A diagnosis of autism spectrum disorder (ASD) often puts a child in a vulnerable position. While the research of the effects of trauma on children diagnosed with ASD is limited, we know children diagnosed with ASD presenting with a comorbid diagnosis of post-traumatic stress disorder (PTSD) have an increased risk of suicidal thoughts and behaviors. TF-CBT is an empirically validated treatment for trauma; in this paper, we provide adaptions for using this treatment with children diagnosed with ASD and using this method for teletherapy. These adaptions include recognizing trauma behaviors and ASD behaviors, the use of repetition and the need for flexibility from the therapist, and addressing safety with ASD behaviors while working from a teletherapy platform.

自闭症谱系障碍 (ASD) 的诊断通常会使孩子处于弱势地位。虽然关于创伤对被诊断患有 ASD 的儿童影响的研究有限，但我们知道被诊断患有 ASD 并伴有创伤后应激障碍 (PTSD) 诊断的儿童出现自杀念头和行为的风险增加。TF-CBT 是一种经过经验验证的创伤治疗方法；在本文中，我们提供了对被诊断患有 ASD 的儿童使用这种治疗方法以及将这种方法用于远程治疗的适应方法。这些适应包括识别创伤行为和 ASD 行为、重复的使用和治疗师对灵活性的需求，以及在远程治疗平台上工作时解决 ASD 行为的安全性。