Autistic Teens: Discussing Sexuality & Relationships
Introduction
Talking about sex and relationships can be challenging for any parent, especially with autistic teens who may take longer to understand and process some concepts. They often struggle to determine what is appropriate behaviour in these contexts. For Malaysian parents, these discussions can be even harder due to cultural sensitivities and taboos around sex and sexuality.
Sex refers to biological differences, while sexuality encompasses feelings, attractions, and behaviours. Clear and direct guidance from trusted adults is vital in helping children and adolescents navigate these challenges. These conversations are crucial for their safety, well-being, and self-esteem. Ongoing, open discussions help autistic and neurodiverse children feel supported and informed.
Common Misconceptions
Many people believe that autistic children are nonsexual or that teaching them about sex will lead to experimentation. In reality, educating them reduces risky behaviours and enhances their understanding of personal safety.
There is a common misconception that autistic individuals lack the desire for intimacy or romantic relationships. However, autistic people go through puberty just like everyone else, although it may happen earlier or later. They experience the same physical changes and desires as their neurotypical peers. Without a proper understanding of these changes, they might feel scared or act out inappropriately.
Sexuality and My Teenage Children with Autism
A Singaporean mother of two daughters with severe autism shares her experience with handling her daughters’ exploration of sexuality. She hopes to help parents like herself find better ways to support the sexual development of their children with autism or other intellectual disabilities.
Importance of Sexuality Education
Mainstream sex education often focuses on personal hygiene and care rather than emotions and relationships, which leaves a gap in understanding for autistic teens. Research has shown that without proper guidance, people with developmental disabilities are more likely to be sexually exploited than others.
Age-appropriate sex education is vital for preventing harassment and avoiding legal repercussions. It reinforces earlier lessons about anatomy and body awareness and helps children distinguish between public and private spaces. This knowledge is crucial for maintaining appropriate behaviour and ensuring personal safety. Sexuality and gender norms can impact how others perceive neurodiverse children and influence their self-esteem.
Learn more about Why Autistic Kids Need to Know About Sexuality.
To learn about how to have these conversations with younger children, go to
Talking About Sexuality with Your Autistic Child
Autistic Teens Need Tailored Sex Education
- Clear language needed: Autistic teens need clear, straightforward language without confusing euphemisms. They need factual information and help understanding the social context.
- Tailored teaching methods: Teaching should match the teen’s communication style, such as using visual aids for visual learners.
- Lack of peer discussions: Autistic teens might not have trusted peers to talk to about sex, so adults should not assume they get information this way.
- Neurotypical assumptions: Assuming autistic people are not sexual or should not be sexually active is very unhelpful.
- Understanding of public vs. private: Autistic teens might not understand what is public and what is private in the same way as neurotypical people do. They need help to keep private things private.
- Vulnerability to sexual abuse: Both autistic girls and boys are more vulnerable to sexual abuse. They need education to understand consent and how to talk about their bodies and sexual feelings.
- Sensory Issues: Autistic people may have sensory issues with sex, like touch and smells. They need support to find ways to handle this and communicate their boundaries to partners.
- Inclusive Education: Recognising the diversity within the autistic community, sex education must be thorough, inclusive, respectful, and non-judgemental, considering the different experiences and identities of everyone.
Common Concerns
Masturbation
- the bedroom with the door and the curtains closed
- the toilet in your own home with the door closed
- the shower in your own home with the bathroom door closed
Help your child identify these private places. Use pictures or signs to remind them. Make sure they know other places, even if labelled ‘private,’ are not for masturbation.
Talk to your child about masturbation so that they do not develop any anxieties about what they are doing. Reassure them it is normal.
- Hygiene: Teach them to clean themselves after, if necessary, with tissues or wipes.
- Always knock rule: Make sure everyone knocks before entering bedrooms.
Masturbation: Totally Normal
AMAZE is a resource website offering children and adolescents honest, age-appropriate sex education. It provides educational materials like short videos, animations, and webinars to help adults discuss sex and sexuality effectively with young people.
Access their YouTube channels at AMAZE Parents and AMAZE Org (youth-facing) for curated playlists on sexuality and relationships.
Understanding Inappropriate Behaviours
Autism can make it hard for a person to know what is socially appropriate and to understand how others feel or what they might do next. Inappropriate behaviours like touching others or being naked in public may happen for reasons that aren’t immediately obvious. For autistic individuals, these actions might not be sexually motivated but could be ways to understand social cues, seek sensory stimulation, or satisfy curiosity.Examples of inappropriate behaviours:
- Touching or brushing against someone: An autistic person might touch or brush against someone’s body because they:
- Use it as a routine to understand the person’s mood due to difficulty interpreting facial expressions and body language.
- Enjoy the reaction they get.
- Seek to repeat sensory stimulation they experienced previously.
- Are curious about how a part of the body feels.
- Unexpected kissing: This might happen because they:
- Imitate what they’ve seen on television, expecting the same reaction.
- Assume the other person wants to kiss because they themselves want to.
- Public nudity and inappropriate public behaviour: A child might persistently show their genitals or bottom. A teenager might touch their genitals in public.
Here are some strategies for dealing with inappropriate behaviours adapted from the National Autistic Society:
- Behaviour diaries: Keep a behaviour diary to track what happens before, during, and after certain behaviours. This can help you understand why the behaviour is happening. It may take a few weeks or longer to notice patterns. Even if the behaviour is unpleasant, staying calm and keeping a level tone is important.
- Social stories and comic strip conversations: Use social stories or comic strip conversations to understand how the person sees a situation and teach them the right way to respond. For example, “We greet people by shaking their hand.”
- “It’s Alright” behaviour table: Create a table listing different people and activities like holding hands or kissing. Ask if these activities are okay with family, strangers, teachers, etc. Use tick/cross or yes/no to mark what’s appropriate.
More detailed guidance on managing these problematic behaviours can be found at Raising Children Network.
Relationships and Sexual Feelings
Relationships are the connections between two people. There are many different types of relationships, and the way people interact and communicate depends on the type of relationship they have.
As your child goes through puberty and learns about sexual feelings, it’s important to discuss sexual relationships. Emphasise that sexual relationships are a normal part of life, but they are not necessary for everyone. Your child doesn’t have to have sex to be popular or because others say they should.
Some autistic teenagers might find it hard to understand sexual feelings in themselves and others. You can help your child by breaking down these feelings into thoughts, body sensations, and behaviours:
- Thoughts: Thinking about the person a lot.
- Body sensations: Feeling a tingly sensation in their stomach or getting erections when near the person.
- Behaviours: Trying to be around the person more often.
Autistic teenagers might find it difficult to express their sexual feelings, which can lead to inappropriate or risky behaviours or unhealthy relationships. Here are some strategies adapted from Raising Children Network to help:
- Practise social interactions: Role-play scenarios, such as talking to someone at a party or asking someone to go watch a movie. Practice responses for both acceptance and rejection.
- Set clear rules: For example, “You can ask someone out once. If they say they’re not free, you can ask them again another time. If they say no again, even if they give you an excuse, you shouldn’t ask again.”
- Establish boundaries: Teach that following someone around or frequently contacting them online is not acceptable
Understanding Consent
- What is Consent: When a person says it’s okay to do something.
- If a person says they want to do something, they consent.
- If a person says no or that they do not want something, they do not consent.
- Importance of Consent:
- People need to get your consent before touching you.
- You need to get someone else’s consent before touching them.
- Consent is always important, no matter how long you’ve known someone or your relationship with them
When your child understands and respects consent, they are more likely to have healthy, respectful, and safe sexual experiences. Knowing about consent can also protect them from sexual abuse and prevent problematic or harmful sexual behaviour.
Encourage self-advocacy and independence in autistic children by providing opportunities for choice and autonomy. Balance protection with fostering independence to help them grow confidently.
Being able to self-advocate and speak up is crucial for understanding and giving consent. Check out our article on Self-Advocacy Skills in Autistic Children for tips on teaching your child how to set boundaries and assert their right to be treated with respect.
Consent Explained: What Is It?
Online Safety and Pornography
Young people, including autistic individuals, spend increasing amounts of time on social media. The internet comes with risks, such as exposure to explicit content like pornography and exploitation by sexual predators. Research shows that autistic individuals are more vulnerable to these online threats due to difficulty navigating social cues and feelings of isolation.
Some key topics to discuss with your child include:
- Sexting: Sexting involves using digital technology to send, receive, or share sexually suggestive images, videos, or messages. Explain the risks and permanent nature of such actions to your child.
- Social media usage: Teach your child to be cautious about what they post online. Remind them that anything shared online becomes public and permanent.
- Pornography: Discuss the negative messages about sex and relationships often portrayed in pornography. Encourage your child to talk openly about any questions or concerns they have. Also, inform them that it is illegal to possess or download pornographic materials.
For more detailed advice on online safety, refer to our article on A Guide to Online Safety for People with Autism
These topics, along with strategies for dealing with sexting and sexual predators, are also extensively covered on the Raising Children Network website. They provide guidance on talking to your children about pornography at different ages.
Resources
Dr. Amar-Singh HSS (2021). Cybersafety: Keeping Children and Teenagers Safe Online. Guidebook for Teachers and Parents. Women’s Centre for Change. Available at: Women’s Centre for Change
Porn Isn’t Sex Ed
Conclusion
Ongoing sexuality education is crucial for the safety and well-being of children with autism. By maintaining open dialogue and seeking resources and support, parents can effectively advocate for their children’s rights and needs.
Discussing sex helps children understand themselves better, boosts self-worth, and improves communication with parents. It also reduces the risks of teenage pregnancy, STDs, and sexual abuse, while helping to avoid misconceptions and harmful information from peers and online sources.
Nurturing these healthy conversations is not just about talking about sex; it’s about building trust, safety, and self-awareness. Providing accurate and supportive information ensures that your child will trust you, make informed decisions, and develop healthy values and beliefs.
Resources and Further Reading
Positive Sex Education for Children and Adolescents
- AMAZE – US resource website offering children and adolescents honest, age-appropriate sex education. It provides educational materials like short videos, animations, and webinars to help adults discuss sex and sexuality effectively with young people. Available in multiple languages
- Dr. Amar-Singh HSS. Sexuality Education and Protection Issues: Nurturing Healthy Conversations about Sexuality. MARF Webinar
- National Autistic Society UK. Sex education – a guide for parents
- Sex Ed for Self-Advocates – extensive sexuality and sex education resource specifically designed for autistic individuals aged 15 and above. Autistic people often don’t get the chance to learn about sex and relationships in ways that work for them. The Organisation for Autism Research (OAR) created this guide to help change that.
- Planet Puberty – Australian digital resource by Family Planning NSW for parents and carers of children with intellectual disabilities or autism. It offers the latest information, strategies, and resources to support children through puberty. It was co-designed with adults with intellectual disability and/or autism spectrum disorder.
- Raising Children Network – This free, up-to-date parenting website, funded by the Australian government, offers a wide variety of resources, including support for parenting children and adolescents with autism.
- True Relationships and Reproductive Health (Australia). Factsheets and Free Resources. – Practical, illustrated factsheets for all ages, not just children. Note that some resources might be uncomfortable for some individuals.
- Vanderbilt Kennedy Center. Puberty. Sex and Sexuality: An Introduction for Autistic Teens and Adults (2020).
Online Safety and Victimisation
- Autism Research Institute. Sexual Victimisation in Autism
- Southwest Autism Research and Resource Centre (SARRC). Online Safety for Teens and Adults with ASD.
Stories from Parents of Children with Special Needs