Autism & Developmental

Increasing Confident Thoughts in an Adolescent With Autism: A Pilot Study

Brown et al. (2022) · Behavior Analysis in Practice 2022
★ The Verdict

One daily minute of timed positive thoughts can slash despondent thoughts and lift mood for teens with autism.

✓ Read this if BCBAs working with autistic teens who show signs of depression or anxiety.
✗ Skip if Clinicians only serving adults or clients without mood concerns.

01Research in Context

01

What this study did

Brown et al. (2022) worked with one 15-year-old girl who had autism. Each day she set a timer for one minute and wrote every positive thought she could.

The team counted her despondent thoughts before and after the daily timings. They also tracked her anxiety and depression scores.

02

What they found

After the daily minute, despondent thoughts dropped sharply. Anxiety and depression scores went down too.

The teen kept the gains while the study ran. A simple timing tool created a big mood shift.

03

How this fits with other research

Fradet et al. (2025) ran a telehealth mindfulness group for autistic teens. Both studies cut depression, but one used a full eight-week group and the other used a lone minute each day.

Santomauro et al. (2016) tried group CBT for autistic teens and saw only tiny changes. The single-case timing method looked stronger in this head-to-head story.

Laugeson et al. (2014) showed group CBT helped young adults with autism. Brown’s minute-timing gives a faster, cheaper option you can start tomorrow without a group room or extra staff.

04

Why it matters

You can add a one-minute timing to any session or homework packet. No extra cost. No group logistics. One teen dropped dark thoughts and felt better fast. Try it as a quick warm-up or exit ticket. If it works, keep it; if not, you have lost only sixty seconds.

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→ Action — try this Monday

Hand your teen a timer and a notepad; say, ‘Write every good thought you have for one minute,’ then count and chart the totals.

02At a glance

Intervention
precision teaching
Design
case study
Sample size
1
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

Private events such as thoughts and feelings occur within the individual and are inaccessible to outside observers. Creating interventions for troublesome private events, therefore, is challenging. Precision teaching has a number of studies where participants self-count targeted private events and intervene by engaging in 1-min timings of positive thoughts. The present pilot study extended the 1-min timing procedure to a 15-year-old girl with autism spectrum disorder. After the intervention, the participant’s level of despondent thoughts dropped by ÷4.55 in level, with lower levels of anxiety and depression as measured by the Beck Anxiety Inventory and the Beck Depression Inventory.

Behavior Analysis in Practice, 2022 · doi:10.1007/s40617-021-00666-5