Comparing two therapies for mental health in autistic adults

Comparing Cognitive-Behavioral Therapy Versus Mindfulness-Based Therapy for Autistic Adults

Not applicable Interventional University of North Carolina, Chapel Hill · NCT06060860

This study is testing whether cognitive-behavioral therapy or mindfulness-based therapy works better to improve mental health for autistic adults dealing with anxiety and depression.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment300 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity of North Carolina, Chapel Hill Academic / other
Locations2 sites (Chapel Hill, North Carolina and 1 other locations)
Trial IDNCT06060860 on ClinicalTrials.gov

What this trial studies

This study aims to compare the effectiveness of cognitive-behavioral therapy (CBT) and mindfulness-based therapy (MBT) in improving mental health outcomes for autistic adults suffering from co-occurring anxiety and depression. It will evaluate patient-centered outcomes such as quality of life and functional impairment, while also exploring how individual characteristics may influence treatment effectiveness. Both therapies will be delivered via telehealth, making them accessible to participants in North Carolina and Virginia. The study will also assess the acceptability and feasibility of each therapy from the perspectives of both patients and clinicians.

Who should consider this trial

Good fit: Ideal candidates are autistic adults aged 18 and older who experience co-occurring depression and/or anxiety and can participate in telehealth sessions.

Not a fit: Patients with altered mental status or those at imminent risk of suicide may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide insights into the most effective mental health interventions for autistic adults, potentially improving their quality of life.

How similar studies have performed: While both CBT and MBT have shown efficacy individually among autistic adults, this head-to-head comparison is a novel approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥18 years of age
* Co-occurring depression and/or anxiety as determined by a total score ≥10 on the PHQ-ADS
* Living in North Carolina or Virginia
* Ability to participate in therapy sessions over telehealth
* English-speaking
* Provide proof of a professional diagnosis of autism OR meet or exceed clinical cut-off on the Social Responsiveness Scale (SRS-2) autism screening instrument

Exclusion Criteria:

* Altered mental status that precludes the ability to provide informed assent or consent (acute psychosis, intoxication, or mania)
* Imminent risk of suicide

Where this trial is running

Chapel Hill, North Carolina and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Autism Spectrum DisorderDepressionAnxietyautism spectrum disorderdepressionanxiety
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.