Efficacy of use of cognitive-behavioral therapy for high-functioning autistic adults. Summary of the update on the evidence

This review examines the efficacy of cognitive-behavioral therapy (CBT) for high-functioning autistic adults, emphasizing its effectiveness, adaptations, and limitations. Adapted CBT effectively addresses common mental health issues such as anxiety, depression, and obsessive-compulsive symptoms by providing structured, concrete strategies tailored to autistic cognitive preferences. Essential adaptations include visual support, structured session formats, mindfulness practices, emotional regulation exercises, and focused social skills training. Despite these benefits, challenges persist, notably in generalizing skills to everyday contexts, managing abstract cognitive restructuring tasks, and addressing diverse autism’s presentations, which require personalized interventions. Methodological shortcomings, such as small sample sizes and limited follow-up periods, constrain current evidence. Future research should prioritize rigorous, adult-centered studies, extensive therapist training, caregiver engagement, and technological innovations. Addressing these areas can significantly enhance CBT’s efficacy, accessibility, and sustainability, improving overall quality of life, independence, and emotional well-being for autistic adults.