them sparingly. Research and experience show that medicine alone isn’t the best solution for acquired autonomic dysfunction. Instead, we believe that working on recovery through movement, symptom management and practical tools offers the best path forward for long-term success. 

Collaborative care

In our Acquired Autonomic Dysfunction Program, you'll have access to the AADP specialists needed to manage your child's care. Your child's primary AADP care team will include:  

• Advanced practice providers, who help you and your child better understand their symptoms and treatment options, ensure your child is connected to the appropriate care providers, and coordinate communication across the team. 
• Psychologists, who help your child learn lifestyle management skills that support daily functioning. 
• Physical therapists, who support your child in improving strength, stamina and overall physical functioning. 
• Education coordinators, who assist families in navigating schoolrelated challenges and advocating for appropriate support. 
• Care coordinators, who help with scheduling appointments in AADP and answer questions between visits.

We work together, and with you, to develop a treatment plan that can improve your child's function and quality of life, while minimizing the need for medications or invasive interventions wherever possible.  

Family support

We understand how challenging it can be when a child is experiencing autonomic dysfunction. Our team supports families in understanding the condition, its impact on daily life, and ways to promote health and well‑being at home, at school, and in the community. 

Our goal is to provide your family with the skills, resources and guidance needed to support your child’s overall functioning and long-term resilience.

School support

We understand that navigating school while managing symptoms of acquired autonomic dysfunction (AAD) can be challenging for both children and their families. School attendance is a key part of your child’s recovery, and our team is here to support your child every step of the way. We work closely with families and schools to create a school plan that supports consistent attendance.