Modified CBT for treatment of OCD in a 7-year-old boy with ASD--a case report.

Children and adolescents with autism spectrum disorder (ASD) frequently experience obsessive-compulsive disorder (OCD). Cognitive behavioral therapy (CBT) is recommended for OCD but may need modification in children and adolescents with ASD because of cognitive differences, but guidance for therapists planning CBT for OCD in young people with ASD is sparse. This report discusses syndromes of OCD and ASD and their overlapping clinical features and etiologies, difficulties in applying CBT in the ASD population, and relevant literature. We present a case report on CBT treatment of a 7-year-old boy with ASD and OCD and modifications to CBT that were helpful.