Autistic Regression in Adults: All You Need to Know

Autistic regression in adults refers to the loss of previously acquired skills or increased dependence on routines and coping mechanisms. While often associated with childhood autism, regression can also impact autistic adults, affecting their ability to communicate, socialize, or function independently.

This phenomenon can range from mild to severe, with some individuals experiencing temporary difficulties while others face long-term challenges. Understanding the causes, signs, and strategies for managing autistic regression in adults is essential for caregivers, healthcare professionals, and autistic individuals themselves.

What is autistic regression in adults?

Autistic regression is commonly recognized in children but is less discussed in adults. In essence, it refers to a noticeable decline in abilities, such as social engagement, verbal communication, or executive functioning.

Unlike childhood regression, which often occurs between the ages of 1 and 3, adult regression can emerge suddenly or gradually due to external stressors or internal burnout.

Adults experiencing regression may struggle with activities they once handled with ease, such as independent living, work responsibilities, or social interactions.

This regression can manifest as increased reliance on familiar routines, sensory sensitivities, or even nonverbal communication, depending on the individual.

Potential causes of adult autism regression

Several factors can contribute to autistic regression in adults. These include:

  • Chronic stress and burnout: Prolonged stress can lead to autistic burnout, a state of exhaustion that contributes to regression.
  • Trauma and major life changes: Events such as job loss, relationship breakdowns, or grief can trigger regression as individuals struggle to cope with significant emotional shifts.
  • Sensory overload: Increased exposure to overwhelming sensory environments can lead to withdrawal and loss of skills.
  • Co-occurring mental health conditions: Anxiety, depression, and other mental health disorders can exacerbate regression in autistic adults.
  • Lack of accommodations: A lack of support in professional or personal environments can cause stress-induced regression.

For instance, a young autistic professional might thrive in a structured environment but experience regression if their workplace suddenly becomes unpredictable and stressful.

Stressed adult https://www.autismparentingmagazine.com/autistic-regression-in-adults/

Signs of regression in autistic adults

Recognizing autistic regression early can help individuals and caregivers seek appropriate support. Common signs include:

  • Loss of verbal communication skills: Some individuals may struggle with speech or revert to nonverbal communication.
  • Increased dependence on routines: A previously flexible person may become rigid and distressed by changes.
  • Avoidance of social interactions: Some people may withdraw from social activities or difficulty maintaining relationships.
  • Heightened sensory sensitivities: A person who previously found stimuli to be manageable now becomes overwhelmed by them.
  • Emotional dysregulation: Some individuals may have increased meltdowns, shutdowns, or difficulty managing emotions.
  • Age-regressive behaviors: Engaging in activities typically associated with childhood as a form of comfort.

These symptoms can vary in intensity and duration depending on the underlying cause.

Age regression in autistic adults

Age regression refers to reverting to a younger emotional or psychological state as a coping mechanism.

In autistic adults, this can manifest as engaging in childlike behaviors, such as using stuffed animals for comfort, watching childhood TV shows, or communicating in a simpler manner.

While age regression can be voluntary or involuntary, it is often a response to overwhelming stress. Unlike pathological regression, age regression can sometimes be a healthy way for autistic individuals to self-soothe.

Understanding this distinction is crucial in offering the right support.

Managing adult autism regression

Supporting an autistic adult experiencing regression requires patience and tailored approaches. Some of the strategies may include:

  1. Identifying and reducing stressors: Creating a stable and accommodating environment can help ease regression.
  2. Implementing structured routines: Predictability can provide comfort and a sense of control.
  3. Encouraging self-care and sensory regulation: Activities such as deep pressure therapy or stimming can help manage sensory sensitivities.
  4. Seeking professional support: Therapy, including cognitive-behavioral therapy (CBT) or occupational therapy, can be beneficial.
  5. Allowing for adjustments: Reducing workload, changing social expectations, or providing accommodations can make a significant difference.

A compassionate approach helps autistic adults regain stability without forcing them into distressing situations.

Encouraging understanding and support

Understanding autistic regression in adults is essential for caregivers, employers, and society. By fostering acceptance and creating supportive environments, we can help autistic individuals navigate regression more effectively.

Empathy, patience, and appropriate accommodations make a significant difference in promoting a fulfilling life for autistic adults experiencing regression.

FAQs

Q: Can an adult with autism regress?

A: Yes, autistic adults can experience regression due to stress, trauma, burnout, or changes in their environment.

Q: What does autistic regression look like?

A: It can involve losing verbal communication, avoiding social interactions, heightened sensory sensitivities, and increased dependence on routines.

Q: How long does autism regression last?

A: It varies. Some individuals recover quickly with support, while others experience prolonged periods of regression.

Q: What are the symptoms of autistic burnout?

A: Autistic burnout can cause exhaustion, loss of skills, increased sensory sensitivities, and emotional dysregulation.

References

Boterberg, S., Charman, T., Marschik, P. B., Bölte, S., & Roeyers, H. (2019a). Regression in autism spectrum disorder: A critical overview of retrospective findings and recommendations for future research. Neuroscience & Biobehavioral Reviews, 102, 24-55. https://www.sciencedirect.com/science/article/pii/S0149763418307279

Boterberg, S., Van Coster, R., & Roeyers, H. (2019b). Characteristics, early development and outcome of parent-reported regression in autism spectrum disorder. Journal of Autism and Developmental Disorders, 49(11), 4603-4625. https://link.springer.com/article/10.1007/s10803-019-04183-x

Thompson, L., Gillberg, C., Landberg, S., Kantzer, A. K., Miniscalco, C., Barnevik Olsson, M., … & Fernell, E. (2019). Autism with and without regression: A two-year prospective longitudinal study in two population-derived Swedish cohorts. Journal of Autism and Developmental Disorders, 49, 2281-2290. https://link.springer.com/article/10.1007/s10803-018-03871-4

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