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Autism and Change: Why Routine Disruption Feels Earth-Shattering

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  3. Autism and Change: Why Routine Disruption Feels Earth-Shattering
autism and dyspraxia

For most people, routine can often be a take it or leave it kind of thing.

Most neurotypical individuals can drift into routines as they please, change them on the fly, and even bask in the comfort of unstructured time.

But when it comes to autism, any kind of routine disruption can feel like an insurmountable hurdle, which can feel extremely threatening.

It can actually feel earth shattering, depending on where someone is on the spectrum.

It’s been well documented within autistic individuals of all ages that even minor disruptions can act as internal system crashes where the mental scaffolding that holds together their day completely crashes.

And this isn’t a case of being overly precious or clinging to rigidity.

It’s actually survival-based behaviour – a huge coping mechanism.

One which is linked to executive dysfunction.

It’s not a flaw.

It’s simply a mismatch between a brain that’s wired for depth and intricacy and needs to know each step before it’s able to continue. But… finds itself living in a world that’s built for speed – where productivity reigns supreme.

The survival of the most efficient.

Think about it this way…

Imagine that your conscious intent – your will – is like a symphony conductor inside your head and one who wants every instrument to be perfectly tuned before the music begins.

You could liken this to the mind of an autistic individual.

A neurotypical person, on the other hand, might improvise a melody with three notes and find great joy within the unpredictability of exploration.

They begin without hesitation.

The autistic mind, on the other hand, waits for the full orchestra to begin – they need to know every single step – what the end result will be.

And so, when unexpected change strikes, the conductor falters.

Plans scatter. The music stops.

That leads to a quiet erosion of self. “I know what I need to do. Why can’t I just… do it?”

This chasm between intent and action isn’t laziness—it’s cognitive quicksand.

But when we stop pathologising these pauses—the gap between “I will” and “I did”—there is great resilience to be found.

Structured systems become lifelines: visual schedules that turn abstract time into tangible blocks, apps that externalise working memory, rituals that anchor against chaos.

These aren’t crutches, but tools for rebuilding that bridge on stronger terms.

The bridge may still rock and sway.

But now, there is the confidence to hold on.

Understanding Autism and Routine ‘Dependence’

Something to understand about autistic people, and the perceived dependence on routines is that it’s not a dependence. It’s not an addiction.

Secondly, routines are also not preferences. They’re orientations.

These aren’t fickle choices made to be contrarian, to be in any way anti-establishment, or rub up against the status quo. They’re needs – pure and simple.

They are self-created systems which help anchor an autistic individual into what they might experience as an overwhelming sea of demands on their capacity.

Too many requests. Too much to deal with all at once.

These systemised routine provide real solid ground to stand on in the world, which often might feel like it’s spinning too fast, too bright or too loud.

In many ways, you could think of the vocabulary of routine within autism as a way of understanding the core functionality, not only of how autism itself functions, as it is so rooted in the need for safety and predictability…

But also, as a way of understanding, the unique needs of the individual in question beyond the labelling of autism itself.

You could think of routine as a native or colloquial tongue.

The language of choice and action.

One that speaks in predictable rhythms and familiar cadences.

And so, when these patterns are disrupted, it’s not just inconvenient—it’s like suddenly being asked to translate a foreign tongue without warning.

Again, the autistic brain’s reliance on structured patterns isn’t dependence, but is actually part of the wider symptoms set of neurodivergent traits.

The need to ‘do’ things in a unique way that the system can compute.

Orientating to a world that isn’t set up to serve their needs.

Executive Dysfunction and Adapting to Change BULLETS

It’s important here to talk a little bit more about executive dysfunction.

This is the key mechanic, which determines whether or not changes are able to be made easily and effortlessly or whether there might be cognitive dissonance in this process.

This can be particularly challenging for individuals with a dual diagnosis of both autism and ADHD, which has been commonly referred to as AuDHD. (although this is not a recognised clinical definition).

As it relates to change in autism, some of the core elements of executive dysfunction include:

Core Executive Functions: Executive function relates to processes, such as managing planning, prioritisation, and focus shifting. When these are compromised, even minor schedule changes can trigger significant disruption to daily functioning.

Routine Disruption Effects: Experiencing unexpected scheduling changes, such as the meeting times, cancellations and changes of venue can also have a significant effect on the outcome of a day. This routine disruption can often trigger a domino effect in executive functioning demands.

In fact, just a single change in routine for some people can lead to:

  • Inhibiting the original routine to the point of it no longer being viable
  • Creating the need to activate new planning sequences
  • The potential for managing emotional responses (stress and anxiety)
  • Difficulty in maintaining focus during transitions

The overlap between autism and ADHD intensifies these challenges.

For example, there might be a need to rely on incredibly structured routines, which is characteristic of the behavioural traits of autism, whilst on the other side of the coin, ADHD related impulsivity can create an internal friction that pulls focus in another direction.

This inner conflict can lead to a great deal of indecision.

Not knowing whether to remain with a routine, which has traditionally been safe and served one’s needs versus seeking the novelty of a new, more exciting and compelling way of doing something, which is a hallmark of the relationship between ADHD and ASD.

  • Maintaining precise execution (autism trait)
  • Adapting quickly to new situations (ADHD demand)
  • Process sensory changes
  • Regulate emotional responses

Routine Disruption: Minor Changes With Major Impact PARA

There is another layer to change which we’ve not yet touched on.

And that’s the existential weight of being in a constant state of hyper-vigilance due to the need of continually having to adapt. On an identity level, that’s exactly what routine disruption creates within autism.

Because the brain is wired in such a specific way, with certain thresholds and capacities for sensory inputs and predictability, when that’s continually disrupted, it leads to the resources of the individual being exhausted – far more than neurotypical individuals.

The truth is, there is really no such thing as a minor change in autism.

No change goes unnoticed. No change goes unfelt.

It all requires some kind of processing and adaptation.

But here’s the thing…

We live in an unpredictable world, and nothing can be entirely scripted 100% all of the time.

There are always going to be things we could never have accounted for…

And so, since the only constant is change, how does this play out?

How is the sense of unpredictability felt by someone with autism?

The Cascade Effect: How Routine Disruption Unfolds

Once a routine has been disrupted within autism, it triggers dysregulation in the parts of the brain linked to the frontal-parietal processes known as the cingulate gyri and insula.

This creates difficulty in disengaging from previous tasks, switching to new activities, and processing new information.

Here’s a closer look at how this might play out on the behavioural level:

Stage 1: The Trigger Point

  • Initial Routine Disruption: This could be any minor change in the schedule (e.g., grocery store visit moved from afternoon to morning)
  • Immediate Recognition: The brain of the autistic individual registers that there’s been a divergence from the planned script.
  • Cognitive Signalling: There is an internal signalling that something isn’t quite right, and there has been a threat to stability.

Stage 2: The Emotional Wave

  • Initial Anxiety Surge: Heart rate increases, stress hormones release
  • Emotional Escalation: Feelings of panic or overwhelm emerge.
  • Masking Pressure: If the individual is masking their autism, there might be an additional strain to maintain a neurotypical appearance while processing the change.

Stage 3: Cognitive Impact

  • Mental Script Collapse: There is a realisation that all previously prepared plans will now no longer work and a new solution is needed.
  • Processing Overload: Brain attempts to:
    • Recalibrate expectations to the new solution, whilst also potentially struggling to let go of the routine which has been invalidated. Holding on to the familiar despite it no longer working.
    • Create new action steps, which will lead back to a place of safety and familiarity.

Stage 4: Behavioural Response

  • Coping Mechanism Increase: There may be an increase in self-soothing behaviours, fidgeting, stimming, or anything which might alleviate stress or anxiety.
  • Withdrawal Tendencies: There could also be a need to completely withdraw if in a crowded environment. This could be to lessen sensory overwhelm, which could be compounding the effect of stress and cognitive strain.
  • Executive Function Strain: Due to the resulting stress and anxiety, this could create further executive functioning issues and lead to difficulty in making new decisions.

Stage 5: Recovery Path

  • Grounding Techniques: This could involve a wide variety of techniques, depending on what works for the individual and what’s possible in the moment. (e.g. applying deep touch to the body, breathing exercises, other tactile engagement)
  • Environmental Control: Most often this is going to involve some kind of sensory control, which will often mean finding a quiet space where the sound and lighting can be reduced, and there can be a chance to formulate a new adjustment to the invalidated routine.
  • Routine Reconstruction: Once a viable new routine has been identified, it might take a short while to construct the steps into a pathway that’s familiar enough to the autistic mind so it can be accepted as safe and predictable.

This cycle typically takes 2-3 hours for minor disruptions, though major changes may require days of adjustment. Understanding this process helps create better support systems and coping strategies.

The Double Impact: Social and Environmental Disruptions

Social and environmental disruptions tend to go hand-in-hand.

It’s often the case that when plans change with friends or family, they involve changing location or in some way lead to a new set of demands that contradict the original social scripts which may have been pre-prepared.

Social Disruptions: Beyond Disappointment

  • What It Looks Like: This could involve anything which goes against the original agreed plans and might have been extensively scripted by the autistic individual.
  • Internal Experience: As a result, there may be a heightened sense of mistrust and rejection sensitivity, because the people who have made the agreements have now broken them, which could also potentially lead to abandonment narratives.
  • Hidden Cost: Due to the heavy reliance on social scripting, this may mean that, in some instances, the scripts that would’ve provided security made no longer work, and there is the need in the mind of the autistic individuals to create new mental rehearsals.
Change Type Visible Impact Internal Experience
Social Plans Schedule disruption Rejection triggers, anxiety spike
Environment Space navigation Sensory overload, script failure
Combined Apparent frustration Complete system overwhelm

Environmental Changes: When Spaces Shift

However, scripting in autism doesn’t just apply to communication.

For example, if you have familiar and predictable scripts relating to the way an environment is laid out, this can often provide just as much safety and security as any kind of interpersonal mental rehearsal.

When familiar spaces shift unexpectedly, it can lead to:

  • What was once a comfortable environment, becoming a potential trigger.
  • If the environmental changes involve sensory changes relating to light and sound, and new sensory expectations and mapping may need to be reconstructed.
  • Due to the extra resources required for processing, there might be a rapid depletion of cognitive capacity. Or, at the very least, a need for hyper focus to create a new routine.

Routine Disruption and the Impact on Dating in Autism

When it comes to dating and autism, spontaneity, at least in the beginning, isn’t going to feel as romantic as it might for neurotypical individuals. Because spontaneity equals unpredictability.

  • The Double-Venue Challenge: If you have a booking at a restaurant, only to find that it’s unexpectedly closed, it doesn’t simply involve finding another restaurant. It’s also about creating an entirely new script and set of sensory expectations.
  • Preparation Cascade Effect: Even small alterations such as, “let’s meet an hour earlier,” can completely unravel entire day’s carefully planned energy management and sensory preparation
  • Location Shift Impact: Moving a date from a quiet café to a bustling restaurant creates a compound challenge of processing new social scripts while managing unexpected sensory inputs
  • Relationship Routine Rupture: When established dating patterns change (like switching regular Friday dates to random days), it can create deep anxiety about relationship stability

Real-World Examples of Everyday Routine Disruption

  • Regular morning café closure → Day derailment
  • Furniture rearrangement → Spatial disorientation
  • Construction noise → Sensory overload cascade

About the author

Dr Becky Spelman, Counselling Psychologist

Dr Becky Spelman is an HCPC-registered Counselling Psychologist and founder of the Private Therapy Clinic, with over 22 years of experience helping clients successfully manage and overcome a wide range of mental health difficulties.

References

ADDitude Editors. (2018, March 22). Autism and ADHD share similar executive function deficits, study finds. ADDitude Magazine. Link

Townes, P., Liu, C., Panesar, P., Devoe, D., Lee, S. Y., Taylor, G., Arnold, P. D., Crosbie, J., & Schachar, R.. (2023). Executive function profiles in autism spectrum disorder and attention deficit hyperactivity disorder: A meta-analysis. Journal of Child Psychology and Psychiatry. Link

National Autistic Society. (2023). Dealing with change. Link

Craig, F., Margari, F., Legrottaglie, A. R., Palumbi, R., de Giambattista, C., & Margari, L. (2016). A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder. Neuropsychiatric Disease and Treatment, 12, 1191-1202. Link

Categories: ASD - By Dr Becky Spelman - March 24, 2025

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