Service Delivery

Mental Health Providers' Perspectives on What Helps and Hinders in Psychotherapy for Autistic Adults with Co-occurring Mental Health Problems.

Jubenville-Wood et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Therapists say small structural changes and better autism training make psychotherapy work for autistic adults with mental-health needs.

✓ Read this if BCBAs who consult to mental-health clinics or coach autistic adults in therapy settings.
✗ Skip if Practitioners who only serve autistic children with no therapy-team contact.

01Research in Context

01

What this study did

Jubenville-Wood et al. (2024) interviewed mental-health providers about therapy with autistic adults who also have anxiety, depression, or other mental-health needs.

The team asked what helps therapy move forward and what gets in the way.

They turned the interviews into themes to guide practice.

02

What they found

Providers say therapy works best when they change the pace, use clear language, and add structure such as written summaries.

They also report big barriers: few autism training hours, clinic rules built for neurotypical clients, and burnout from trying to adapt alone.

03

How this fits with other research

Lipinski et al. (2019) asked autistic adults the same question and heard the same gaps: therapists often lack autism know-how and rigid clinic rules lead to drop-outs.

Morris et al. (2019) mapped provider barriers across all healthcare settings; Theresa et al. zoom in on psychotherapy and add new detail about session-level fixes.

Øverland et al. (2025) interviewed Norwegian clinicians one year later and found similar coping ideas, showing these themes hold across countries.

04

Why it matters

You can start adapting today: offer an agenda at the start of each session, send a short email recap after, and ask clients how they prefer to communicate.

Push your agency for autism-specific CEUs and written-policy tweaks so the changes last beyond you.

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Add a one-minute agenda review at the top of your next session and email the client a three-sentence summary after.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
13
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Autistic adults experience disproportionate rates of co-occurring mental health problems. Psychotherapy has been recognized as an appropriate treatment approach, but evidence is limited. Researchers used a qualitative research paradigm to explore the experiences of mental health providers who provide psychotherapy to autistic adults. The Enhanced Critical Incident Technique was used to interview 13 mental health providers regarding perceptions of facilitating therapy with autistic adults. This research highlights challenges to providing psychotherapy to autistic adults while also illuminating ways that mental health providers have worked to ameliorate such challenges and create positive experiences in therapy. This research also contrasts therapy for autistic adults relative to the general population. Practice recommendations and suggestions for future research are offered.

Journal of autism and developmental disorders, 2024 · doi:10.1037/a0019733