Adapted CBT therapy that worked

Hi all,

Have recently been diagnosed with ASD and trauma as an adult (36yo  afab), it used to be just BPD. This new diagnosis is more accurate in my opinion. Waiting for the report which should come in 8 weeks and contain more details. 

When I was given the diagnosis, I was recommended adapted CBT therapy, which is said to help with anxiety, depression, etc. Regular CBT therapy doesn't work for ASD, which I know from personal experience. 

Have any of you had any experience with this type of therapy? 

I'm looking for suggestions in London, seen as that is where I live. 

Thank you

Parents
  • I've not personally had adapted CBT because when I had CBT I didn't know that I was autistic.  And neither did the therapist.   But these days I would be asking questions about how it's adapted because, of course, we're all different and really it needs to be individually tailored.   What adaptations would you need or like?

    Aucademy have a couple of videos that might be help when choosing therapy or the type of adaptations you need.  Here's one of them:-

    https://www.youtube.com/watch?v=rq7UPvQxJgM&t=3s

    It might also be worth asking why they made this recommendation.  CBT is quite a directive approach and many autistic people aren't comfortable with this.  A person-centred approach might appeal more, but often isn't recommended by the NHS because CBT seems to have more measureable outcomes.  I say "seems to have" because much of the data comes from quite basic self assessment reports which are very subjective and many people drop out before they even get to that stage. 

    Here's some more on the person centred approach:-

    https://www.youtube.com/watch?v=ShhpNjbsGW4&t=1s

    That's not, of course, to say that CBT wouldn't suit you.  It can be very logical and assist with identifying thinking habits that might not be working very well for you.  Valerie Gaus has written a couple a books about it.  That said, I'd be put off by the language used and, looking back at my own experiences, no amount of adaptation would have made it a better fit for me psychologically.  After years and years of not realising that I'm autistic, it smacked of getting me to adapt rather than encouraging me to ask for the adaptations and help I needed.  I might just have been unlucky though.    



Reply
  • I've not personally had adapted CBT because when I had CBT I didn't know that I was autistic.  And neither did the therapist.   But these days I would be asking questions about how it's adapted because, of course, we're all different and really it needs to be individually tailored.   What adaptations would you need or like?

    Aucademy have a couple of videos that might be help when choosing therapy or the type of adaptations you need.  Here's one of them:-

    https://www.youtube.com/watch?v=rq7UPvQxJgM&t=3s

    It might also be worth asking why they made this recommendation.  CBT is quite a directive approach and many autistic people aren't comfortable with this.  A person-centred approach might appeal more, but often isn't recommended by the NHS because CBT seems to have more measureable outcomes.  I say "seems to have" because much of the data comes from quite basic self assessment reports which are very subjective and many people drop out before they even get to that stage. 

    Here's some more on the person centred approach:-

    https://www.youtube.com/watch?v=ShhpNjbsGW4&t=1s

    That's not, of course, to say that CBT wouldn't suit you.  It can be very logical and assist with identifying thinking habits that might not be working very well for you.  Valerie Gaus has written a couple a books about it.  That said, I'd be put off by the language used and, looking back at my own experiences, no amount of adaptation would have made it a better fit for me psychologically.  After years and years of not realising that I'm autistic, it smacked of getting me to adapt rather than encouraging me to ask for the adaptations and help I needed.  I might just have been unlucky though.    



Children