{"id":9931,"date":"2020-10-20T00:05:09","date_gmt":"2020-10-20T05:05:09","guid":{"rendered":"https:\/\/last-drum.flywheelsites.com\/?p=9931"},"modified":"2023-03-27T06:48:32","modified_gmt":"2023-03-27T11:48:32","slug":"how-the-autonomic-nervous-system-may-govern-anxiety-in-autism","status":"publish","type":"post","link":"https:\/\/autism.org\/how-the-autonomic-nervous-system-may-govern-anxiety-in-autism\/","title":{"rendered":"How the Autonomic Nervous System May Govern Anxiety in Autism"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-first\" style=\"--awb-bg-size:cover;width:16.666666666667%;width:calc(16.666666666667% - ( ( 4% + 4% ) * 0.16666666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-two-third\" style=\"--awb-padding-top:40px;--awb-bg-size:cover;width:66.666666666667%;width:calc(66.666666666667% - ( ( 4% + 4% ) * 0.66666666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-weight: 400;\"><a href=\"#jump\">Dr. Emily Casanova<\/a> and <a href=\"#jump\">Dr. Manuel Casanova<\/a> consider how the autonomic nervous system may govern anxiety in autism. The speakers detail the autonomic nervous system (ANS) composition and various clinical and behavioral presentations of autonomic dysregulation. They specify disparities in ANS function between autistic and non-autistic individuals and propose atypical autonomic arousal as an underlying cause of anxiety in autism. Casanova discusses the interplay of interoception, autonomic arousal, and emotional states and underscores the importance of holistic data and assessments. They discuss transcranial magnetic stimulation (TMS) as a potential treatment for ANS dysfunction and reiterate the direct relationship to the presentation of anxiety in autism.<\/span><\/p>\n<p>Take the knowledge quiz for this presentation <a href=\"#jump\">HERE<\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-2\"><p>Handouts are online <a href=\"https:\/\/ariconference.com\/webinars\/autonomic_asd.pdf\">HERE<\/a><\/p>\n<\/div><div class=\"fusion-video fusion-youtube fusion-aligncenter\" style=\"--awb-max-width:1500px;--awb-max-height:844px;--awb-width:100%;\"><div class=\"video-shortcode\"><div class=\"fluid-width-video-wrapper\" style=\"padding-top:56.27%;\" ><iframe title=\"YouTube video player 1\" src=\"https:\/\/www.youtube.com\/embed\/Vs8JkaOnM8U?wmode=transparent&autoplay=0\" width=\"1500\" height=\"844\" allowfullscreen allow=\"autoplay; fullscreen\"><\/iframe><\/div><\/div><\/div><div class=\"fusion-text fusion-text-3\"><h2><strong>In this webinar:\u00a0<\/strong><\/h2>\n<p><b>1:15 &#8211; <\/b><span style=\"font-weight: 400;\">Introduction to neuroanatomy<br \/>\n<\/span><b>4:13 &#8211; <\/b><span style=\"font-weight: 400;\">Autonomic nervous system (ANS) composition and function<br \/>\n<\/span><b>6:20 &#8211; <\/b><span style=\"font-weight: 400;\">Autonomic dysregulation in autism<br \/>\n<\/span><b>9:20 &#8211; <\/b><span style=\"font-weight: 400;\">Stimming and SIB<br \/>\n<\/span><b>13:20 &#8211; <\/b><i><span style=\"font-weight: 400;\">Study: Small fiber neuropathy<br \/>\n<\/span><\/i><b>16:35 &#8211; <\/b><span style=\"font-weight: 400;\">Third brand of the ANS<br \/>\n<\/span><b>17:55 &#8211; <\/b>Clinical aspects of autonomic dysregulation in autism<br \/>\n<b>19:10 &#8211; <\/b><span style=\"font-weight: 400;\">Common overlaps with anxiety<br \/>\n<\/span><b>19:30 &#8211; <\/b><span style=\"font-weight: 400;\">Electrodermal response (EDR) and treatments<br \/>\n<\/span><b>24:07 &#8211; <\/b><span style=\"font-weight: 400;\">Anxiety in autism<br \/>\n<\/span><b>26:29 &#8211; <\/b>Catatonia and autism<br \/>\n<b>29:20 &#8211; <\/b><span style=\"font-weight: 400;\">Clinical tips for practitioners<br \/>\n<\/span><b>32:50 &#8211; <\/b><span style=\"font-weight: 400;\">Interoceptive system and the central nervous system<br \/>\n<\/span><b>35:06 &#8211; <\/b><span style=\"font-weight: 400;\">The insular cortex and emotions<br \/>\n<\/span><b>36:55 &#8211; <\/b><span style=\"font-weight: 400;\">Autonomic arousal<br \/>\n<\/span><b>37:53 &#8211; <\/b><i><span style=\"font-weight: 400;\">Study: Skin conductance (EDR)<br \/>\n<\/span><\/i><b>39:00 &#8211; <\/b><span style=\"font-weight: 400;\">Analogies used to understand ANS composition and function<br \/>\n<\/span><b>40:15 &#8211; <\/b><span style=\"font-weight: 400;\">The ANS and central nervous system<br \/>\n<\/span><b>42:00 &#8211; <\/b><span style=\"font-weight: 400;\">Heart rate measure and analysis<br \/>\n<\/span><b>44:19 &#8211; <\/b><i><span style=\"font-weight: 400;\">Study: TMS on baseline autonomic functions in autism<br \/>\n<\/span><\/i><b>45:20 &#8211; <\/b><i><span style=\"font-weight: 400;\">Study: Prefrontal cortex TMS and autistic behaviors<br \/>\n<\/span><\/i><b>48:24 &#8211; <\/b><span style=\"font-weight: 400;\">Summary, resources, and contact<br \/>\n<\/span><b>50:00 &#8211; <\/b>Q&amp;A<\/p>\n<h2><strong>Nervous systems introduction<\/strong><\/h2>\n<p><i><span style=\"font-weight: 400;\">Presented by Dr. Emily Casanova<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Casanova discusses the intersection of the central <\/span><b>(2:04) <\/b><span style=\"font-weight: 400;\">and peripheral nervous systems (PNS) <\/span><b>(3:23)<\/b><span style=\"font-weight: 400;\">. She explains that the PNS is composed of the sensory and motor branches, and the motor branch of the PNS is further divided into the somatic (SNS) and autonomic nervous systems (ANS). The ANS innervates (supplies nerves to) smooth muscles like those in the glands, cardiovascular system, and gut. It is made of the sympathetic (SYM) and parasympathetic (PSM) systems <\/span><b>(4:13)<\/b><span style=\"font-weight: 400;\">. The sympathetic system is associated with the fight, flight, freeze response, and the parasympathetic is connected to the calm response &#8211; rest and digest <\/span><b>(4:40)<\/b><span style=\"font-weight: 400;\">. These responses, the speaker continues, generally act in diametric opposition &#8211; as one goes up, the other goes down.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Autistic individuals commonly exhibit characteristics of autonomic dysregulation such as higher resting heart rate, increased pupil size, and higher respiration rate on average compared to the non-autistic population <\/span><b>(6:20)<\/b><span style=\"font-weight: 400;\">. Casanova lists common presentations of autonomic dysregulation (ADR) <\/span><b>(8:05)<\/b><span style=\"font-weight: 400;\"> and considers stimming and self-injurious behavior as results of sympathetic hyper- (stimming) and hypo- (self-injury) arousal <\/span><b>(9:20)<\/b><span style=\"font-weight: 400;\">. Clinical aspects of autonomic dysregulation in autism vary significantly by individual. Common symptoms include dizziness and fainting, sweating abnormalities, GI difficulties, altered skin conductance, and changes in pupil dilation at slight disturbances <\/span><b>(17:55)<\/b><span style=\"font-weight: 400;\">. The presenter outlines a small fiber neuropathy study which found nerve fiber loss in autistic children with reduced sensation (including pain) <\/span><b>(13:20)<\/b><span style=\"font-weight: 400;\">. Small fiber neuropathy, she states, has been implicated in altered temperature perception and disorders of GI mobility, sleep, and pain <\/span><b>(14:30)<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2><strong>Autonomic dysregulation and anxiety in autism<\/strong><\/h2>\n<p><i><span style=\"font-weight: 400;\">Presented by Dr. Manuel Casanova<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">The speaker describes clinical aspects of heart rate variation <\/span><b>(21:30)<\/b><span style=\"font-weight: 400;\">, pupillary size <\/span><b>(22:25)<\/b><span style=\"font-weight: 400;\">, and sleep problems <\/span><b>(23:10)<\/b><span style=\"font-weight: 400;\"> as they relate to autonomic dysregulation in autistic people. He describes the electrodermal response (EDR) as a measure of how the skin responds to electric current that also collects heart rate variability data. In autistic individuals, the EDR is sensitive to shifts in arousal and emotional states <\/span><b>(19:30)<\/b><span style=\"font-weight: 400;\">. Casanova considers new EDR technologies that allow for long-term monitoring outside the lab and comments on the potential for using EDR in treating anxiety <\/span><b>(20:10)<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On average, 40% of autistic people report symptoms of anxiety which is more than double that of the non-autistic population <\/span><b>(24:07)<\/b><span style=\"font-weight: 400;\">. Anxiety \u201cis a physiological and emotional response to a perceived threat\u201d that activates the SYM (fight, flight, freeze). For individuals with autism, perceived threats to safety can include a change in routine, lack of sleep, or having to socialize. The speaker defines autonomic arousal as a shifting visceral state that facilitates motor activity via increased cardiac output and blood flow to muscles <\/span><b>(36:55)<\/b><span style=\"font-weight: 400;\">. Casanova proposes that atypical autonomic arousal underlies the chronic generalized anxiety experienced by many autistic individuals. He therefore asserts the usefulness of autonomic measures (e.g., autonomic arousal, cardiovascular response regulation) in distinguishing autistic subgroups and specifying treatments <\/span><b>(24:07)<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Casanova details the interoceptive system and how it interacts with the insular cortex &#8211; a substrate for emotional states in the brain <\/span><b>(32:50)<\/b><span style=\"font-weight: 400;\">. He posits that emotional difficulties expressed by autistic people may originate in impaired interoceptive processing and misjudgment related to their own arousal levels <\/span><b>(36:00)<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2><strong>Treating ANS dysregulation in autism<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Casanova outlines how heart rate is analyzed, underscoring that both the SNS and the ANS innervate the heart <\/span><b>(42:00)<\/b><span style=\"font-weight: 400;\">. Similarly, he continues, it is critical to remember that the SYM and PSM compose the ANS and that neither could function as a system on their own <\/span><b>(39:50)<\/b><span style=\"font-weight: 400;\">. Therefore, to properly assess how the ANS works, electrodermal and cardiac data must be used in tandem <\/span><b>(40:15)<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The speaker introduces transcranial magnetic stimulation (TMS) and discusses the effect of TMS sessions on the autonomic functions of autistic individuals. Studies reveal that at baseline, autistic people have an accelerated heart rate, lower heart rate variability, and higher EDR activity <\/span><b>(44:19) <\/b><span style=\"font-weight: 400;\">than the non-autistic population. These findings provide a baseline measure of excessive SYM and reduced PSM function in autism <\/span><b>(45:03)<\/b><span style=\"font-weight: 400;\">. Results from several clinical trials show that low-frequency TMS to the prefrontal cortex normalizes ANS function in autistic people <\/span><b>(45:20)<\/b><span style=\"font-weight: 400;\">. Specifically, positive changes are observed in autonomic parameters directly related to behavioral improvements. Casanova reasserts the potential for using autonomic cardiac regulation profiles and measures of autonomic arousal to distinguish subgroups of autistic individuals and fine-tune treatment <\/span><b>(46:24)<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The presenter gives the following points as a presentation summary before he and Dr. Emily Casanova open the Q&amp;A session <\/span><b>(50:00)<\/b><span style=\"font-weight: 400;\">:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Take-away messages <\/span><b>(48:24)<\/b><span style=\"font-weight: 400;\">:\u00a0<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\">Anxiety in people with autism must be recognized as directly linked with autonomic dysregulation and excessive sympathetic arousal.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">The ANS is responsible for multiple physiological responses, and dysfunction of this system contributes to the cognitive, affective, and behavioral responses observed in autistic children.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Atypical autonomic arousal can explain some core symptoms of autism, like repetitive behaviors, social difficulties, avoidance, stimming, and SIB.\u00a0<\/span><\/li>\n<\/ol>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-last\" style=\"--awb-bg-size:cover;width:16.666666666667%;width:calc(16.666666666667% - ( ( 4% + 4% ) * 0.16666666666667 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"--awb-bg-size:cover;width:33.333333333333%;width:calc(33.333333333333% - ( ( 4% ) * 0.33333333333333 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><h3>About the speakers:<\/h3>\n<p><strong><img decoding=\"async\" class=\"lazyload alignleft size-full wp-image-3033\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27100%27%20height%3D%2794%27%20viewBox%3D%270%200%20100%2094%27%3E%3Crect%20width%3D%27100%27%20height%3D%2794%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/01\/manuelcasanova.jpg\" alt=\"\" width=\"100\" height=\"94\" \/><\/strong>Dr. Manuel Casanova, made his residency training in neurology and then spent three years doing a fellowship in neuropathology at The Johns Hopkins Hospital. This kindled his interest in developmental disorders of the brain. Dr. Casanova spent eight years helping to establish the Johns Hopkins Brain Resource Center and the Brain Bank Unit of the Clinical Brains Disorders Branch at the National Institutes of Mental Health. During his time at NIMH, Dr. Casanova was trained in psychiatry later joining the Medical College of Georgia as a full Professor in 1991 and then the University of Louisville in 2003 as the Kolb Endowed Chair in Psychiatry. Last June, he accepted a position as SMART State Endowed Chair in Childhood Translational Neurotherapeutics at the University of South Carolina Greenville Health System, where he is speaking to us today. His work includes studies that have looked for the presence of abnormalities of organization and lateralization in the brains of patients who exhibit language disturbances, including autism, Asperger\u2019s syndrome, and dyslexia.<\/p>\n<p><img decoding=\"async\" class=\"lazyload alignleft size-full wp-image-3384\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/02\/Emily-Casanova-Ph.D.jpg\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/02\/Emily-Casanova-Ph.D.jpg\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 98px) 100vw, 98px\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%2798%27%20height%3D%2798%27%20viewBox%3D%270%200%2098%2098%27%3E%3Crect%20width%3D%2798%27%20height%3D%2798%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/02\/Emily-Casanova-Ph.D-66x66.jpg 66w, https:\/\/autism.org\/wp-content\/uploads\/2019\/02\/Emily-Casanova-Ph.D.jpg 98w\" alt=\"Emily Casanova, Ph.D\" width=\"98\" height=\"98\" \/><\/p>\n<p>Dr. Emily Casanova is a neuroscientist who has studied autism for more than a decade and, more recently, has been studying the overlap between autism and hereditary connective tissue disorders like Ehlers-Danlos syndrome. One of her current efforts concerns the study of an Ehlers-Danlos phenotype in carriers of Fragile X premutation and autonomic disorders in this population.<br \/>\nEmily Casanova earned her doctorate in Anatomy Science &amp; Neurobiology from the University of Louisville\u2019s Medical School.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"--awb-bg-size:cover;width:66.666666666667%;width:calc(66.666666666667% - ( ( 4% ) * 0.66666666666667 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-5\"><h4>Take the knowledge quiz<\/h4>\n<p>Can&#8217;t see the quiz below? 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fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-recent-posts fusion-recent-posts-1 avada-container layout-default layout-columns-3\"><section class=\"fusion-columns columns fusion-columns-3 columns-3\"><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/elopement-webinar-2025\/\" aria-label=\"Treatment of Elopement: Safety Tips and Considerations in Programming\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2024\/12\/elopement-small-700x441.jpg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Child looking at items in a supermarket\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272189%27%20height%3D%271463%27%20viewBox%3D%270%200%202189%201463%27%3E%3Crect%20width%3D%272189%27%20height%3D%271463%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2024\/12\/elopement-small-700x441.jpg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2024\/12\/elopement-small-320x202.jpg 320w, https:\/\/autism.org\/wp-content\/uploads\/2024\/12\/elopement-small-700x441.jpg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-04-16T15:20:26-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/elopement-webinar-2025\/\">Treatment of Elopement: Safety Tips and Considerations in Programming<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-04-16T15:20:26-05:00<\/span><span>April 15th, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/challenging-behaviors\/\" rel=\"category tag\">Challenging Behaviors<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/parenting-webinar\/\" rel=\"category tag\">Parenting<\/a>, <a href=\"https:\/\/autism.org\/category\/research\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/school-issues\/\" rel=\"category tag\">School Issues<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/sensory\/\" rel=\"category tag\">Sensory<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/ways-to-help\/\" rel=\"category tag\">Ways to Help<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>      Handouts are online HERE Description -- Elopement, running or wandering away from supervision, is an incredibly dangerous behavior that is prevalent among autistic youth. This talk will review preventative<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/autism-sleep-community-settings\/\" aria-label=\"Research Updates: Bringing Sleep and Autism into Community Settings\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/04\/AdobeStock_25015564-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"kid is sleeping on the bed with tedy bear\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271707%27%20viewBox%3D%270%200%202560%201707%27%3E%3Crect%20width%3D%272560%27%20height%3D%271707%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/04\/AdobeStock_25015564-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/04\/AdobeStock_25015564-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2019\/04\/AdobeStock_25015564-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-08-25T11:42:59-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/autism-sleep-community-settings\/\">Research Updates: Bringing Sleep and Autism into Community Settings<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-08-25T11:42:59-05:00<\/span><span>March 17th, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/parenting-webinar\/\" rel=\"category tag\">Parenting<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/sensory\/\" rel=\"category tag\">Sensory<\/a>, <a href=\"https:\/\/autism.org\/category\/sleep-issues\/\" rel=\"category tag\">Sleep Issues<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/social-skills\/\" rel=\"category tag\">Social Skills<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/ways-to-help\/\" rel=\"category tag\">Ways to Help<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>    Beth Malow, MD, shares current research updates on sleep and autism. She highlights the multifactorial nature of sleep patterns and how they affect daily functioning and core autism traits like emotion<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/autism-and-trauma-research-updates\/\" aria-label=\"Autism and Trauma: Research Updates\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/08\/Trauma-Word-Cloud-700x441.png\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Trauma Word Cloud\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27978%27%20height%3D%27628%27%20viewBox%3D%270%200%20978%20628%27%3E%3Crect%20width%3D%27978%27%20height%3D%27628%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/08\/Trauma-Word-Cloud-700x441.png\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/08\/Trauma-Word-Cloud-320x202.png 320w, https:\/\/autism.org\/wp-content\/uploads\/2023\/08\/Trauma-Word-Cloud-700x441.png 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-03-31T18:50:57-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/autism-and-trauma-research-updates\/\">Autism and Trauma: Research Updates<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-03-31T18:50:57-05:00<\/span><span>March 11th, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/anxiety-2\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/bullying\/\" rel=\"category tag\">bullying<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/challenging-behaviors\/\" rel=\"category tag\">Challenging Behaviors<\/a>, <a href=\"https:\/\/autism.org\/category\/gender\/\" rel=\"category tag\">Gender<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/research\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/category\/seniors\/\" rel=\"category tag\">seniors<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/sensory\/\" rel=\"category tag\">Sensory<\/a>, <a href=\"https:\/\/autism.org\/category\/sexuality\/\" rel=\"category tag\">Sexuality<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/social-skills\/\" rel=\"category tag\">Social Skills<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/ways-to-help\/\" rel=\"category tag\">Ways to Help<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>  Dr. Connor Kerns delivers research updates on the intersection of trauma and autism. She describes the relationship between childhood adversities, trauma, and mental health and highlights the need for trauma measurements that are<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/treating-autism-related-conditions-adults\/\" aria-label=\"Treating Autism and Related Conditions in Adults\" class=\"hover-type-none\"><img decoding=\"async\" width=\"600\" height=\"399\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2022\/02\/AdobeStock_49399390.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Doctor consulting with a male patient during a medical check-up\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27600%27%20height%3D%27399%27%20viewBox%3D%270%200%20600%20399%27%3E%3Crect%20width%3D%27600%27%20height%3D%27399%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2022\/02\/AdobeStock_49399390.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2022\/02\/AdobeStock_49399390-200x133.jpeg 200w, https:\/\/autism.org\/wp-content\/uploads\/2022\/02\/AdobeStock_49399390-300x200.jpeg 300w, https:\/\/autism.org\/wp-content\/uploads\/2022\/02\/AdobeStock_49399390-400x266.jpeg 400w, https:\/\/autism.org\/wp-content\/uploads\/2022\/02\/AdobeStock_49399390.jpeg 600w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-02-26T17:59:03-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/treating-autism-related-conditions-adults\/\">Treating Autism and Related Conditions in Adults<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-02-26T17:59:03-05:00<\/span><span>February 25th, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/gender\/\" rel=\"category tag\">Gender<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/category\/seniors\/\" rel=\"category tag\">seniors<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/sensory\/\" rel=\"category tag\">Sensory<\/a>, <a href=\"https:\/\/autism.org\/category\/sexuality\/\" rel=\"category tag\">Sexuality<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/social-skills\/\" rel=\"category tag\">Social Skills<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/ways-to-help\/\" rel=\"category tag\">Ways to Help<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>      ARI board member Robert Hendren, DO, discusses approaches for appropriately supporting symptoms of Autism and related conditions in adults. Handouts are online HERE      The<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/wellbeing-positive-psychology\/\" aria-label=\"Wellbeing Wins: Integrating Positive Psychology into the Autism Community\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Support gesture. Woman comforting woman patient at group rehub meeting.\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271440%27%20viewBox%3D%270%200%202560%201440%27%3E%3Crect%20width%3D%272560%27%20height%3D%271440%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-02-24T12:07:09-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/wellbeing-positive-psychology\/\">Wellbeing Wins: Integrating Positive Psychology into the Autism Community<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-02-24T12:07:09-05:00<\/span><span>January 2nd, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/anxiety\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/anxiety-2\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/back-to-school\/\" rel=\"category tag\">Back to School<\/a>, <a href=\"https:\/\/autism.org\/category\/depression\/\" rel=\"category tag\">depression<\/a>, <a href=\"https:\/\/autism.org\/category\/executive-function\/\" rel=\"category tag\">Executive Function<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/neurological\/\" rel=\"category tag\">Neurological<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/category\/sleep-issues\/\" rel=\"category tag\">Sleep Issues<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/social-skills\/\" rel=\"category tag\">Social Skills<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>    Patricia Wright, PhD, MPH, and Katie Curran, MAAP, introduce Proof Positive - The Autism Well-being Alliance. The speakers describe positive psychology, its impact on well-being, and why it matters for autistic<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/autism-and-trauma\/\" aria-label=\"Autism and Trauma\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Support gesture. Woman comforting woman patient at group rehub meeting.\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271440%27%20viewBox%3D%270%200%202560%201440%27%3E%3Crect%20width%3D%272560%27%20height%3D%271440%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/AdobeStock_330058041-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2024-08-07T10:39:44-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/autism-and-trauma\/\">Autism and Trauma<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2024-08-07T10:39:44-05:00<\/span><span>July 8th, 2024<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/anxiety-2\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/assessment\/\" rel=\"category tag\">Assessment<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/bullying\/\" rel=\"category tag\">bullying<\/a>, <a href=\"https:\/\/autism.org\/category\/depression\/\" rel=\"category tag\">depression<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/meltdowns\/\" rel=\"category tag\">Meltdowns<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/self-injury-2\/\" rel=\"category tag\">Self Injury<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/social-skills\/\" rel=\"category tag\">Social Skills<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/ways-to-help\/\" rel=\"category tag\">Ways to Help<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>   Dr. Connor Kerns discusses research on the prevalence, sources, and impact of traumatic experiences in autistic people. She underscores the prevalence of childhood adversity in autistic groups and highlights the need for<\/p><\/div><\/article><\/section><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":9932,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3781,3790,3783,24],"tags":[2811,4693,58,8599,6992,4705,9557,5002],"class_list":["post-9931","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anxiety","category-meltdowns","category-sensory","category-webinar","tag-anxiety","tag-ari-webinar","tag-autism","tag-autonomic-nervous-system","tag-behavioral-support","tag-casanova","tag-manuel-casanova","tag-nervous-system","webinar-author-drs-emily-and-manuel-casanova"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How the Autonomic Nervous System May Govern Anxiety in Autism<\/title>\n<meta name=\"description\" content=\"Learn about the autonomic nervous system&#039;s role in anxiety and autism. 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