Feasibility of Beatlt-Aut: Behavioral Activation Therapy Adapted for the Treatment of Depression in Autistic Adults
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Researchers led by Dr. Vanessa Bal, tested a newly adapted depression therapy—BeatIt-Aut—designed specifically for autistic adults, including those with intellectual disability. Their goal was to see if the program was feasible to deliver, acceptable to participants, and whether it showed early signs of benefit.
The team worked closely with autistic adults through focus groups and advisor reviews to tailor the original BeatIt behavioral-activation program. Thirteen autistic adults (ages 18–53) enrolled and completed 12 weekly therapy sessions, either in person, via telehealth, or both. Some participated with a chosen supporter (such as a parent or friend), while others preferred to attend alone.
What they found: Most participants and supporters rated the program positively—especially its structure, flexibility, and concrete, goal-focused approach. Early outcomes showed reductions in depressive symptoms on several standardized measures, with two participants no longer meeting criteria for depression after treatment. Adults with supporters tended to report the highest satisfaction.
A key new insight: behavioral activation appears useful for many autistic adults, but some may still need cognitive-based strategies, underscoring the importance of choice and personalization. As Dr. Bal notes, “Flexibility—both in the therapy and how it’s delivered—was essential for engagement.”
Why it matters: Depression is common but often under-recognized in autistic adults, especially those with intellectual disability. This study demonstrates that a structured, adaptable therapy can be both accessible and helpful—and highlights the need for broader mental-health options tailored to autistic adults’ diverse needs.
(ChatGPT, December 10, 2025)
