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Leveling Up Dialectical Behavior Therapy for Autistic Individuals with Emotion Dysregulation: Clinical and Personal
Elliot Gavin Keenan1, Ava N Gurba2, Brittain Mahaffey2
1University of California, Los Angeles, Los Angeles, California, USA.
Autism in Adulthood : Challenges and Management
|March 4, 2024
Summary
Dialectical behavior therapy (DBT) can help autistic individuals manage emotional and sensory challenges. Adapting DBT with visuals, gaming, and personal interests enhances its effectiveness for autistic people.
Area of Science:
- Neurodevelopmental Disorders
- Psychological Therapies
- Autism Spectrum Disorder
Background:
- Autistic individuals often experience heightened emotional and sensory sensitivities, with a prolonged return to emotional baseline.
- Dialectical Behavior Therapy (DBT) was initially designed for mood and personality disorders, targeting emotional reactivity, impulsivity, and dysregulation.
Purpose of the Study:
- To explore the potential therapeutic benefits of DBT for autistic individuals facing emotional and sensory challenges.
- To synthesize personal experiences and professional insights on adapting DBT for autism.
Main Methods:
- Review of DBT's development, components, and existing adaptations.
- First-person account of DBT experiences and modifications by an autistic individual.
- Analysis of how modifications enhance DBT efficacy for autistic clients.
Main Results:
- Modifications such as incorporating visuals, graphics, and gaming formats tailored to personal interests can increase the meaningfulness and functionality of DBT skills.
- Therapist receptivity to modifications and embracing neurodivergent problem-solving approaches are crucial for successful therapy.
- Client-led contributions in collaborative therapy settings can improve autistic participants' comprehension, validation, and adherence to DBT.
Conclusions:
- DBT holds promise for autistic individuals, but requires adaptation to address specific needs.
- Personalized modifications, including visual aids and interest-based approaches, are key to enhancing DBT effectiveness.
- Further research into DBT modifications for autism, focusing on self-monitoring, preferred formats, and personal interests, is recommended.
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