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Resources > Mental Health Support
Obsessive Compulsive Disorder (OCD) and Autism
Exploring the link between OCD and autism
Source: The Transmitter
This article explores the significant and often misunderstood overlap between autism and Obsessive-Compulsive Disorder (OCD), a reality for many, like Steve Slavin, diagnosed with both in adulthood. Studies show a high co-occurrence, with up to 17% of autistic people having OCD, and a larger proportion of those with OCD potentially having undiagnosed autism. Misdiagnosis is common, as autistic repetitive behaviours can mimic OCD compulsions. A crucial distinction lies in the motivation: OCD compulsions are driven by obsessions and are inflexible, whereas autistic repetitive behaviours are often self-soothing and can vary. Diagnosis is complex, particularly due to autistic individuals' potential challenges with self-insight or communication. Researchers are now increasingly studying these conditions together, identifying shared brain regions like the striatum and potential genetic overlaps, though more research is needed. Standard treatments like Cognitive Behavioural Therapy (CBT) may be less effective for autistic individuals due to cognitive inflexibility or auditory processing difficulties. However, adapted CBT, incorporating elements like improved emotional awareness and visual aids, shows promise. Other strategies like Interoception Therapy, Applied Behaviour Analysis (ABA), Alternative Augmentative Communication (AAC), Sensory Diets, expressive art therapy, and exercise are also discussed as valuable coping mechanisms. Medication, including SSRIs and some complementary alternatives like medical cannabis, are used, but individual responses vary. The article concludes by emphasising the need for personalised treatment and greater understanding of the diverse experiences of individuals with co-occurring autism and OCD.
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