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Table 3 Factors that may render CBT unsuitable for people with ASD

From: How to Optimise Cognitive Behaviour Therapy (CBT) for People with Autism Spectrum Disorders (ASD): A Delphi Study

Clinical presentation Attitudes and motivation
Age, specifically very young children Egosyntonic explanation for symptoms
Cognitive capacity: moderate to severe ID Poor insight
If another intervention is indicated, e.g. medication Poor motivation
Current excessive alcohol or substance use  
Risk Practical constraints
Significant risk to self Lives very far from clinic
Significant risk to others Unable to travel
Fluctuating risk