Autism (ASD) and neurofeedback: current research and the HAS position

The essentials in 30 seconds

A different way of functioningAutism is a neurodevelopmental condition that affects around 1–2% of the population. It is not a target for training.
The HAS positionSince January 2026, the French National Authority for Health (HAS) has listed neurofeedback among the interventions that are not recommended for autism spectrum disorder (ASD), owing to insufficient evidence.
What can be worked onAnxiety, sleep, attention: difficulties that often go hand in hand with autism and weigh on the daily life of the person and their family.
Always alongside other careRecommended interventions and medical follow-up remain the foundation. Our support adds to them and never replaces them.

Autism: understanding a different way of functioning

Autism spectrum disorder (ASD) is a neurodevelopmental condition. It is characterised by lasting differences in communication and social interaction, together with restricted or repetitive behaviours, interests or activities. It is called a “spectrum” because every person is different: strengths, needs and the level of support required vary greatly from one person to another.

According to the HAS recommendation adopted in January 2026, the prevalence of ASD is estimated at around 1–2% of the population. Diagnosis is the responsibility of specialist teams. For young children, the French coordination and referral platforms (PCO) make this diagnostic pathway easier to access.

Communication and relationships

A distinctive way of understanding interactions, social codes and non-verbal language.

Interests and routines

Intense interests, a need for predictability, transitions that can sometimes be hard to cope with.

Sensory perception

Greater, or lesser, sensitivity to sounds, light, textures or touch.

Common associated difficulties

What makes daily life hardest is not always autism itself, but the difficulties that often come with it. The HAS also stresses the importance of looking for and diagnosing these associated conditions. A meta-analysis of 96 studies (Lai et al., 2019) estimated how often they occur in autistic people:

Co-occurring conditions diagnosed in autistic people

ADHD
28 %
Anxiety disorders
20 %
Sleep–wake disorders
13 %
Depressive disorders
11 %
OCD
9 %

Source: Lai et al., The Lancet Psychiatry, 2019 (pooled estimates, with wide variation between studies).

Anxiety, sleep disorders and attention difficulties affect learning, energy levels, family relationships and quality of life. It is these difficulties, and not autism, that we can work on, alongside other care.

Neurofeedback and autism: what the research says

Neurofeedback has been the subject of several studies in ASD, but the findings remain tentative. In a randomised trial published in 2013, 38 young autistic people received either EEG neurofeedback, skin conductance biofeedback or no intervention (waiting list). Just over half of the participants learned to modulate their brain activity, without any significant reduction in autism scores as rated by parents. The only improvement observed was in cognitive flexibility, among those who succeeded (Kouijzer et al., 2013).

A 2021 systematic review covering 20 studies and 443 children describes results that are often encouraging, but low-quality evidence, protocols that differ widely from one study to another and very few long-term follow-ups (van Hoogdalem et al., 2021).

What research suggestsavenues still to be confirmed

  • Some participants learn to modulate their EEG activity.
  • Possible effects on certain functions, such as cognitive flexibility.
  • Possible value for associated difficulties, which still needs to be studied.

What it does not showso far

  • A reduction in autistic characteristics.
  • A lasting benefit demonstrated by large-scale trials.
  • A validated standard protocol for ASD.

In its recommendation adopted on 8 January 2026, the HAS lists neurofeedback among the interventions that are not recommended for ASD, “because the studies have an insufficient level of evidence”. The recommended comprehensive interventions are developmental and behavioural. They should start as early as possible and be supplemented by targeted interventions (communication, independence, schooling, etc.). The HAS also warns against any method that claims to eliminate the manifestations of autism or that requires other forms of support to be stopped.

Our position. We do not present neurofeedback as an intervention for autism. We respect the HAS recommendation and make this clear to families. If support is considered, it focuses on specific associated difficulties (anxiety, sleep, attention), in agreement with the person, their family and the professionals who support them.

What can be worked on, alongside other care

Anxiety and emotions

Cardiac coherence and breathing biofeedback makes the physical signs of stress visible, so that you can learn to calm them.

Sleep

Evening routines, relaxation, winding down: this work takes place after a medical sleep assessment.

Attention

When ADHD is also present, training follows the same principles as those described on our Neurofeedback and ADHD page.

For children’s sleep, our article on sleep disorders in children with ADHD explains how to spot problems and the right habits to adopt, which are also useful for many autistic children.

How support works at the centre

Biofeedback sensors and gels used in sessions
Biofeedback sensors: heart rate, breathing, muscle tension.

The sensors only record: they send no electrical current. We take time to show them, let the person handle them and go at a pace that respects their sensory sensitivities.

First conversationHistory, needs and goals defined with the person and their family.
qEEG assessmentA map of brain activity compared with a normative database, along with questionnaires.
TrainingTailored neurofeedback and biofeedback sessions, with breaks if needed.
Follow-up assessmentMeasuring changes and adjusting goals.

The qEEG assessment cannot diagnose autism or define “autistic profiles”: it is used solely to guide the choice of training targets. To find out more about the whole process, see the programme: from qEEG assessment to training.

Complementary support. Neurofeedback and biofeedback are methods for training self-regulation. They do not replace diagnosis, recommended interventions, or medical, educational or therapy follow-up. Medication must never be stopped or changed without the advice of the doctor who prescribed it.

Frequently asked questions

Does neurofeedback target autism itself?

No. Autism is part of who the person is and is not a target for training. The HAS does not recommend neurofeedback for ASD, owing to insufficient evidence. Support can only target associated difficulties, such as anxiety or sleep, and any decision is made on a fully informed basis.

Can the qEEG assessment confirm a diagnosis of autism?

No. An ASD diagnosis is clinical and is the responsibility of specialist teams. The qEEG assessment describes brain activity at rest and only helps to choose training targets.

My child doesn’t like being touched: are the sensors a problem?

The sensors send no current and do not hurt. We introduce them in advance, the child can handle them, and we move forward step by step, respecting their limits.

Sources

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