Psychotherapists' Experiences in Working with Autistic Clients: Insights and Implications for Practice
Authors
O'Brien, Ciara
Issue Date
2025.16.12
Degree
BA in Psychotherapy
Publisher
Dublin Business School
Rights holder
Rights
Open Access
Abstract
This study explores psychotherapists' experiences of supporting autistic adults and identifies gaps in autism-specific training within psychotherapy education. Five therapists from Ireland and the United Kingdom were interviewed using a qualitative, reflexive thematic analysis. Five key themes emerged: training gaps and learning through experience, challenges in differentiating autism from co-occurring conditions, the need for adapted communication and sensory environments, affirming authentic autistic identities, and adapting traditional therapy models. The findings reveal that many therapists are required to self-educate and adapt traditional approaches to meet autistic clients' needs. Participants emphasised the importance of flexible, client-led, and neurodiversity-affirming practices. The study contributes to a growing movement advocating for systemic changes in therapist education and practice to better support autistic individuals and create more inclusive, empowering therapeutic environments.