Internet-delivered Cognitive-Behavioral Therapy for Adolescents with Autism and Anxiety

Eligibility Criteria

• 1. The child is between the age of 11-17 years old at enrollment.
• 2. The child is diagnosed with autism using a validated assessment (e.g., Autism Diagnostic Observation Schedule-Second Edition (ADOS-2), Childhood Autism Rating Scale-Second Edition (CARS-2), etc.).
• 3. The child has current, clinically significant anxiety and/or OCD as indicated by a clinician-administered standardized assessment (e.g. Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) and Pediatric Rating Anxiety Scale modified for autism (PARS-ASD)).
• 4. Anxiety disorder is the child's primary/co-primary psychiatric diagnosis, and if secondary psychopathology is present, it will not interfere with treatment.
• 5. One parent/guardian over the age of 18 is able and willing to participate in assessment and treatment (e.g. has sufficient English/Spanish fluency, the decisional capacity to participate, and can commit to treatment duration).
• 6. The child is able to communicate verbally.
• 7. Participants are located in Texas.
• 8. The participant has an IQ above 69, based on the Kaufman Brief Intelligence Test-Second Edition (KBIT-2), another valid test or clinician judgement (e.g., a previous assessment conducted, and report shared with study team)
• 1. The child has a diagnosis of a lifetime psychotic disorder and/or conduct disorder.
• 2. The child has significant, current suicidal/homicidal ideation and/or self-injury requiring medical intervention.
• 3. The child has limited verbal communication abilities (e.g., no independent verbal communication),
• 4. The child is receiving concurrent psychotherapy (including certain forms of social skills training, or behavioral interventions that target anxiety such as applied behavioral analysis).
• 5. The child has initiated new antidepressant medication within 12-weeks of assessment (4-weeks for stimulants/benzodiazepines/antipsychotics) or during therapy.
• 6. The child has changed psychotropic medication dosage within 4-weeks of assessment (2-weeks for stimulants/benzodiazepines/antipsychotics) or during therapy.
• 7. The child requires a higher level than can be provided through the study (e.g., significant, current suicidal ideation)