05/04/2026
Harm can happen when therapy is well-intentioned… but built on the wrong assumptions.
Your training can't possibly prepare you for every kind of client. So it's easy to default to assumptions that lead to misinterpreting Autistic adults.
Like:
• Treating masking as ideal functioning
• Seeing sensory overwhelm through a phobia lens
• Setting therapeutic goals that prioritise normalisation over wellbeing
• Interpreting Autistic communication differences as resistance, avoidance, or lack of insight
This is why autism awareness alone isn't enough in the therapy room.
Read more in my blog: https://www.ndats.com.au/therapy-harm-ethical-practice/autism-awareness-isnt-enough
Image alt text:
Iceberg above and below the water.
Autism aware does not mean autism competent. This article explores the ethical risks of poorly informed therapy and why Autistic adults need specialised, developmentally informed counselling. Drawing on research and lived experience, it examines how lack of autism knowledge in mental health services