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Autism • Anxiety • Evidence-Based Practice

Anxiety in Children and Adolescents with Autism Spectrum Disorder

Evidence-Based Assessment and Treatment

A clinically focused guide to understanding how anxiety presents
alongside autism spectrum disorder — and how evidence-based
assessment and treatment can be adapted to this population.

Assessment
Treatment
Children & Adolescents
ASD + Anxiety

About This Book

When Autism and Anxiety Overlap, Assessment Becomes More Complex

Anxiety can create substantial distress and functional impairment
in children and adolescents with autism spectrum disorder,
beyond the challenges associated with ASD itself.

This book examines the scientific and clinical understanding of
ASD–anxiety comorbidity,
with particular attention to the ways anxiety may present differently
in autistic children and how those differences can complicate assessment.

The focus then moves from understanding the problem to
evidence-based assessment and treatment,
giving clinicians a practical framework for applying research to care.

Anxiety in ASD Is Not Always Easy to Recognize

Symptoms of anxiety may overlap with autism-related behaviors,
communication differences, rigidity, sensory responses,
or changes in routine — making careful assessment especially important.

A Clinical Pathway

From Recognition to Evidence-Based Treatment

01
Understand the Comorbidity

Explore the nature of anxiety in ASD and how the two conditions
may interact across development.

02
Assess Anxiety More Carefully

Understand the challenges of identifying anxiety when symptoms
overlap with autism-related characteristics.

03
Select Evidence-Based Interventions

Review empirically supported approaches to treating anxiety
in children and adolescents with ASD.

04
Adapt Treatment to the Individual

Consider how communication, developmental level, presentation,
and individual needs may affect treatment planning.

Science + Clinical Application

A Balanced Look at the Evidence

The book brings together scientific research and practical
clinical application, helping readers understand both what
the literature shows and how those findings can inform care.


Genetic & Biological Research


Review emerging evidence relevant to anxiety as a meaningful treatment target in ASD.

Psychological & Psychophysiological Findings


Understand how multiple lines of research contribute to the clinical picture.

Psychometric Assessment


Examine the measurement challenges involved in identifying anxiety accurately in ASD.

Practical Clinical Focus

More Than a Review — A “How-To” Guide for Treatment

Designed for clinicians and other providers, the book emphasizes
practical application with specific treatment plans and strategies
for working with anxiety in autistic children and adolescents.

✓ Clinically Applied Treatment Strategies
✓ Specific Treatment Planning
✓ Evidence-Based Intervention Guidance
✓ Adaptation to ASD-Specific Presentation

Emerging Areas

Beyond the Most Studied Populations

Later chapters look toward future directions in anxiety research
and clinical practice, including populations that may require
additional adaptation in assessment and treatment.

✓ Adults with ASD
✓ Minimally Verbal Individuals
✓ Future Directions in Assessment & Treatment Research

Questions This Book Helps Address

Navigate the Clinical Questions That Matter

How does anxiety present differently in children with ASD?
Which symptoms reflect anxiety, autism, or an interaction between the two?
How should assessment be adapted for autistic children and adolescents?
Which evidence-based treatment strategies can be applied in clinical practice?

Who Will Benefit?

For Professionals Working With Autistic Children & Adolescents

A clinically oriented resource for professionals seeking a deeper,
evidence-based understanding of anxiety assessment and treatment in ASD.

✓ Clinical Psychologists
✓ Child & Adolescent Mental Health Clinicians
✓ Psychiatrists & Psychiatry Trainees
✓ Therapists & Behavioral Health Providers
✓ Autism & Developmental Specialists
✓ Researchers & Graduate Students

Assessment • Treatment • Clinical Application

Understand Anxiety in ASD With Greater Clinical Precision

Explore evidence-based assessment, ASD-specific anxiety presentations,
clinically applied treatment strategies, and emerging directions
for children, adolescents, adults, and minimally verbal individuals.

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