Resource: Anxiety and Autism

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Anxiety and Autism

Managing anxiety in autistic adults

Source: Autism Speaks

Resource Summary
This article explains that studies show that up to 50% of autistic adults experience an anxiety disorder, double the rate in neurotypical adults, often leading to misdiagnosis due to overlapping traits. Untreated anxiety can result in depression, aggression, and self-harm. Research suggests structural differences in the autistic amygdala imply a need for autism-specific anxiety management, though studies on effective treatments are limited. The article provides specific advice for managing anxiety in autism.

Studies indicate that up to 50% of autistic adults experience an anxiety disorder, double the rate in neurotypical adults, often leading to misdiagnosis due to overlapping traits. Untreated anxiety can result in depression, aggression, and self-harm. Research suggests structural differences in the autistic amygdala imply a need for autism-specific anxiety management, though studies on effective treatments are limited. Autistic self-advocates share various strategies. While Cognitive Behavioral Therapy (CBT) isn't autism-adapted, some, like Lydia Wayman, find concepts like mindfulness helpful later in life. Interoception Therapy, a form of exposure therapy, helps individuals connect bodily sensations with emotions, improving self-regulation; Chloe, an autistic adult, found it effective for recognising anxiety cues. Applied Behavior Analysis (ABA), focused on person-centred goal selection and positive reinforcement, helped Chloe cope with change. Alternative Augmentative Communication (AAC), like iPad apps with pre-programmed phrases, assists verbal autistic people like Chloe in expressing themselves during overwhelming moments. Sensory Diets, using tools like weighted blankets or noise-cancelling headphones, help maintain a calm state, as shared by Brigid Rankowski and Chloe. Expressive art therapy and exercise (walking, swimming) are also noted for their calming effects. Finally, medication, such as SSRIs, can be prescribed, but their effectiveness varies, and alternative medicines like medical cannabis are being explored, though more research is needed for both. There is no one-size-fits-all solution, encouraging exploration of different options.

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