Autism and Trauma Related to Loss of Autonomy

Individuals with autism spectrum disorder (ASD) may experience trauma related to the loss of autonomy in various ways:

• Overprotection: Well-meaning caregivers might limit independence, inadvertently causing feelings of powerlessness.
• Sensory Overwhelm: Environments that don't accommodate sensory needs can lead to a loss of control over one's surroundings.
• Communication Barriers: Difficulty expressing needs or preferences can result in others making decisions without proper input.
• Rigid Routines: Unexpected changes to established routines can be deeply distressing and feel like a loss of control.
• Social Misunderstandings: Misinterpretation of social cues may lead to unwanted interventions or corrections from others.

The trauma from these experiences can manifest as:

• Increased anxiety and stress
• Withdrawal from social interactions
• Heightened sensory sensitivities
• Regression in skills or behaviors
• Development of new stimming behaviors or intensification of existing ones

Therapeutic approaches to address this trauma may include:

• Cognitive Behavioral Therapy (CBT) adapted for individuals with ASD
• Mindfulness and relaxation techniques
• Social skills training to enhance self-advocacy
• Sensory integration therapy
• Collaborative problem-solving to increase feelings of control and autonomy