Cognitive-Behavioral Group Therapy (CBT) for Social Anxiety Among Autistic Adults: Insights from a Recent Qualitative Study
- motim51
- Nov 21
- 2 min read
Experiences, Insights, and Field-Based Conclusions of Autistic Adults
Social anxiety and managing interpersonal relationships constitute a major challenge for autistic adults.
In recent years, adapted cognitive-behavioral therapies (CBT) have become the standard for addressing these difficulties, yet there remains a lack of studies that deeply explore participants’ own experiences in such group-based treatments and their effectiveness for this unique population.
An innovative qualitative study conducted at the University of Sydney examined in depth the experiences of 27 autistic adults (ages 18–38, mean age 25) who participated in a dedicated group CBT program for addressing social anxiety. All participants were diagnosed as autistic and met the criteria for social anxiety disorder.
The group incorporated structured adaptations: consideration of sensory needs, the option for diverse communication methods, simple language, and a consistent format.
Main Findings:
Social connection and reduced loneliness: Most participants emphasized the great value of learning and sharing within a group of peers who face similar experiences, strengthening their sense of belonging and their social self-confidence.
A safe and supportive environment: The group was characterized by a supportive and accommodating atmosphere, with an emphasis on self-acceptance and practicing social skills without pressure to mask autistic traits.
Cognitive and sensory accommodations: The structure of the sessions allowed flexibility according to individual needs, including attention to sensory sensitivities, opportunities for breaks, and the use of visual supports.
The participants emphasized the importance of an adapted therapeutic approach that respects the unique needs of autistic adults, offering flexibility and the development of individualized tools rather than efforts toward “normalization.”
Real-world application: About 70% reported an increase in social confidence and in their ability to cope with everyday social situations while applying the strategies they learned in the group.
Challenges: About 18% of the participants noted difficulties in applying the tools outside the group, especially in emotionally volatile social situations in which social anxiety is connected to experiences of rejection or to past negative events. Some also noted difficulty coping with sensory aspects such as noise, light, or the length of the session.
Future Directions:
The study recommends continuing to adapt group therapy frameworks for autistic adults, with an emphasis on collaboration, a supportive environment, sensory diversity, expectation-setting, and attention to personal background.
Additionally, increasing awareness among professionals regarding the importance of improving accessibility and fostering a safe space may empower the autistic community and contribute to the effectiveness of treatment, to inclusion, to acceptance of differences, and to positive outcomes in the way autistic adults cope with social anxiety.
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