Remarks y For young people who have the verbal and cognitive ability to engage in CBT, CBT provides an opportunity to reflect on thoughts and feeling that contribute to anxiety symptoms and to learn the skills to challenge dysfunctional beliefs and replace them with more positive thinking.

Implementation considerations y Adjustments to treatments in order to meet the needs of children and young people with autism may be needed. These may include greater use of written and visual information, more concrete and structured cognitive approaches, providing for short breaks and involvement of a carer in treatment sessions. y These approaches should be implemented in the context of broader strategies focused on promoting inclusive and enabling environments for all, including children and young people with autism. y Make reasonable adjustments or adaptations and provide visual supports if useful. y Ensure that all children and young people with autism have full access to health- and social-care services, including mental health services. y Promote access to information about treatment options suitable for the child or adolescent’s needs and developmental level, and promote supported decision-making. y Make arrangements to support children and adolescents with autism and their family and carers during times of increased need and transitions, such as puberty and starting or changing schools.