HomeHome ArticlesArticles Language SettingsLanguage Settings
RSS Feeds
DrillDown Icon Autism Ontario KnowledgeBase
DrillDown Icon Conference Resource: Mental Health and Adults with ASD
DrillDown Icon About the Knowledge Base
DrillDown Icon Features and How to Use this Site
DrillDown Icon 2 Diagnosis
DrillDown Icon 3 Family
DrillDown Icon 4 Skill Development
DrillDown Icon 5 Recreation, Leisure and Health
DrillDown Icon 6 Volunteering and Employment
DrillDown Icon 7 Elementary / Secondary Education
DrillDown Icon 8 Intervention Options
DrillDown Icon Before Choosing an Option
DrillDown Icon Typical interventions
DrillDown Icon Other Things to Consider
DrillDown Icon Checklist: Finding & Working with a Regulated Professional
DrillDown Icon Checklist:Finding & Working with an Experienced Autism Worker
DrillDown Icon Applied Behaviour Association International Conference
DrillDown Icon Using Pivotal Response Treatment at Home: 1 Introduction
DrillDown Icon Using Pivotal Response Treatment at Home:2 Motivation
DrillDown Icon Using Pivotal Response Treatment at Home:3 Self Initiation
DrillDown Icon Using Pivotal Response Treatment at Home:4 Multiple Cues
DrillDown Icon Using Pivotal Response Treatment at Home:5 Self Management
DrillDown Icon CBT and Anxiety
DrillDown Icon Tantrum vs. Autistic Meltdown: What Is The Difference?
DrillDown Icon Taming Tantrums vs. Managing Meltdown
DrillDown Icon Tantrums in Autism: new study says it’s behaviour not frustration
DrillDown Icon 9 Technology
DrillDown Icon 10 First Person Perspective
DrillDown Icon 11 Planning for the Future
DrillDown Icon 12 Post Secondary Education
DrillDown Icon 13 Transition to School
DrillDown Icon 14 Professionals and ASD
DrillDown Icon 15 Mental Health
DrillDown Icon Disclaimer
  Email This ArticlePrint PreviewPrint Preview Current Article/Category with all Sub-Articles/Sub-Categories
Cognitive Behavioural Therapy May help Children with Autism Spectrum Disorders with Anxiety

What is this research about?

Many children with Autism Spectrum Disorders (ASD) have problems with anxiety. Past research suggests that cognitive behavioural therapy (CBT) may help lessen anxiety in children with ASD. This type of therapy teaches children ways of thinking and behaving that help them cope with, face, and reduce their anxieties (e.g., how to recognize what they are feeling, ways to think about their problems differently). CBT is the most scientifically supported talk therapy treatment for anxiety in children. However, because children with ASD have problems with social skills, communication and behaviour, the effectiveness of traditional CBT can be limited. This research is one of the first studies to assess how effective CBT can be when adapted specifically for children with ASD.

What did the researchers do?

The researchers randomly assigned 40 children with high functioning ASD and anxiety (7–11 years old) to be in a CBT group or a 3-month waitlist. For children receiving CBT, an individual therapist worked with each parent and child for 16 weekly sessions. The therapists taught children coping skills, friendship skills and skills to increase their independence. The therapists taught parents ways to help their children at home. They also consulted with teachers about the ways they could help at school. Parents had to be very involved in the treatment. Parents and children in both groups completed questionnaires and were interviewed before and after the treatment/waitlist.

What did the researchers find?

The researchers found that children receiving CBT showed less anxiety symptoms after the 16 week program when compared to children on the waitlist, according to clinician and parent reports. Children who received CBT continued to show improvement 3 months after the treatment ended. There was no difference in how the children reported their own anxiety; however this may be a result of the questionnaires the researchers used, which may not have been sensitive enough to detect change.

How can you use this research?

This research shows that it is possible for anxiety to be treated in children with ASD using CBT. Parents and teachers play important roles in children’s lives and this study suggests that it may be useful to actively involve them in CBT treatment. Researchers can use these results to conduct future studies about how treatment programs can be adapted to suit the mental health needs of children with ASD and their families.

What you need to know:

Children with ASD often have problems with anxiety. The results from this study suggest that a modified CBT program may help lessen anxiety symptoms in highfunctioning children with ASD.

About the Researchers

Dr. Jeffrey Wood and colleagues are researchers from the University of California, Los Angeles. This summary is based on their study “Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial”.


Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009). Cognitive Behavioral Therapy for Anxiety in Children with Autism Spectrum Disorders: A Randomized, Controlled Trial. Journal of Child Psychology and Psychiatry, 50(3), 224-234.

This research summary was written by Ami Tint for the Chair in Autism Spectrum Disorders Treatment and Care Research. This research summary, along with other summaries, can be found at asdmentalhealth.ca/researchsummaries

About the Chair

The Chair in Autism Spectrum Disorders Treatment and Care Research is dedicated to studying ways to improve the mental health and well-being of people with Autism Spectrum Disorders (ASD) and their families in Canada. The Chair is funded by the Canadian Institutes of Health Research in partnership with Autism Speaks Canada, the Canadian Autism Spectrum Disorders Alliance, Health Canada, NeuroDevNet and the Sinneave Family Foundation. Additional funds from the Spectrum of Hope Autism Foundation and support from York University.


Disclaimer: This document reflects the views of the author. It is Autism Ontario’s intent to inform and educate. Every situation is unique and while we hope this information is useful, it should be used in the context of broader considerations for each person. Please contact Autism Ontario at info@autismontario.com or 416-246-9592 for permission to reproduce this material for any purpose other than personal use. © 2012 Autism Ontario  416.246.9592  www.autismontario.com.