To Clinicians Working with Adults On the Spectrum

We publish an excerpts from the Introduction, written by the author, to the book “Cognitive-Behavioral Therapy for Adults with Autism Spectrum Disorder” by Valerie L. Gaus, second edition 2019, published by Guilford Press.

I am happy to see that many of the barriers to appropriate therapy have been tackled with an increased willingness to bridge the gaps between separate fields of research and clinical practice (Cooper, Loades, & Russell, 2018; Maddox & Gaus, 2018). Nonetheless, I have continued to observe instances in which professionals in the “mainstream mental health community” do not consider themselves qualified or interested in serving people with developmental disorders. Therefore, they may not market their services or accept referrals from the adult ASD population. Likewise, professionals in the “autism spectrum community” are still focusing more on children and the behavioral interventions that are most fitting for the younger population. This leaves a large proverbial “crack” for adults with ASD to fall through, as they suffer from various problems in daily living and/or comorbid mental health disorders that warrant effective psychotherapy (Maddox & Gaus, 2018). There are many skilled and experienced clinicians in both of these communities who, with a willingness to look outside their respective literatures, can use their existing talents to help adults with ASD. They include psychologists, social workers, psychiatrists, speech–language pathologists, and educators. … For example, clinicians serving the general adult population in “mainstream” mental health settings are encountering ASD incidentally in patients who have sought help for a mood or anxiety disorder. This has become increasingly apparent to me over the last 11 years, as I have been invited more often to provide training workshops to groups of psychotherapists who do not identify themselves as ASD specialists, but are eager to learn about ASD because they already have patients on their caseloads with the diagnosis. These meetings have been most exciting for me, as I have been inspired by the compassion and dedication of so many therapists to learn about something new so that they can best serve their patients.


Valerie L. Gaus, PhD, is a clinical psychologist in private practice in Long Island and New York City. Her focus is treating mental health problems in adults with autism spectrum disorder, intellectual disability, and other learning and developmental disorders. Since receiving her doctorate in 1992, she has approached her work with a cognitive-behavioral orientation. Dr. Gaus serves on the advisory board of the Asperger Syndrome and High Functioning Autism Association and as the grant review committee of the Organization for Autism Research, and she teaches an advanced training course through the Swedish Psychological Association. She has written numerous articles and chapters on mental health issues in developmental disabilities and has lectured extensively in the United States and internationally. Dr. Gaus is the author of the self-help resource Living Well on the Spectrum.

Post Author(s)

Reprinted from Cognitive-Behavioral Therapy for Adults with Autism Spectrum Disorder by Valerie L. Gaus, second edition 2019, published by Guilford Press

References

Many articles and books referenced here can be found in the Neuroscience Library or are available in the NDIVS Bookshop.