3 ms·
I agree with you to the extent that it might not benefit the client to 'know' that their diagnosis is asperger's. It can be enough to be treated for the symptom
by mercer 9y ago
I agree with you to the extent that it might not benefit the client to 'know' that their diagnosis is asperger's. It can be enough to be treated for the symptoms, as that's what will happen anyways.
However, for the therapist it might matter more. There's some evidence, for example, that CBT, which is used for anxiety, among other things, can actually worsen the situation in someone who is on the spectrum.
Furthermore, it's kind of unavoidable at this point because a diagnosis is often required for health insurance purposes, as I understand it.
- fwip 9y agoI would be super interested to hear more about the contraindications of CBT for autism-spectrum people. A quick search is only turning up sites that are pro-CBT.
- mercer 9y agoYeah, CBT is still the default approach, AFAIK, and perhaps for good reasons. I wish I had the article at hand, but as I recall the problem with CBT can be that it still focuses too much on the mind and thinking as a way to solve things, which can exacerbate the ASD tendency to, well, overthink in circles and get lost in (ineffective) rumination. I think the article argued that DBT could be better in those cases (perhaps because it's even more 'mindfulness/meditation' in nature??). But I've also heard/read that DBT is kind of the Vue.js to psychology's React.js, in that it's 'New And Improved' but not quite as well-tested.