Emotional Outbursts in Young Adults with Autism

In childhood, the physician diagnosed mild autism?

I am asking for a friend—he is now 21 years old.
He was diagnosed with mild autism as a child.
Recently, he has been experiencing some issues after a phone argument with his girlfriend, which led to a breakup.
As a result, he suddenly feels: 1.
pain all over his body 2.
a blank mind.
His behaviors include: 1.
destroying posters by tearing them apart 2.
throwing things 3.
scratching the floor.
He usually appears to have a good temper, but he only shows these behaviors during intense arguments.
This situation has made him feel that he seems to have "violent tendencies." Should he see a doctor? What would be the necessary duration and frequency of treatment? I am urging him to see a physician, but he is struggling and lacks the courage!

Xiao Pi Dan, 20~29 year old female. Ask Date: 2004/06/23

Dr. Zhang Jiexin reply Psychiatry

It is recommended to seek evaluation from a pediatric psychologist or child psychiatrist to: 1.
further confirm the diagnosis, 2.
understand the contributing factors related to emotional dysregulation and behavior, 3.
determine the frequency of visits based on the severity of the condition, and 4.
expect significant improvement with appropriate intervention.

Reply Date: 2004/06/23

More Info

Understanding emotional outbursts in young adults with autism, particularly in the context of a breakup or conflict, can be complex and multifaceted. Your friend's situation is not uncommon among individuals on the autism spectrum, as they may experience heightened emotional responses due to difficulties in processing emotions and social cues.
Firstly, it's important to recognize that emotional outbursts can stem from various underlying factors, including frustration, anxiety, and the inability to communicate feelings effectively. For individuals with autism, these outbursts may manifest as physical actions, such as tearing posters or throwing objects, especially when they feel overwhelmed or unable to articulate their emotions verbally. The physical pain and mental blankness your friend experiences could be a response to the intense emotional turmoil he is facing. This is not necessarily indicative of a violent tendency but rather a coping mechanism for overwhelming feelings.

The fact that your friend generally has a good temperament but exhibits these behaviors during high-stress situations suggests that he may struggle with emotional regulation. Many individuals with autism spectrum disorder (ASD) find it challenging to manage their emotions, especially in situations that provoke strong feelings, such as conflict with loved ones. This can lead to what appears to be a sudden shift in behavior, which can be alarming both for the individual and those around them.

Encouraging your friend to seek professional help is a crucial step. A mental health professional, particularly one experienced in working with individuals on the autism spectrum, can provide valuable support. Therapy can help him develop better coping strategies, improve emotional regulation, and enhance communication skills. Cognitive-behavioral therapy (CBT) is often effective for individuals with ASD, as it focuses on understanding and changing thought patterns and behaviors.

In terms of treatment frequency and duration, this can vary significantly based on individual needs. Typically, therapy sessions might occur weekly or bi-weekly, but this can be adjusted based on your friend's comfort level and progress. It's essential to approach this process gently, as the idea of seeking help can be daunting for many individuals, especially those who may feel vulnerable or anxious about discussing their feelings.

Moreover, it might be beneficial for your friend to engage in support groups or social skills training, where he can connect with others who share similar experiences. This can help him feel less isolated and provide a safe space to express his feelings and learn from others.

In conclusion, your friend's emotional outbursts are a signal that he may benefit from professional support. Encouraging him to seek help, while being understanding of his fears, is vital. With the right guidance and tools, he can learn to navigate his emotions more effectively, leading to healthier relationships and improved overall well-being.

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