In this conversation, Nicole Casey explores the discomfort surrounding the topic of therapy goals for autistic children, emphasizing the importance of listening to autistic voices. She discusses the harmful nature of compliance-based goals, such as suppressing stimming and forcing eye contact, and advocates for a shift towards neuroaffirming, child-led therapy that prioritizes the child's needs and experiences. The conversation highlights the need for collaboration among therapy teams and the importance of empowering autistic individuals to advocate for themselves. Takeaways:

• Discomfort can be a sign of growth and learning for us as professionals.
• Listening to autistic voices is crucial in therapy.
• Many traditional therapy goals can be harmful.
• Suppressing stimming can hinder a child's regulation.
• Eye contact is not necessary for effective communication.
• Goals should focus on the child's needs, not compliance.
• Neurotypical expectations can be limiting for autistic individuals.
• Empowering children to self-advocate is essential.
• Therapy should honor the child's authentic self.
• Shifting from compliance to connection can change lives.