Date

3-10-2026

Department

School of Behavioral Sciences

Degree

Doctor of Education in Community Care and Counseling (EdD)

Chair

Lisa Ansell

Keywords

autism spectrum disorder, neurodivergence, punting, tailored therapeutic interventions

Disciplines

Counseling

Abstract

The purpose of the study is to describe the lived experiences of high functioning autistic adults who have engaged in mental health services in mental health services in Texas. Individuals with autism often face unique challenges, such as heightened sensory intake and cognitive inflexibility, which may complicate traditional therapeutic interventions. The theories that guided the study were the biopsychosocial model, social cognitive theory, the neurodiversity paradigm, and cognitive-behavioral theory, all exploring how cognitive processes influence emotions and behaviors in neurodiverse populations. Using a qualitative phenomenological design, semi-structured interviews were done with adults with high functioning autistic adults. Analysis of the data revealed that awareness of autism emerged as a gradual process shaped through relationship, external recognition, self-discovery, and clinical support. Participants described early counseling experiences as marked by misunderstanding, sensory overwhelm, and communication mismatches, followed by increased self-advocacy and improved therapeutic outcomes when working with autism-informed providers. Effective therapy was characterized by structure, predictability, validation, and affirmation of neurodivergence instead of attempts to correct behavior. Participants defined therapeutic success through increased self-acceptance, emotional regulation, and the ability to engage authentically in relationships. These findings highlighted the need for neurodiversity-affirming, individualized mental health approaches to better support autistic adults.

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