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Second Edition • CBT • Autism • Adult Psychotherapy

Cognitive-Behavioral Therapy for Adults with Autism Spectrum Disorder

Adapt Evidence-Based CBT to the Needs of Autistic Adults

Valerie L. Gaus provides a clinically focused framework for adapting
cognitive-behavioral therapy to autistic adults without significant
cognitive or language impairment — with guidance on case formulation,
anxiety, depression, coping, social functioning, self-acceptance,
and emotion regulation.

CBT Adaptation
Adult Autism
Clinical Formulation
Second Edition

Standard CBT Techniques May Need Thoughtful Adaptation

This book focuses on how information-processing differences associated
with autism can shape assessment, case conceptualization,
treatment planning, and the delivery of cognitive-behavioral interventions.

About This Clinical Guide

Make CBT More Responsive to Autistic Adult Clients

Cognitive-Behavioral Therapy for Adults with Autism Spectrum Disorder
is a specialized resource for psychotherapists working with autistic adults
who do not have significant cognitive or language impairments.

Valerie L. Gaus shows how established CBT methods can be adapted
to better fit autistic patterns of information processing,
emotional regulation, social functioning, and coping.

Detailed clinical examples help connect theory to practice,
while the second edition integrates updated research,
assessment approaches, terminology, and intervention strategies.

A Practical Clinical Framework

From Conceptualization to Intervention

01
Understand the Presenting Problem

Examine how autism-related information-processing differences
may shape the way problems are experienced and expressed.

02
Build a More Accurate Case Formulation

Conceptualize presenting difficulties within the context
of autism rather than applying a generic CBT formulation.

03
Adapt CBT Techniques

Modify intervention style, pacing, communication,
and skill-building to improve therapeutic fit.

04
Optimize Treatment Effectiveness

Apply tailored strategies to anxiety, depression,
coping difficulties, social functioning, and self-acceptance.

Clinically Applied CBT

Adapt the Therapy — Not the Client to the Therapy

The emphasis is on preserving the evidence-based principles
of CBT while adjusting intervention delivery to better match
the client’s cognitive, emotional, social, and communication profile.

Anxiety

Apply tailored CBT approaches to anxiety and related avoidance.
Depression

Address mood difficulties while accounting for autism-specific context.
Social & Coping Skills

Build practical skills without reducing treatment to simple social conformity.
Self-Acceptance

Support a more constructive understanding of identity,
differences, strengths, and personal needs.

Case-Based Learning

See the Clinical Reasoning in Practice

Detailed case examples illustrate how autism-informed CBT
formulation and intervention can be applied across real clinical
problems, helping bridge conceptual knowledge and psychotherapy practice.

Autism-Informed Formulation

Understand How Information-Processing Differences Matter

The book is grounded in contemporary knowledge about information
processing in autism, helping clinicians understand why a standard
intervention may need modification and which aspects of therapy
may benefit from greater structure, clarity, or adaptation.

New in the Second Edition

Updated for Contemporary Autism Practice

✓ DSM-5 Terminology Changes & Clinical Impact
✓ Mindfulness-Based Strategies for Emotion Regulation
✓ Expanded Social & Coping-Skill Strategies
✓ New & Updated Assessment Instruments
✓ Updated CBT & Autism Research

Emotion Regulation

Integrate Mindfulness-Based Strategies

The expanded edition includes mindfulness-based approaches
designed to support emotion-regulation work as part of a broader
autism-informed CBT framework.

Why This Resource Stands Out

Specialized Guidance Beyond Generic CBT

✓ Autism-Specific CBT Adaptation
✓ Detailed Clinical Case Examples
✓ Practical Case Conceptualization Guidance
✓ Updated Assessment & Research
✓ Anxiety, Depression, Coping & Social Functioning

Who Will Benefit?

Built for Clinicians Working With Autistic Adults

A focused clinical resource for professionals who want to
deliver more individualized, autism-informed psychotherapy.

✓ Clinical Psychologists
✓ Cognitive-Behavioral Therapists
✓ Psychotherapists & Counselors
✓ Mental Health Clinicians
✓ Autism-Focused Professionals & Trainees

Second Edition • Autism-Informed CBT

Adapt CBT With Greater Clinical Precision

Explore autism-informed case formulation, adapted CBT interventions,
anxiety and depression treatment, mindfulness,
social and coping skills, assessment, and detailed clinical examples.

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