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Autism Therapy Roadmap Across the Lifespan

🧩 Autism Therapy Roadmap Across the Lifespan

👶 Childhood (0–12 years) – Foundation Building

🎯 Goals: Communication, play, sensory regulation, early learning.

  • Early Start Denver Model (ESDM): Builds joint attention, early communication, and play.

  • ABA (modernized, play-based): Builds core skills without rigid compliance focus.

  • DIR/Floortime: Emotional engagement and social development.

  • Speech & Language Therapy with AAC: For verbal + nonverbal children.

  • Occupational Therapy (Sensory Integration): Managing sensory sensitivities.
    ➡️ Emerging: Gamified learning apps, robots for social skills, AI-assisted AAC.

👦👧 Adolescence (13–18 years) – Identity & Independence

🎯 Goals: Mental health, peer relationships, independence skills.

  • CBT (adapted for autism): Treats anxiety, depression, rigid thinking.

  • Mindfulness-Based Therapy: Self-regulation and emotional resilience.

  • Social Skills Groups (peer-mediated, in-person & virtual): Friendship, teamwork.

  • TEACCH Transition Planning: Prepares for work or higher education.

  • Inclusive Education (IEP / UDL): Tailored academic and vocational programs.
    ➡️ Emerging:

    • VR therapy → job interview prep, public speaking.

    • Digital mental health apps → accessible CBT, stress management.

    • Neurofeedback → early trials for focus and anxiety.

🧑‍🦱 Adulthood (18+) – Independence & Quality of Life

🎯 Goals: Employment, relationships, lifelong mental health, community integration.

  • CBT & Mindfulness (adult-focused): Managing workplace stress, depression, relationships.

  • Speech & AAC (if needed): Supports for independence in work/social life.

  • Occupational Therapy (workplace ergonomics & sensory strategies): Long-term independence.

  • Supported Employment & Vocational Programs: Structured job training and coaching.

  • Community-Based Living Supports: Housing, life skills coaching.
    ➡️ Emerging:

    • VR & AR → practicing workplace and social scenarios.

    • AI-AAC → advanced personalized communication for nonverbal adults.

    • Wearables → stress detection, prompting calming strategies.

    • Genomics / Personalized Plans → matching therapy to individual biology.

🔄 Roadmap Progression (Simplified Flow)

  • ChildhoodFocus on building core communication, sensory, and play-based learning foundations.

  • AdolescenceShift toward mental health, peer relationships, and preparing for independence.

  • AdulthoodPrioritize workplace support, long-term mental health, and self-determined living.

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