A novel psychotherapy for low-needs youth on the autism spectrum with emotional regulation challenges

The externalising of problems and implementation of interactive metaphors may improve emotional regulation of those clients presenting with autism spectrum disorder. This paper describes a new eight-session treatment protocol in terms of using preferred interest metaphors with the strengths and strategies of client and family across the home, school, and community settings of client life. This exploratory treatment intervention uses externalising metaphors therapy as a brief treatment modality, addressing emotional regulation concerns of youth on the autism spectrum. The treatment model concretises affective states and creatively leverages visual strengths to improve this common presenting concern for this population. A case study on family therapy is presented with the protocol overview and illustrations. Further research is needed to address the testable hypotheses and identify the mediators of change resulting from this current model. This research would help to establish best practices in a clinical population for which there is no broadly accepted treatment paradigm. Mr. McGuinty has indicated that there are no conflicts of interest in this manuscript.