Psychology Is Behind Most Therapies for Autism

How psychology can make a positive difference

Psychology is the study of the human mind. This social science has made huge contributions to the understanding and treatment of autism. It's important to note that psychiatry, a closely related field, also involves medical interventions (pharmaceutical treatments).

This article discusses a number of ways in which psychologists can and do play a role in helping autistic children and adults.

Child talking to therapist
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Psychotherapy and Autism

Psychotherapy is built around the use of the spoken word. For autistic people with verbal skills, psychotherapy can be a very useful tool for managing traits or other conditions like anxiety. It can also help autistic people to better understand how their actions and reactions are perceived by others.

Applied behavior analysis is a form of behavioral therapy based on traditional psychology. ABA is often used successfully to treat autistic individuals. ABA, however, is not talk therapy; rather it is a carefully structured process wherein an individual is taught skills using rewards to reinforce correct answers or preferred actions.

Typically, ABA is provided by therapists with specific ABA training. Many autistic people and their therapists experience success with ABA, although its use can be controversial among autism advocates who question its emphasis on "fixing" neurodivergent people through behavior modification.

Both psychotherapy and other forms of therapeutic interventions are used to improve psychological functioning through behavioral means. These therapies can be completed individually and in groups at both schools and outpatient clinics. Autistic children and their parents and caregivers can participate.

Developmental psychology is a branch of psychology that deals with child development and explores typical and atypical development, questions of nature versus nurture, and related topics. Developmental psychology is the basis for several well-known treatments for autism, including SCERTS, Floortime, and Relationship Development Intervention (RDI).

Some other areas of psychology that are often helpful for autistic people and their families include:

  • Drama therapy
  • Play therapy
  • School/educational psychology
  • Family psychology

What Does a Psychologist Do For Autistic People?

Psychologists are often involved in the process of diagnosing both autistic children and adults. They may recommend appropriate treatment programs, and/or support the process of evaluation, benchmarking and ongoing assessment.

Developmental and child psychologists work with children to help them engage with others through play, and learn skills such as joint attention (doing something with rather than near or alongside someone else).

School psychologists may work with autistic students to help them engage with their peers, manage stress, or handle difficult interactions with bullies or general teasing. They may also work with parents and teachers to develop strategies for school success.

Psychologists work with both autistic children and adults to treat issues such as social anxiety, depression, and perseverative behavior (doing or saying the same things over and over again). Psychologists also work with autistic individuals to help them manage self stimulation (stims), assess social interactions, understand social cues, and manage school and work relationships.

Behavioral psychologists are in high demand within the autism community. They may evaluate autistic behaviors to better understand their meaning and purpose, develop behavioral (ABA) programs to teach a wide range of skills, or help families to manage aggression and other problematic behaviors in the home.

Where Can I Find a Qualified Psychologist?

Because there is no such thing as an "autism psychologist," there is no directory of psychologists skilled in working with autistic children or adults. To find an appropriate psychologist, parents may want to start at a local children's hospital with an autism center or program. They can try the school district or a regional autism center.

Autistic adults can do a local online search, but may be better served by connecting with autism self-advocacy organizations such as GRASP.org.

2 Sources
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  1. Defilippis M, Wagner KD. Treatment of Autism Spectrum Disorder in Children and Adolescents. Psychopharmacol Bull. 2016;46(2):18-41.

  2. Politte LC, Howe Y, Nowinski L, Palumbo M, Mcdougle CJ. Evidence-Based Treatments for Autism Spectrum Disorder. Current Treatment Options in Psychiatry. 2015;2(1):38-56. doi:10.1007/s40501-015-0031-z

Lisa Jo Rudy

By Lisa Jo Rudy
Rudy is a writer, consultant, author, and advocate who specializes in autism. Her work has appeared in The New York Times and Autism Parenting Magazine.