Dialectical Behavior Therapy in Autism

doi:10.1007/s11920-025-01596-7

Dialectical Behavior Therapy in Autism

2025-03-01

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AI

Mădălina Elena Costache

É

Émilie Martz

DOI：10.1007/s11920-025-01596-7

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Purpose of ReviewRecent research indicates that Dialectical Behavior Therapy (DBT) is feasible, acceptable, and effective for autistic adults. This review aims to provide conceptual arguments and empirical evidence to support DBT as a relevant therapeutic alternative for autistic individuals experiencing emotion dysregulation (ED).Recent FindingsED is frequent in autism whereby it is associated with severe mental health challenges. However, appropriate therapeutic options are limited. Currently, DBT has amassed the most evidence for treatment of ED across a range of clinical conditions, although it was originally developed for borderline personality disorder (BPD). In the context of autism, there is evidence supporting the efficacy of DBT for ED, life-threatening behaviors and depression, but adaptations are likely to improve its dissemination and acceptability. While similar biosocial factors seem to be involved in ED in BPD and autism, alexithymia is prominent in autism and autistic features such as sensory sensitivity and social overload also contribute to ED in autistic adults.ConclusionGiven the significant impact of ED on the well-being of autistic adults, there is an urgent need to enhance our understanding of the mechanisms involved in ED in autism and the adaptations likely to improve the acceptability and dissemination of DBT for autistic people.

Keyword:

Autism Spectrum Condition

Dialectical Behavior Therapy

Emotion dysregulation

Borderline Personality Disorder

Alexithymia

Dialectical Behavior Therapy in Autism

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