A UK-based Mixed-Methods Study Investigating the Mental Health and Therapeutic Needs of Autistic Adolescents after COVID19

Background The increased awareness of co-occurring mental health challenges amongst autistic adolescents has resulted in the autistic community calling for a range of mental health treatments that are neurodiversity affirming. The current study aims to better understand the mental health challenges faced by autistic adolescents, factoring in the impact of COVID19. Alongside this, adolescents perspectives of alternative therapeutic approaches were gained with a specific focus on nondirective play therapy as a guideline based on prior research findings. Methods A mixed-methods study using a sequential explanatory method captured the voices of autistic adolescents via an online survey (N=44) and an online focus group (N=7). Results The quantitative results indicated that mental health was worse post-pandemic and suggested the loss of routine and social support as potential explanations. Follow-up reflexive thematic analysis of qualitative focus group data generated three themes: 1) The Changing Nature of COVID19; 2) Negative Experiences of School and 3) Understanding the Individual’s Needs. Conclusion Nondirective therapy has potential to support the mental health of autistic adolescents which is essential post-pandemic but relies on therapists tailoring support to individuals, which requires improved core-training.