Overview
Mental health services are stretched and not always autism-aware. Knowing the routes saves time in crisis.
Key points to understand
- GP is usually the first step for non-crisis referrals.
- NHS Talking Therapies (formerly IAPT) self-referral for mild–moderate anxiety/depression.
- Community Mental Health Teams (CMHT) for severe / complex.
- Crisis lines: NHS 111 option 2, Samaritans (116 123), Shout (text SHOUT 85258).
Practical strategies that help
- Always ask whether the therapist has autism experience.
- Use a one-page profile to introduce yourself to new services.
- Get adjustments (longer appointments, written communication, sensory) in writing.
- Carers can self-refer to local carers' mental health services.
Common challenges to be aware of
- Standard talking therapy without autism adjustments often fails — find a specialist.
- Inpatient settings can be very difficult for autistic people; have a plan to advocate.
How Bright Steps can help
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References & further reading
✏️ This article will be expanded with rich, UK-specific content, case studies, video explainers and downloadable resources. If you'd like to contribute a story or suggest a correction, contact the Bright Steps editors via the Community page.