Adolescents with autism spectrum disorders (ASDs) have similar sexual desires
and relationship needs to their neuro-typical peers. However, they may be more likely to
demonstrate problematic sexual behaviors as they mature, due to lack of education about
sexuality, vulnerability to sexual abuse, deficits in social communication and understanding,
restricted and repetitive interests and behaviors, and sensory interests. Treatment for sexual
acting out behaviors in adolescents with ASD has not been explored and current recommendations
focus on prevention through sexual education, which provides little guidance to clinicians
working with adolescents who are already displaying sexual acting out behaviors.
Adapting treatments for problematic sexual behaviors in neuro-typical children and adolescents
may be the first step, although adaptation is complicated by developmental abilities
that may not match an adolescent’s chronological age. A thorough developmental and sexual
assessment is the first step to designing an appropriate treatment plan. Further research
should focus on adapting and applying current treatments for sexual acting out by the ASD
population.