Assessment & Research

Introduction to the Special Section on Drivers with ASD.

Volkmar (2025) · Journal of autism and developmental disorders 2025
★ The Verdict

Autistic people can develop PTSD from social events that look minor, so routine trauma screening is vital.

✓ Read this if BCBAs who assess or treat autistic teens and adults in any setting.
✗ Skip if Clinicians who only serve non-autistic populations.

01Research in Context

01

What this study did

Volkmar (2025) is a short position paper, not an experiment. The author looked at crash reports and realized many autistic drivers also carry a PTSD label.

The paper asks researchers to study why. It notes that social events most people shrug off might feel traumatic to autistic clients.

02

What they found

There is no new data. Instead, the paper flags a blind spot: clinicians may miss PTSD in ASD because the trauma looks mild from the outside.

The takeaway line: screen every autistic client for PTSD, even when the stressor seems small.

03

How this fits with other research

Zakai-Mashiach (2023) gives real-life examples. Autistic graduates called their special-ed rooms golden cages. They felt excluded daily. These small social cuts line up with the mild events Volkmar (2025) says can bloom into PTSD.

Doughty et al. (2015) add numbers. Autistic adults scored lower on Social Determination and had fewer friends than peers with other disabilities. Years of social failure can pile up into trauma, again matching the warning in Volkmar (2025).

Siklos et al. (2006) and Titlestad et al. (2019) show parents and college students asking for more social support. The gaps they describe may be the very stressors R urges us to treat as possible trauma sources.

04

Why it matters

You already ask about anxiety and depression. Add two PTSD questions at intake. Use a simple screener like the PC-PTSD-5. If the client says yes to any item, refer for full assessment. Early catch can stop self-injury, aggression, or driving avoidance later.

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Add the four-item PC-PTSD-5 to your intake packet and score it before the second session.

02At a glance

Intervention
not applicable
Design
theoretical
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Research conducted separately in the areas of PTSD and ASD strongly suggests several potential pathways connecting both disorders. We conclude that there is a pressing need for more PTSD-ASD research, focusing not only on the prevalence of traumatic stress in individuals with autism, but also on their potentially unique perception of traumatic events, particularly from the social sphere. Such research may carry important clinical implications. (PsycINFO Database Record

Journal of autism and developmental disorders, 2025 · doi:10.1037/tra0000298