Some of the most recent numbers have estimated that a whopping 31-59% of Autistic individuals without an Intellectual Disability struggle with an Anxiety or Related Disorder (including OCD) (Hofvander et al., 2009; Joshi et al., 2013). However, the number of clinicians that understand ASD, OCD, & Anxiety does not come close to meeting the need for service. As a result, individuals on the spectrum may feel misunderstood or frustrated with the treatment process.
Teasing out the differences between OCD and Autism can be difficult. What is the difference between a preoccupation and an obsession? When does a rigid, repetitive behavior become problematic? These are some of the questions that make up the ongoing and collaborative assessment process for each client.
In addition to OCD, struggles with executive functioning and difficulty navigating relationships can take a toll on Autistic individuals. As such, the ongoing assessment includes a focus on these issues, as well as the accompanying stress, anxiety, or depression that can sometimes impact neurodiverse individuals living in a (often) neurotypical world.
The treatment plan stems directly from the assessment and goals of the client. Using evidence-based treatments in a flexible manner to accommodate different strengths is often key to client success. For example, a client may request shorter sessions or do best using text based communication outside of sessions. Individuals are also welcome to incorporate any outside supporters in treatment, as they see fit.
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