Journal of Child and Adolescent Health

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Short Communication - Journal of Child and Adolescent Health (2023) Volume 7, Issue 5

Understanding anxiety in children and adolescents with autism spectrum disorders

Lynn Rew*

Department of Nursing, University of Texas, Texas, United States

*Corresponding Author:
Lynn Rew
Department of Nursing
University of Texas
Texas, United States

Received: 28-Sept-2023, Manuscript No. AAJCAH-23-115977; Editor assigned: 01-Oct-2023, PreQC No. AAJCAH-23-115977(PQ); Reviewed:15-Oct-2023, QC No. AAJCAH-23-115977; Revised:21-Oct-2023, Manuscript No. AAJCAH-23-115977(R); Published: 28-Oct-2023, DOI:10.35841/aajcah-7.5.168

Citation: Rew L. Understanding anxiety in children and adolescents with autism spectrum disorders. J Child Adolesc Health. 2023;7(5):168

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Anxiety is a common and often debilitating mental health challenge that affects children and adolescents worldwide. For those with Autism Spectrum Disorders (ASD), the struggle with anxiety can be even more complex and pronounced. ASD encompasses a range of neurodevelopmental conditions characterized by social communication difficulties and repetitive behaviors. In this article, we explore the unique intersection of anxiety and ASD, highlighting the challenges faced by these young individuals and the importance of tailored intervention and support [1].

Children and adolescents with ASD often experience heightened levels of anxiety due to a variety of factors. One key factor is the social and communication difficulties inherent in ASD. These individuals may struggle with interpreting social cues, making friends, or engaging in reciprocal conversations. Such challenges can lead to feelings of isolation, frustration, and ultimately, anxiety. Routine and predictability are crucial for many individuals with ASD. Any disruptions in their daily schedule or environment can trigger anxiety. Events that may seem minor to others, such as changes in routine or sensory sensitivities, can be overwhelming for those with ASD and lead to heightened anxiety levels [2].

Furthermore, individuals with ASD may have difficulty expressing their emotions or communicating their anxiety in conventional ways. This can result in behaviors such as meltdowns or withdrawal, which are often misunderstood by caregivers and educators as behavioral issues rather than manifestations of anxiety. Anxiety can significantly affect the overall well-being and development of children and adolescents with ASD. It may exacerbate existing communication and social difficulties, further isolating them from peers and hindering their educational and social progress [3].

Additionally, anxiety can lead to an increased risk of co-occurring mental health issues in this population. Conditions such as depression, obsessive-compulsive disorder, and phobias are more common among individuals with ASD and anxiety. Identifying and addressing these co-occurring conditions is vital for providing comprehensive care. Recognizing the unique challenges faced by children and adolescents with ASD and anxiety, it is crucial to provide tailored intervention and support. Here are some key considerations: Early identification and intervention for anxiety in children with ASD are essential. It is vital for parents, caregivers, and educators to be trained in recognizing signs of anxiety and understanding how they may manifest differently in individuals with ASD [4].

Social skills training programs can be beneficial for children and adolescents with ASD, helping them develop better interpersonal skills and cope with social challenges that contribute to anxiety. Addressing sensory sensitivities and providing sensory integration therapy can help individuals with ASD manage environmental stressors that trigger anxiety. Cognitive Behavioral Therapy (CBT): CBT adapted for individuals with ASD can be an effective treatment approach for anxiety. This therapy focuses on identifying and challenging anxious thoughts and behaviors.

Ultimately, it is vital to foster a supportive and empathetic environment that embraces neurodiversity and recognizes that anxiety is a valid and treatable aspect of the autism experience. Through informed and compassionate care, we can help children and adolescents with ASD lead fulfilling and anxiety-manageable lives [5].


Anxiety is a significant concern for children and adolescents with Autism Spectrum Disorders, impacting their overall well-being, development, and quality of life. Understanding the unique challenges this population faces is essential for providing appropriate support and intervention. By recognizing the complex interplay between anxiety and ASD, we can better address the needs of these individuals. Early intervention, social skills training, sensory integration, and adapted cognitive-behavioral therapy are some of the strategies that can make a significant difference in improving the lives of children and adolescents with ASD and anxiety


  1. Meyer JA, Mundy PC, Van Hecke AV, et al. Social attribution processes and comorbid psychiatric symptoms in children with Asperger syndrome. Autism. 2006;10(4):383-402.

Indexed at, Google Scholar, Cross Ref

  1. Lehmkuhl HD, Storch EA, Bodfish JW, et al. Brief report: Exposure and response prevention for obsessive compulsive disorder in a 12-year-old with autism. J Autism Dev Disord. 2008;38:977-81.

Indexed at, Google Scholar, Cross Ref

  1. Strang JF, Kenworthy L, Daniolos P, et al. Depression and anxiety symptoms in children and adolescents with autism spectrum disorders without intellectual disability. Res Autism Spectr Disord. 2012;6(1):406-12.

Indexed at, Google Scholar, Cross Ref

  1. Lecavalier L, McCracken CE, Aman MG, et al. An exploration of concomitant psychiatric disorders in children with autism spectrum disorder. Compr Psychiatry. 2019;88:57-64.

Indexed at, Google Scholar, Cross Ref

  1. Paul A, Gallot C, Lelouche C, et al. Victimisation in a French population of children and youths with autism spectrum disorder: a case control study. Child Adolesc Psychiatry Ment Health. 2018;12(1):1-3.

Indexed at, Google Scholar, Cross Ref

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