Supporting Adult Autistic Mental Health (minimum age 18)
* Currently booked up, with a waiting list *
Eoin Stephens. Motivational-Cognitive Counsellor/Therapist
What is Autism-Informed Therapy?
There is growing awareness in the field of counselling/psychotherapy of the need to be more Autism-Informed. These are my current thoughts, very much ongoing work in progress.
As an autistic person, working as a therapist with other autistic people, I understand Autism-Informed Therapy (or Counselling, or Psychotherapy) to simply be therapy that sees Autistic Neurodivergence positively rather than just as a problem, and adapts therapeutic approaches & goals to the particular ways autistic people process the world, especially the social world.
For me, Autism-Informed Therapy isn't about helping an autistic client to not be autistic, but is about helping them, as an autistic person
- to better understand & own their autistic identity, and live more happily and productively within it
- to recover from & manage the life issues & mental health problems they bring to therapy (e.g. Anxiety, Depression, Low Self-Esteem, Addictions, Complex PTSD, Developmental Trauma, Relationship Issues, etc). Often these are the result of having to adjust in unhealthy ways to a largely unaccepting world.
In therapy, autistic clients need to be met and appreciated as the individual they are, with their unique goals, strengths, and history. A practical, relatively structured, problem-solving approach is often also welcome. In my work, I take a pragmatist, pluralist Motivational-Cognitive therapeutic approach, which tries to be:
- Person-Centred in order to convey proper appreciation of the client's individual perspective, and help the client understand themselves better through the use of counselling skills such as Reflection, Paraphrasing, Summarising, Reframing, Self-Disclosure etc.
- Motivation-Focused (e.g. Motivational Interviewing) in order to ensure that therapy tracks the personal values & life goals of the client
- Strengths-Focused to counteract the invalidation & disempowerment experienced by many autistic people
- Trauma-Informed given that many adult autistic clients have had multiple traumatic experiences as they tried to survive in a largely unaccepting world.
Building on these foundations, elements of various Cognitive Behavioural Therapies (including "third generation" CBT approaches, such as Compassion-Focused Therapy, Dialectical Behaviour Therapy, Acceptance & Commitment Therapy, Schema Therapy) can often be useful and relevant, as these approaches tend to be:
- issue-focused, skill-focused, & problem-solving
- concerned with internal processes of thinking, meaning, interpreting, feeling etc, rather than just behaviour
- structured, psychoeducational, coaching, experimental (e.g. Socratic Questioning)
- explicit regarding the rationale for any therapeutic work that is suggested
- tried and tested in relation to many of the issues autistic adults struggle with, e.g. anxiety, depression, low self-esteem, eating disorders, etc.
A framework of Evolutionary Theory can also be valuable, as it assumes that diversity in populations is the norm, not the exception (see Irish Centre for Evolutionary Psychology & Therapy website).
See blog post on Autism-Informed Therapy here
* AITI is a neurodiversity-affirmative practice *
In line with our therapeutic emphasis on the autistic person's inner world, learning style, feelings, motivations, goals, strengths & autonomous choices, AITI does not support the use of compliance-focused behaviour modification interventions such as Applied Behaviour Analysis.
Why is AIT needed?
As more children are being identified as autistic, more adults are also realising that being autistic may make a lot of sense of their life experiences and struggles. Whether they come to therapy to get help in processing this realisation, or whether they are already in therapy for secondary issues such as Social Anxiety, Low Self-Esteem, Addictions, OCD, etc, allowance must be made for their autistic personality, sensitivites, and ways of thinking.
The main characteristics of autistic neurodivergence are still under discussion, but here’s my current draft, covering differences in Sensory Processing, differences in Information Processing, & differences in Social Information Processing:
- Intensity of experience, often characterised by extremes of sensory sensitivity.
- Possible use of stimming behaviours for self-regulation, self-expression, emotional processing, communication etc.
- Heightened awareness of aspects of the environment (especially non-social aspects), and intense interest in exploring & discussing some of these aspects.
- Independent learning, with detailed memory for areas of interest, & strong systemising & pattern-seeking abilities.
- Preference for communication as accurate transfer of useful information (e.g. less interested in small talk etc).
- Higher value placed on truth, consistency, fairness, rules that make sense, etc, than on social conformity for its own sake.
Autistic: Just one of the many fascinating variations on the theme Human.
About Me - see also eoinstephens.com
BA Psychology, Dip Counselling MA Cognitive Behavioural Counselling MIACP, MACI
I'm a therapist & trainer who has worked in the areas of Counselling/Psychotherapy, Mental Health, & Disability for over 30 years, specialising in an individualised, integrative approach to Cognitive Behavioural Therapy.
I've been particularly active in the field of Behavioural Addictions, and received the Irish Association for Counselling & Psychotherapy Carl Berkeley Memorial Award in 2010.
I'm currently focusing my attention on understanding the problems faced by autistic adults, & their specific therapeutic needs. I believe that any such understanding needs to be grounded in Lived Experience, Clinical Experience & Research Findings ("Evidence-Based Practice x3", or "EBP3").
I'm autistic myself, having made the discovery in late adulthood.