Health

Neurologist Dr. Matheus Trilico Discusses the Sexuality of Young People and Adults with Autism

The topic of sex is taboo for many, so imagine how challenging it can be for those with Autism Spectrum Disorder (ASD). The social communication issues, sensory alterations, and the need for structured routines, common traits of autism, can significantly impact the ability to form friendships and romantic relationships. Therefore, neurologist and expert in ASD and ADHD in adults, Dr. Matheus Trilico, helps to demystify this topic for this population, which is essential to ensure quality of life and inclusion.


According to Trilico, adults with ASD often face difficulties interpreting social and emotional cues, which can hinder the formation of friendships and romantic relationships. Studies indicate that these challenges may lead to social isolation and loneliness, negatively impacting quality of life.


In addition to social barriers, many autistic adults face specific challenges related to sexuality. For example, dysfunction in sensory processing can make stimuli, such as physical touch, uncomfortable or even painful.
“Sensory issues can make physical contact, an important part of intimacy, an unpleasant experience for some people with ASD,” explains Dr. Trilico.


Researchers report that the changes during adolescence, including the onset of sexuality, can be particularly challenging for individuals with ASD. Lack of knowledge about social norms and communication difficulties can lead to frustration and misunderstandings.


Furthermore, the neurologist emphasizes that it’s a misconception to think that people with ASD are not interested in relationships or sex. Therefore, proper sexual education for this population is extremely important. Lack of information and support can increase the risks of sexual abuse, inappropriate public behavior, and difficulties in forming healthy relationships.


Sexual violence is, unfortunately, a grim reality for this population. According to Dr. Matheus, studies show that autistic youth are three to four times more likely than non-autistic youth to experience sexual violence, and between 40% and 50% of autistic adults report experiences of sexual abuse during childhood. This underscores the need for support and guidance on the subject from childhood, not just in adulthood.


Support Strategies 


To help autistic adults overcome these complexities, it is essential to adopt evidence-based approaches. Sexual education tailored to the specific needs of people with ASD can be a powerful tool. 
“Sexual education programs that directly address sensory and social issues can help reduce anxiety and increase understanding of sexuality,” says the neurologist. 


Additionally, treating sensory processing dysfunction with appropriate professionals, such as occupational therapists, can be extremely beneficial. 


“Personalized sensory interventions can help reduce hypersensitivity to touch and make physical interactions more comfortable, as well as address auditory, olfactory, and many other stimuli,” he suggests.


Use of Dating Apps and Websites 


Dating apps and websites can be a useful tool for autistic adults. “These platforms allow people to connect in a more controlled and structured way, which can be less intimidating than face-to-face interactions,” Dr. Trilico highlights. 


A study published in the *Journal of Autism and Developmental Disorders* (Strunz et al., 2017) found that many autistic adults reported positive experiences using these platforms to find partners.
Dr. Matheus Trilico further states that many of his patients have shared that they could only start a romantic relationship through the virtual world, whether through specific dating apps, chat platforms, or social media. Although not everyone adopts this technology, it is undeniable that it has helped many autistic adults connect.


More articles on ASD and ADHD in adults can be found on the neurologist’s website: https://blog.matheustriliconeurologia.com.br/

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