Autism: Supports
Evidence-based approaches to supporting autistic children. The goal is wellbeing and quality of life - not making your child appear less autistic.
Effective autism support is about adjusting the environment to fit the child, not forcing the child to fit an unsuitable environment.
When we reduce sensory overwhelm, increase predictability, and support communication, many challenging behaviours reduce naturally - because the underlying needs are being met.
Working on functional communication, not just speech. May include pragmatic language, conversation skills, or alternative communication.
Using symbols, devices, or apps to support or replace spoken language. Does NOT delay speech development.
Visual schedules, social stories, and written/pictorial instructions support understanding and reduce anxiety.
Reducing sensory triggers, providing sensory tools, creating calm spaces. Work with sensory needs, not against them.
Visual schedules, advance warning of changes, consistent routines. Reduces anxiety and cognitive load.
Reducing unnecessary demands when overwhelmed. Prioritising what matters; letting go of what doesn't.
National Autistic Society programme helping parents understand autism and develop strategies.
Evidence-based approach focused on parent-child interaction and communication development.
Following the child's lead in play to build engagement and communication. Child-centred approach.
Ethical considerations
Not all "therapy" is good therapy. When evaluating any approach, consider:
| Principle | Good practice | Concerning |
|---|---|---|
| Goals should serve the child | Safety, communication, wellbeing, independence, quality of life | Compliance, "looking normal", eliminating harmless behaviours |
| Behaviour is communication | Understanding what behaviour is communicating and addressing underlying needs | Suppressing behaviour without understanding its function |
| Autistic voices matter | Listening to autistic adults' perspectives on what helped and what harmed | Only listening to non-autistic "experts" |
| Respect autonomy | Supporting the child's choices and preferences where safe | Forcing compliance in all situations |
Approaches to avoid
Forcing eye contact
Uncomfortable for many autistic people; doesn't improve connection
Stopping all stimming
Stimming serves regulatory function; suppression increases anxiety
Social skills groups (generic)
Often teach masking; limited transfer to real situations
"Cure" treatments
No evidence; often harmful; autism is not a disease
Exposure to overwhelming situations
Can increase trauma and avoidance, not reduce sensitivity
The most effective support for autism isn't therapy - it's acceptance, understanding, and accommodation. When autistic children feel accepted as they are, have their sensory and communication needs met, and live in predictable environments, they thrive.
This doesn't mean doing nothing. It means directing effort toward what actually helps: communication support, environmental adjustments, building on strengths, and addressing co-occurring conditions like anxiety.