Autism and Decision-Making: Overcoming the Challenges


Every day, we make countless decisions, often without realizing it. However, for those on the autism spectrum, decision-making can be a source of significant stress. Whether choosing a snack or deciding on larger life changes, understanding autism and decision-making is key to providing meaningful support.

Autism is a spectrum, meaning its impact on individuals can vary widely. Many autistic people face difficulties in processing information, navigating social cues, and coping with sensory overload.

Decision-making involves multiple cognitive tasks, such as assessing options, predicting outcomes, and managing emotions. These tasks can be more complicated for those with autism.

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Why is decision-making a challenge for autistic individuals?

Decision-making can be a complex process in autism, often influenced by many factors. From heightened sensory sensitivities to difficulties with predicting outcomes and contextual clues, there are many reasons why seemingly simple choices can become overwhelming.

Understanding these challenges helps create strategies for offering better support and reducing stress during decision-making moments.

Cognitive and sensory overload

Autistic individuals often experience heightened sensitivity to sensory input such as lights, sounds, textures, and smells. When too much sensory information comes in at once, it can lead to cognitive overload, which hinders decision-making abilities.

Simple decisions, like choosing what clothes to wear, may become overwhelming if a person is also struggling with the feel of fabric, the brightness of lights, or background noise. This sensory overload can make it difficult to weigh options effectively, leading to delayed or avoided decisions.

Difficulty with predicting outcomes

Many decisions require understanding potential outcomes, which can be difficult for autistic individuals. They may struggle with anticipating the consequences of certain actions or choices.

A confused woman looking at her laptop https://www.autismparentingmagazine.com/autism-decision-making/

This may be due to differences in executive functioning, which are cognitive processes that help individuals plan, organize, and manage time. These differences can make it challenging to think through multiple outcomes and how one choice might lead to a specific result or consequence.

Social communication and contextual clues 

Another common challenge in decision-making for individuals on the autism spectrum relates to social communication. The reactions, opinions, or expectations of others can influence decision-making.

Autistic individuals may find it difficult to detect subtle social cues or vague expectations, leading to uncertainty when making decisions in social contexts.

For instance, they may not always understand the unwritten rules governing social interactions, which can complicate decisions involving others.

Factors affecting decision-making 

Several key factors influence decision-making in autistic individuals, and understanding these can help parents and educators provide better support. 

1. Emotional regulation

Autistic individuals often experience heightened emotions, and these emotional states can influence decision-making. Anxiety, in particular, can play a significant role in making choices.

When anxiety is high, the decision-making process can slow down or become impaired due to feelings of fear or being overwhelmed. 

2. Need for routine and predictability

Many autistic individuals benefit from structured environments and routines. When decisions introduce change or unpredictability, it can cause significant discomfort.

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Decisions that lead to changes in routine or require quick thinking may provoke anxiety, making the process more difficult to manage. 

3. Cognitive rigidity

Some autistic individuals strongly prefer concrete thinking, making abstract concepts and open-ended decisions more challenging.

When there is no clear “right” answer or decisions require flexibility, autistic individuals may feel stuck or struggle to make a decision. 

4. Processing time

Decision-making often requires quick thinking, but autistic individuals may need more time to process information fully. This need for additional processing time can sometimes be misinterpreted as indecisiveness or avoidance. 

How can you support an autistic individual in decision-making? 

There are strategies that parents and educators can employ to support autistic individuals in decision-making. Here are a few approaches that can help. 

1. Offer visual supports

Visual supports, such as decision charts, pictures, or icons, can simplify decision-making by breaking down options into more digestible parts.

These tools can help autistic individuals visualize the possible outcomes of their choices, reducing anxiety and offering a clearer sense of control.

2. Break decisions into smaller steps

Instead of presenting a complex decision all at once, breaking it down into smaller, manageable steps can make the process less overwhelming.

Woman explaining something to a teenage girl https://www.autismparentingmagazine.com/autism-decision-making/

For example, instead of asking a child what they want for lunch from a wide selection of options, you can narrow it down step by step: first choosing between types of food (e.g., sandwich or salad), then flavors, and so on.

Rushing decisions can lead to increased stress and frustration. Whenever possible, give autistic individuals extra time to process information and think through their choices. 

Providing ample time for reflection can help reduce pressure and improve the quality of decision-making. 

How to improve decision-making skills as an autistic individual 

For autistic individuals looking to enhance their own decision-making skills, some practical steps and exercises can build confidence and efficiency over time. 

1. Practice self-awareness and reflection

Understanding personal preferences, strengths, and challenges is key to better decision-making. Autistic individuals can benefit from self-reflection exercises that help them identify patterns in their decisions.

For instance, keeping a journal of decisions made and reflecting on the outcomes can provide valuable insights into personal decision-making styles and preferences. 

2. Engage in problem-solving scenarios 

Structured problem-solving exercises, where decisions need to be made in hypothetical scenarios, can help build decision-making skills in a safe, low-stakes environment.

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These scenarios allow autistic individuals to practice weighing options and predicting outcomes without real-world consequences, gradually building confidence in their decision-making abilities. 

Autism and decision-making

Supporting decision-making in autistic individuals requires empathy, patience, and an understanding of the unique challenges they face. Whether it’s helping someone navigate sensory overload, providing visual aids, or allowing extra processing time, these strategies can make a significant difference in their lives.

At the same time, autistic individuals can work on improving their decision-making abilities through self-awareness and practical exercises. By fostering a supportive and patient environment, we can help individuals on the autism spectrum gain confidence in their decision-making, leading to greater independence and empowerment.

FAQs

Q: Can autism affect decision-making?

A: Yes, autism can affect decision-making due to cognitive processing differences, sensory sensitivities, and difficulty predicting outcomes. These challenges can make even simple choices feel overwhelming.

Q: How can you help an autistic person make a decision?

A: Providing clear options, breaking down the decision into smaller steps, and minimizing sensory distractions can help. Offering patience and support can also reduce anxiety during the decision-making process.

Q: Are autistic people good at problem-solving?

A: Autistic individuals can excel at problem-solving, especially in areas of interest where they can focus deeply. However, they may approach problems differently, relying on logic and patterns rather than intuitive thinking.

References: 

Cascio, M. A., Weiss, J. A., & Racine, E. (2020). Empowerment in decision-making for autistic people in research. Disability & Society, 36(1), 100-144.  https://doi.org/10.1080/09687599.2020.1712189

Jin, P., Wang, Y., Li, Y., et al. (2020). The fair decision-making of children and adolescents with high-functioning autism spectrum disorder from the perspective of dual-process theories. BMC Psychiatry, 20, 152. https://doi.org/10.1186/s12888-020-02562-8  

Zalla, T., & Sperduti, M. (2015). The sense of agency in autism spectrum disorders: A dissociation between prospective and retrospective mechanisms. Frontiers in Psychology, 6, 1278 https://doi.org/10.3389/fpsyg.2015.01278

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