Behaviour therapy

OCD in Autism (ASD) Obsessive–Compulsive Disorder (OCD) can co-occur with Autism Spectrum Disorder, but it’s important to understand how OCD differs from typical autistic behaviors. ⸻ Key Difference: OCD vs Autism Repetitive Behaviors Feature Autism (ASD) OCD Reason for behavior Comfort, predictability, enjoyment To reduce anxiety or fear Emotional response Usually calming or pleasurable Distressing, unwanted Flexibility Difficulty with change, but not fear-based Strong fear if ritual is stopped Thoughts Preference or interest-based Intrusive, unwanted thoughts Example Lining up toys for order Repeating actions to prevent harm A child with ASD may like routines, A child with OCD feels forced to do them. ⸻ Common OCD Symptoms Seen in Autism • Excessive hand washing -cleaning • Repeating actions “until it feels right” • Checking doors, switches repeatedly • Fear of contamination or harm • Repetitive questioning for reassurance • Rigid rules driven by anxiety (not preference) ⸻ Why OCD Is Common in Autism • Higher baseline anxiety in ASD • Sensory sensitivities triggering compulsions • Difficulty tolerating uncertainty • Strong need for control and predictability ⸻ Warning Signs OCD May Be Present in an ASD Child • Sudden increase in rituals • Child becomes distressed or panics if ritual is interrupted • Rituals interfere with daily functioning • Behaviors are fear-driven, not pleasurable • Increase in reassurance-seeking ⸻