09/05/2024
Anxiety inevitably worsens with avoidance so, tackle ‘the thing’ or at least take the first step!
In today's blog post, I outline some of the standard treatments for anxiety and discuss how it should be adapted for Autistic people. Key to understanding any approach to anxiety treatment is the concept of the Avoidance-Anxiety Loop.
This loop starts when an anxiety trigger leads us to naturally avoid situations—skipping social events, job interviews, or dates, for example. The immediate relief from avoidance reinforces this behavior—the temporary relief feels so rewarding that our brain learns this as a method to evade anxiety. Unfortunately, this means that over time, anxiety grows and begins to make more and more decisions for us.
Avoiding situations that trigger our anxiety not only reinforces anxiety but also prevents us from gaining valuable experience. Experience is a crucial teacher in confronting anxiety; it teaches us that what we fear might be intimidating but isn't necessarily dangerous. When we consistently choose avoidance, we miss the opportunity to learn and reinforce this lesson. When we avoid, we miss the chance to learn this lesson, which is why treatment often focuses on breaking out of this cycle.
But what about Autistic and ADHD anxiety?
When dealing with ADHD or Autistic anxiety, it's key to identify whether what we're experiencing is genuine anxiety or something that mimics it, like sensory overwhelm, executive functioning overwhelm, or cognitive overload. If it's the latter, facing our fears isn't enough; the anxiety may signal we are in need of additional support, accommodations, or skills.
For more insights into how treatments can differ, read today's article or check out our mini-series on anxiety and autism. You can read here: https://neurodivergentinsights.com/blog/autistic-anxiety-treatment