Modified Schema Therapy as a Needs Based Treatment for Complex Comorbidities in Adults with Autism Spectrum Conditions

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Bulluss, E. (2019). Modified Schema Therapy as a Needs Based Treatment for Complex Comorbidities in Adults with Autism Spectrum Conditions. 1-7. https://acp.scholasticahq.com/article/6815-modified-schema-therapy-as-a-needs-based-treatment-for-complex-comorbidities-in-adults-with-autism-spectrum-conditions

Publication date: 1 Jan 2019 Added to AutiHub: 24 Oct 2026 Type: Article Article language: English

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Abstract

This paper introduces a modified Schema Therapy conceptual model termed Schema Therapy Modified for Autism Spectrum Conditions (ST-MASC). Schema Therapy is underpinned by a comprehensive case conceptualisation that guides intervention with the aim to better meet the needs of the individual thus improving mental health. This individualised, needs-based approach lends itself to treating complex comorbidities in adults on the autism spectrum, however some modifications to the conceptual model are necessary to accommodate neurodevelopmental differences. The first proposed modification extends the model to include core features of Autism Spectrum Conditions and associated coping strategies in case conceptualisation. The second proposed modification introduces needs specific to Autism Spectrum Conditions alongside the core emotional needs central to the Schema Therapy model. It is hoped these extensions to the Schema Therapy model facilitate the development of a needs-based, rather than symptom-based, treatment approach for complex comorbidities in adults on the autism spectrum.

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