Mental health, wellbeing and coping strategies of autistic adults during isolation

PurposeThe negative effects of loneliness and isolation on mental health and wellbeing on the neurotypical population are well documented. The purpose of this qualitative study was to explore the effects of isolation on the mental health and wellbeing of autistic adults who were separated from friends and family for an extended period.Design/methodology/approachSemi-structured interviews were conducted shortly after the lifting of the third UK lockdown of the Covid-19 pandemic with a sample of 7 people (mean age, 35) formally diagnosed with autism spectrum disorder.FindingsThe study explored effects stemming from the absence of social interaction. Thematic analysis led to the creation of three themes: The first, "Context affects perception of isolation: I'm going to continue on with my life as much as I possibly can" shows a negative impact on wellbeing, perceived through the filter of larger issues resulting from lockdown and the necessity of isolation. The second, "Being alone can be comfortable: Lockdown has been good for me" discusses the mental health benefits of isolation and participants feeling of being "primed" for that isolation. The third, "Challenges from isolation: 'Changing routine'" explores the changes people made while isolated, with a focus on coping strategies and communication.Originality/valueFindings reveal the importance of supporting autistic adults to maintain social contact during and after isolation and contradict research suggesting autistic people are not motivated to seek social interaction.