Qualitative Content Analysis of Ten Autistic Adults’ Experiences of Mental Health Therapy and Their Interest and Preferences for a Group Program: Informing Co-Production

Autistic adults experience high rates of co-occurring mental health conditions. This study sought to explore mental health therapy experiences of recently diagnosed autistic adults in a private mental health clinic, and gauge their interest in, and ideas for, an autism specific mental health group program. Ten adults (20 – 52 years) choose semi-structured qualitative interviews from several participation options. Content analysis of the data was undertaken, and recruitment was concluded after data saturation was reached. Dialectical behaviour therapy variants and art therapy had been most frequently undertaken as previous mental health interventions. Many participants enjoyed the solidarity of group therapy, however some experienced therapists as patronising, impacting on their engagement. Sensory preference mismatches and a tendency for social masking were also cited as impacting engagement. The majority voiced a strong interest in attending an autism specific group mental health program. Participants provided suggestions for group topics and content alongside logistical and group promotion considerations. The results were used to adjust clinical practice at the service and to develop a draft group therapy program outline. This draft group outline was then further refined via consumer focus groups in the next phase of co-production of the broader study project. Limitations of this study included feedback being derived from a cohort of adults recently diagnosed autistic, all who had prior therapy experience, and were engaged with the mental health service undertaking the research.