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Table 1 Agenda and purpose of each ACAT session

From: Cognitive-behavioral family therapy as psychoeducation for adolescents with high-functioning autism spectrum disorders: Aware and Care for my Autistic Traits (ACAT) program study protocol for a pragmatic multisite randomized controlled trial

CBT sessions

Session content

Session goals

Pre-session

Learn about your psychological assessment for ASD

The participants will learn about their personal characteristics and autistic traits through the results of assessment tests.

1st CBT

Learn about the characteristics of your autistic traits

The participants will understand the differences between autistic attributes and typical developmental features.

2nd CBT

Cognitive changes: learn not only about the “weakness” but also “strengths” of your autistic traits

The participants will discover the “strengths” of ASD, setting aside the “weaknesses” and turning negative perspectives into rational neutral understanding about themselves.

3rd CBT

Cognitive changes: create “funny nicknames” for your autistic traits

The participants will learn to externalize their autistic characteristics, facilitate self-monitoring skills, and develop metacognition.

4th CBT

Behavioral changes: create a problem-solving plan for your autistic traits

The participants will learn how they can change and adjust their problematic behaviors to cope with their autistic traits.

5th CBT

Behavioral changes: plan a functional way to solve easy problems that are caused by your autistic traits with your parents

The participants will make problem-solving plans for their own autistic traits and will also consider how to cope with problems when they execute their plans. They will start with easier problems related to their ASD traits. They will conduct these plans as a homework assignment.

6th CBT

Behavioral changes: plan a functional way to solve more complicated problems that are caused by your autistic traits with your parents

The participants will make problem-solving plans for their own autistic traits and will also consider how to manage more complicated problems when they execute their plans. They will conduct these plans as a homework assignment (this homework assignment will be checked at a follow-up session).

CBT follow-up

Check how well you are living with your autistic traits

The participants will review all skills and techniques learned to date. They will check their understanding of their own autistic traits and discuss the progress made in therapy, areas of continued effort, and ongoing challenges.