Preference for order, predictability or routine
Autistic people may prefer following set routines or rituals (including having or using favourite items), knowing what is going to happen in advance and for rules to be the same for everyone. These characteristics may help you plan and organise and keep calm and happy. Support may be needed if they are making it harder for you to adapt to new situations and do the things you need to do.
What is a ‘preference for order, predictability or routine’?
All autistic people are different and they don’t necessarily have the same preferences or behaviours, nor the same support needs. But it is common for autistic people to show preferences for order, predictability or routine.
Examples of this can include:
- following set routines and rituals – examples include eating the same meals each day, doing tasks in the same order, using the same items (such as a favourite cup or pen), taking the same route to school or work, children asking the same questions to hear the same answers (for reassurance)
- for things to be in order – for example, collections are well organised, toys are lined up, no sudden changes are made to schedules
- knowing what is going to happen in detail – for example, the order of events, which bus or train you are going to catch, what (and what time) you are going to eat, which people are going to be at an event, and when you can leave
- for information to be precise, accurate and make sense, so that what is going to happen is predictable – the bus turns up on time; there are clear rules that make sense and that everyone follows.
In an autism assessment
A preference for order, predictability or routine is considered part of ‘restricted and repetitive behaviours and interests’ (RRBIs), one of the two core characteristics in the criteria for an autism diagnosis.
‘RRBIs’ also includes Focused and dedicated interests and Repeated movements and behaviour (stimming). When autistic people describe their lived experience, they usually refer to these topics separately rather than grouping them together like the diagnostic criteria.
The diagnostic criteria describe these behaviours and interests in a negative way as ‘restricted and repetitive’, but autistic people generally describe them in a positive way, explaining the purpose and benefits to them. However, there can be circumstances when support is needed.
The purposes and benefits to autistic people
Autistic people have said that having routines and rituals, and planning and organising, can be ways of coping with stress, as they bring predictability and order to day-to-day life.
Routines and rituals can help autistic people to:
- self-regulate or self-soothe (keep calm or calm down)
- manage energy levels by structuring the day
- cope with change
- reduce anxiety
- manage unpredictability in their lives and the world.
When support may be needed
If an autistic person’s routines, rituals and preferences are not causing any harm, there is no need to try and change them.
They may need support if their routines and rituals:
- become so rigid that unplanned changes cause significant distress
- are obsessive-compulsive, which may be a sign of obsessive-compulsive disorder (OCD) that requires additional support
- negatively affect their relationships and/or social opportunities.
Support strategies
There is not enough research into how to support autistic people with restrictive routines and/or difficulty managing change. Autistic people and some professional sources suggest:
- Support a routine that provides structure and reduces unpredictability.
- Prepare ahead and count down to any changes. Visual prompts and strategies such as seeing a new location or practicing a journey in advance of a visit can be helpful.
- Making a ‘plan B’ and ‘plan C’ can help to manage unexpected changes. For example, planning a second option in advance can minimise the challenge of dealing with an on-the-spot change and decision-making.
- Involve the autistic person in any planned changes and decision-making. Allow time for processing.
- Add extra time into your schedule to accommodate unexpected changes like travel delays.
“I need a daily routine in order to keep in control of my life. The world can feel like it's really chaotic and crazy and anything can happen; it's really super unpredictable … and it all just feels like a big messy room, and I'm sat in the middle of it unable to control anything. If I put in place a routine, then that means everything gets neat and tidy; I know what's going to happen and I feel in control and I feel calm, and this is what reduces my anxiety to a manageable enough level to be able to function day-to-day.”
– Purple Ella, Autism and routines
“Being autistic, for me, means having a very strict and rigid routine and feeling devastated, like the world is going to end, when it gets disrupted. When someone shows up ten minutes late, asks me to do something last minute, or strikes up spontaneous conversation, it causes me an enormous amount of stress.”
– Alis Rowe, Story from the spectrum
“I didn’t think I 'insisted on sameness' at first. After all, I crave variety in terms of food, music, road trips, and certain other activities. I don’t have any greeting rituals, nor must I take the same route every day … But I asked my partner and he said 'Uh, yeah … you freak out every time you have to suddenly do something you hadn’t planned to do.' … It didn’t take long for me to realise he was right.”
– Laina Eartharcher, Restricted, repetitive patterns of behaviour
“I get super tired when I'm overwhelmed from changes. And changes could be from small things. ... I had a super bad time when we went to a sandwich shop … and they didn't have the right bread, and I start freaking out. It just was chaotic, because you plan everything around those events. I think ‘Okay I'm going to go here and do that’ and it's difficult. But now we try and make plan-Bs and plan-Cs, just because if it doesn't go exactly how we want it to, we need to make sure that we have another back-up plan that may go well, and that's … a really good hack actually.”
– Dan Jones, Why change impacts autism and Asperger's syndrome
“When I was recently forced to move flat, I was fixated on my new journey to work, not because of the new route in particular, but because I was unsure how it would impact on my time to read in the morning. Realising this, I have since implemented time in the evening to make up for the lost reading and everything else has fallen into place around it.”
– James Ward-Sinclair, Autism, routine and structure: how to prepare for expected and unexpected change
“We had a carpet … laid out in stepping stones. … I knew where every single one of those ‘stones’ were. … That carpet was a million different universes, all punctuated with an exhalation of exertion as I danced from one ‘stone’ to the next. It became one of the few things in my life that I could rely on. … that carpet was one gigantic stim toy for me. … [O]ne day I came home and my carpet was gone. … All my worlds and universes that helped keep me safe were gone. … I didn’t know where to put my feet, I couldn’t even walk on it because I felt like I was going to fall over.”
– The Autistic Advocate, An autistic frequency
“At school, I really couldn’t cope with other kids not following school rules. I loved following rules, for example I was always on time and ready for every lesson with every book in my bag. I’d be upset when other children turned up late, disrupted lessons or hadn’t brought the right books with them.”
– John Pendal, Story from the spectrum
“For me, I need to fully understand rules and follow them closely because I find deep comfort in knowing what's expected of me. … I also try to avoid conflict and confrontation at all costs due to my sensitivity to energy and anger..., so this is another reason I follow rules to the letter. When someone not only breaks a rule but calls me out for following it, it baffles and dysregulates me. I got called a ‘goody-two-shoes’ all the time as a kid, but I didn't know why that was considered bad. Furthermore, rule-breaking really upsets me because I'm very dedicated to social justice.”
– Jaime A. Heidel, 15 things that bother your autistic loved one
“I like to line my shoes up in the order of how much they cover my foot … I like to keep all of my skincare in a line on the windowsill in order of when I use them. I like to line up all of my stuffed animals on my bed…”
– Morgan Foley, Turns out I do line things up
“Autistic kids spending time lining up toys is a good thing. … I made arrays of toys … Organising my stuffed cats by criteria I invented. … Organising my rock collection and cataloguing the properties of each rock in a notebook. … While a non-autistic kid might not see much point to these activities, to me, they were important. … If an autistic kid is sitting on the floor quietly lining up their toys, it’s probably helping them calm down and feel at peace.”
– Miss Luna Rose, Why lining up toys is good for autistic kids
Ben’s parent: “Ben what does lining up toys … do for you?”
Ben: “It helped calm me down and communicate without speaking” ...
Ben’s parent: “What did you tell me, earlier today? It brought what?”
Ben: “It brought order to things.”
– Ben and parent, Autism and lining up toys
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- Autism Services Directory: for services and support
- Branches: offering support, information and social activities for autistic adults, children and their families in their local areas
- Community: our online community is a place for autistic people and their families to meet like-minded people and share their experiences
- Diagnostic and Assessment Service: our national specialist service for children, young people and adults led by the Lorna Wing Centre
- Autism Know How: our autism training and best practice services.
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- Repetitive behaviours and stimming, Ambitious about autism
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Research
Author: Grahame, V. and Brett, D. et al, (2015)
Research: Managing repetitive behaviours in young children with autism spectrum disorder (ASD): pilot randomised controlled trial of a new parent group intervention
Source: Journal of Autism and Developmental Disorders. Vol. 45, pp. 3165-3182Author: Kapp, S. and Steward, R. et al, (2019)
Research: ‘People should be allowed to do what they like’: Autistic adults’ views and experiences of stimming
Source: Autism, Vol. 23, pp. 1782-1792Author: Grove, R. and Hoekstra, R. et al, (2018)
Research: Special interests and subjective wellbeing in autistic adults.
Source: Autism Research. Vol. 11, pp. 766-775Author: Nowell, et al, (2020)
Research: Characterization of Special Interests in Autism Spectrum Disorder: A Brief Review and Pilot Study Using the Special Interests Survey
Source: Journal of Autism and Developmental Disorders , Vol. OnlineFirst, pp. 1-14Author: Grove, R. and Roth, I. et al, (2016),
Research: The motivation for special interests in individuals with autism and controls: Development and validation of the special interest motivation scale
Source: Autism Research, Vol. 9, pp. 677-688Author: Turner-Brown, L. and Lam, K. et al, (2011)
Research: Phenomenology and measurement of circumscribed interests in autism spectrum disorders.
Source: Autism. Vol. 15, pp. 437-456Author: Uljarević, M. and Richdale, A. et al, (2017)
Research: Interrelationship between insistence on sameness, effortful control and anxiety in adolescents and young adults with autism spectrum disorder (ASD)
Source: Molecular Autism, Vol. 8, pp. 1-6Author: Black, K. and Stevenson, R. et al. (2017)
Research: Linking Anxiety and Insistence on Sameness in Autistic Children: The Role of Sensory Hypersensitivity
Source: Journal of Autism and Developmental Disorders, Vol. 47, pp. 2459-2470Author: Gotham, K. and Bishop, S. et al, (2013)
Research: Exploring the Relationship Between Anxiety and Insistence on Sameness in Autism Spectrum Disorders
Source: Autism Research. Vol. 6, pp. 33-41Author: Stronach, S. and Wetherby, A. (2014)
Research: Examining restricted and repetitive behaviors in young children with autism spectrum disorder during two observational contexts
Source: Autism: The International Journal of Research and Practice, Vol. 18, pp. 127-136Author: Wang, Q. et al, (2018)
Research: Children with Autism Spectrum Disorder Prefer Looking at Repetitive Movements in a Preferential Looking Paradigm
Source: Journal of Autism and Developmental Disorders, Vol. 48, pp. 2821-2831Author: Eisenberg, I. et al, (2015)
Research: Insistence on sameness relates to increased covariance of gray matter structure in autism spectrum disorder
Source: Molecular Autism, Vol. 6, pp. 1-12Author: Wigham, S. and Rodgers, J. et al, (2014)
Research: The Interplay Between Sensory Processing Abnormalities, Intolerance of Uncertainty, Anxiety and Restricted and Repetitive Behaviours in Autism Spectrum Disorder
Source: Journal of Autism and Developmental Disorders, Vol. 45, pp. 943-952Author: Lin, C. and Koegel, R. (2018)
Research: Treatment for Higher-Order Restricted Repetitive Behaviors (H-RRB) in Children with Autism Spectrum Disorder
Source: Journal of Autism and Developmental Disorders, Vol. 48, pp. 3831-3845Author: Boyd, B. and McDonough, S. (2011)
Research: Evidence-Based Behavioral Interventions for Repetitive Behaviors in Autism
Source: Journal of Autism and Developmental Disorders. Vol. 42, pp. 1236-1248Author: Bishop, S. and Hus, V. et al, (2012)
Research: Subcategories of Restricted and Repetitive Behaviors in Children with Autism Spectrum Disorders
Source: Journal of Autism and Developmental Disorders , Vol. 43, pp. 1287-1297Author: Hwang, Y. and Arnold, S. et al, (2020)
Research: Understanding anxiety in adults on the autism spectrum: An investigation of its relationship with intolerance of uncertainty, sensory sensitivities and repetitive behaviours.
Source: Autism, Vol. 24, pp. 1-12Author: Ventola, P. et al, (2016)
Research: Brief Report: Reduced Restricted and Repetitive Behaviors after Pivotal Response Treatment
Source: Journal of Autism and Developmental Disorders, Vol. 46, pp. 2813-2820Author: Chebli, S. and Martin, V. et al, (2016)
Research: Prevalence of Stereotypy in Individuals with Developmental Disabilities: a Systematic Review
Source: Review Journal of Autism and Developmental Disorders. Vol. 3, pp. 107-118Author: McLaughlin, A. and Fleury, V. et al, (2020)
Research: Flapping, Spinning, Rocking, and Other Repetitive Behaviors: Intervening With Young Children Who Engage in Stereotypy
Source: Young Exceptional Children. Vol. 23, pp. 63-75Author: Sagheer, T. et al, (2018)
Research: Motor Impairments Correlate with Social Deficits and Restricted Neuronal Loss in an Environmental Model of Autism
Source: International Journal of Neuropsychopharmacology. Vol. 21, pp. 871-882Author: Bitsika, V. and Sharley, C. (2017)
Research: Specific Aspects of Repetitive and Restricted Behaviours are of Greater Significance than Sensory Processing Difficulties in Eating Disturbances in High-Functioning Young Girls with ASD,
Source: Journal of Developmental and Physical Disabilities. Vol. 30, pp. 259-267Author: Rispoli, M. et al, (2014)
Research: Functional communication training in the treatment of problem behavior maintained by access to rituals,
Source: Journal of Applied Behavior Analysis, Vol. 47, pp. 580-593Author: Joseph, L. and Thurm, A. et al, (2013)
Research: Repetitive Behavior and Restricted Interests in Young Children with Autism: Comparisons with Controls and Stability Over 2 Years,
Source: Autism Research, Vol. 6, pp. 584-595Author: Smerbeck, A. (2019)
Research: The Survey of Favorite Interests and Activities: Assessing and understanding restricted interests in children with autism spectrum disorder,
Source: Autism, Vol. 23, pp. 247-259Author: Schulz, S. and Stevenson, R. et al, (2020)
Research: Differentiating between sensory sensitivity and sensory reactivity in relation to restricted interests and repetitive behaviours
Source: Autism. Vol. 24, pp. 121-134Author: Spear, M. and Karsten, A. (2018)
Research: Restricted Interests and Autism: Further Assessment of Preferences for a Variety of Leisure Items,
Source: Behavior Modification: (formerly Behavior Modification Quarterly). Vol. 42, pp. 108-125Author: Spiker, M. and Lin, C. et al, (2012)
Research: Restricted interests and anxiety in children with autism,
Source: Autism: The International Journal of Research and Practice, Vol. 16, pp. 306-320Author: Allely, C. (2019)
Research: Exploring the female autism phenotype of repetitive behaviours and restricted interests (RBRIs): a systematic PRISMA review
Source: Advances in Autism. Vol. 5Author: Kuzminskaite E. and Begeer, S. et al, (2020)
Research: Short report: Social communication difficulties and restricted repetitive behaviors as predictors of anxiety in adults with autism spectrum disorder,
Source: Autism. Vol. 24, pp. 1917-1923Author: Schulz, S. and Stevenson, R. (2019)
Research: Sensory hypersensitivity predicts repetitive behaviours in autistic and typically developing children,
Source: Autism: The International Journal of Research and Practice. Vol. 23, pp. 1028-1041Author: Yu, Y. and Chaulagain, A. et al, (2020)
Research: Pharmacotherapy of restricted/repetitive behavior in autism spectrum disorder: a systematic review and meta-analysis,
Source: BMC Psychiatry. Vol. 20, pp. 1-11Author: Knutsen, J. and Crossman, M. et al, (2018)
Research: Sex differences in restricted repetitive behaviors and interests in children with autism spectrum disorder: An Autism Treatment Network study,
Source: Autism. Vol. 23, pp.858-868.Author: Melo, C. and Ruano, L. et al, (2019)
Research: Prevalence and determinants of motor stereotypies in autism spectrum disorder: A systematic review and meta-analysis
Source: Autism. Vol. 24, pp. 569-590Author: Faja, S. and Darling, L. (2018)
Research: Variation in restricted and repetitive behaviors and interests relates to inhibitory control and shifting in children with autism spectrum disorder
Source: Autism. Vol. 23, pp. 1262-1272Author: Harrop, C. and Gulsrud, A. et al, (2015)
Research: Characterizing caregiver responses to restricted and repetitive behaviors in toddlers with autism spectrum disorder
Source: Autism. Vol. 20, pp. 330-342Author: Harrop, C. (2014)
Research: Evidence-based, parent-mediated interventions for young children with autism spectrum disorder: The case of restricted and repetitive behaviors
Source: Sources: Autism. Vol. 19, pp. 662-672Author: Barrett, S. and Uljarevic, M. et al, (2015)
Research: The Adult Repetitive Behaviours Questionnaire-2 (RBQ-2A): A Self-Report Measure of Restricted and Repetitive Behaviours
Source: Journal of Autism and Developmental Disorders. Vol. 45, pp. 3680-3692Author: Klin, A. and Danovitch, J. et al, (2007)
Research: Circumscribed interests in higher functioning individuals with autism spectrum disorders: An exploratory study.
Source: Research and Practice for Persons with Severe Disabilities. Vol. 32, pp. 89-100.Author: García‐Villamisar, D. and Rojahn, J. (2015)
Research: Comorbid psychopathology and stress mediate the relationship between autistic traits and repetitive behaviours in adults with autism
Source: Journal of Intellectual Disability Research. Vol. 59, 116-124Author: Uljarević, M. and Evans, D. et al, (2016)
Research: Short report: relationship between restricted and repetitive behaviours in children with autism spectrum disorder and their parents
Source: Molecular Autism. Vol. 7, pp. 1-5Author: Uljarević, M. and Evans, D. (2017)
Research: Relationship between repetitive behaviour and fear across normative development, autism spectrum disorder, and down syndrome
Source: Autism Research. Vol. 10, pp. 502-507Author: Wood, R. (2019).
Research: Autism, intense interests and support in school: from wasted efforts to shared understandings.
Source: Source: TandFOnline, Educational Review, 73(1), 34–54.Author: Gernsbacher, M. et al (2016)
Research: Language and speech in autism
Source: Annual Review of Linguistics. Vol. 2, pp. 413-425.Author: van Grunsven, J. and Roeser, S. (2021).
Research: AAC Technology, Autism, and the Empathic Turn.
Source: Social EpistemologyAuthor: Gunn, K. and Delafield-Butt, J. (2016)
Research: Teaching Children with Autism Spectrum Disorder with Restricted Interests: A Review of Evidence for Best Practice.
Source: Review of Educational Research. Vol. 86, pp. 408-430Author: Koenig and Williams (2017)
Research: Characterization and utilization of preferred interests: A survey of adults on the autism spectrum
Source: Occupational Therapy in Mental Health. Vol. 33, pp.129-140.Author: Murray, D. et al (2005)
Research: Attention, monotropism and the diagnostic criteria for autism
Source: Autism. Vol. 9, pp. 139–156.Author: Winter-Messiers, M. (2007)
Research: From tarantulas to toilet brushes: Understanding the special interest areas of children and youth with Asperger syndrome
Source: Remedial and Special Education. Vol. 28, pp. 140–152Author: Wood, R. and Happé, F. (2021)
Research: What are the Views and Experiences of Autistic Teachers? Findings from an Online Survey in the UK
Source: Disability and Society. Pp. 1-26Author: Mazurek, M. et al (2015)
Research: Video games from the perspective of adults with autism spectrum disorder
Source: Computers in Human Behavior. Vol. 51, pp. 122-130Author: Anthony, L. et al (2013)
Research: Interests in high-functioning autism are more intense, interfering, and idiosyncratic than those in neurotypical development.
Source: Development and Psychopathology. Vol. 25, pp. 643-652.Author: Happé, F.G., Mansour, H., Barrett, P. et al. (2016)
Research: Demographic and Cognitive Profile of Individuals Seeking a Diagnosis of Autism Spectrum Disorder in Adulthood.
Source: J Autism Dev Disord 46, 3469–3480Lived Experience
Author: The Silent Wave (2016)
Research: Sifting through the US CDC’s official term for autism ~ Part B (1): Stereotyped or repetitive motor movements
Source: BlogAuthor: The Silent Wave (2016)
Research: Sifting through the US CDC’s official term for autism ~ Part B (2-4): restricted, repetitive patterns of behaviour
Source: BlogAuthor: Purple Ella (2017)
Research: Parenting Autistic Children- Managing Anxiety
Source: BlogAuthor: Michelle Swan (2017)
Research: Scared to Stim
Source: BlogAuthor: Alex Lowery (2014)
Research: Are Obsessive Interests Bad?
Source: BlogAuthor: Alex Lowery (2014)
Research: Obsessive Interests and Me
Source: BlogAuthor: Life With Aspergers (2007)
Research: The Dreaded Special Interest
Source: BlogAuthor: Maxfield Sparrow, Thinking Person’s Guide to Autism (2017)
Research: Autism and Intense Interests: Why We Love What We Love and Why It Should Matter to You
Source: BlogAuthor: Autistic Not Weird (2015)
Research: Autistic ‘Obsessions’, and why we really really need them
Source: BlogAuthor: The Autistic Advocate (2018)
Research: An Autistic Frequency
Source: BlogAuthor: In My Experience (2015)
Research: But it’s routine!!
Source: BlogAuthor: Alex Lowery (2017)
Research: What I Liked (and didn’t like) About My ABA Experience
Source: BlogAuthor: Georgia Harper, Mind The Flap (2019)
Research: Stimming, Stigma and Stereoytypes
Source: BlogAuthor: Sara Gibbs (2019)
Research: Autism- Stimming in 3-ish Minutes
Source: BlogAuthor: Kirsten Lind Smith (2014)
Research: Stimming 101, or: How I Learned to Stop Worrying and Love the Stim
Source: BlogAuthor: Invisible I (2017)
Research: Autism and Stimming
Source: BlogAuthor: Agony Autie (2018)
Research: Stimming | What's That?
Source: BlogAuthor: Kirsten Lind Smith (2016)
Research: The Dark Side of the Stim: Self-Injury and Destructive Habits
Source: BlogAuthor: Autistic and Unapologetic (2019)
Research: Autism, Routine & Structure: How to Prepare for Expected and Unexpected Change
Source: BlogAuthor: Purple Ella (2019)
Research: Autism and Special Interests
Source: BlogAuthor: Purple Ella (2017)
Research: Autism and Routines
Source: BlogAuthor: Thøger Kari Hass via The Mighty (2017)
Research: The Necessity of Special Interests for Me as a Person on the Autism Spectrum
Source: Source: BlogAuthor: Purple Ella (2017)
Research: Parenting Autistic Children: Routine
Source: BlogAuthor: The Autism Page (accessed August 2021)
Research: Autism, Special Interests and Puzzles
Source: BlogAuthor: PDA Dad (2020)
Research: Autism and Stimming- Repetitive Behaviours
Source: BlogAuthor: Invisible I (2018)
Research: What are Special Interests?
Source: BlogAuthor: The Aspie World (2017)
Research: Why CHANGE impacts AUTISM and ASPERGERS SYNDROME
Source: BlogAuthor: Indie Andy (2018)
Research: Autism & Changes (5 Tips to manage change MORE effectively)
Source: BlogAuthor: Joe Jamfrey (2019)
Research: Autism and Routine
Source: BlogAuthor: Someone’s Mum (2018)
Research: Some requests for those who interact with my autistic son.
Source: BlogResources
Author: Ambitious About Autism (accessed August 2021)
Research: Repetitive behaviours and stimming
Source: Ambitious About AutismAuthor: NHS (2019)
Research: How to help with your child's behaviour: Common types of behaviour in autistic children
Source: NHSAuthor: Autism West Midlands (2016)
Research: Autism and Stimming
Source: Autism West MidlandsAuthor: NICE (2017)
Research: Autism spectrum disorder in under 19s: recognition, referral and diagnosis
Source: NICEAuthor: NICE (2021)
Research: Autism spectrum disorder in adults: diagnosis and management
Source: NICEAuthor: Avril Brereton and Bruce Tonge (accessed August 2021)
Research: What Is Autism
Source: South London and Maudsley NHS TrustAuthor: Ambitious About Autism (2017)
Research: Special Interests
Source: Ambitious About AutismAuthor: Durham Autism Services (2020)
Research: How to Deal with Obsessive and Repetitive Behaviour
Source: Durham Autism ServicesAuthor: As I am Ireland (2018)
Research: Stimming
Source: As I am IrelandAuthor: Ann Pietrangelo (2019)
Research: Stimming, Causes and Management
Source: HealthlineAuthor: SIGN (2019)
Research: Assessment, diagnosis and interventions for autism spectrum disorders (guide)
Source: SIGNAuthor: Autistic UK (accessed August 2021)
Research: About Autism
Source: Autistic UKAuthor: Raising Children (2020)
Research: Obsessive behaviour, routines and rituals: autistic children and teenagers
Source: Raising ChildrenAuthor: The Owl House Goa (2019)
Research: Strategies to Manage Verbal Stimming
Source: The Owl House GoaAuthor: Autism West Midlands (2020)
Research: Autistic Women and Girls
Source: Autism West Midlands