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How is budgeting used to support self-care spending priorities in autism? 

Author: Hannah Smith, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Budgeting is an important life skill for many people, but for autistic individuals it can be closely tied to wellbeing, independence and the ability to meet self-care needs. According to the National Autistic Society, autistic people often benefit from structured, predictable budgeting systems because differences in executive functioning can make planning, prioritising and organising expenses more difficult. Guidance from NICE CG142 also recommends daily living skills training, including financial management, to support autonomy and wellbeing. 

Understanding the concept 

Self-care spending includes essentials such as food, hygiene products, healthcare items, rest, transport and sensory supports. It can also include activities that support wellbeing such as relaxation tools, hobbies, quiet travel options or time-saving strategies. For autistic people, budgeting for these needs is often influenced by sensory differences, executive functioning strengths and challenges, and preferred routines. 

The National Autistic Society highlights that autistic people may experience difficulties with impulse spending, avoidance of important tasks or feeling overwhelmed by financial decisions. Visual budgeting tools and predictable routines can help create structure and reduce anxiety around money management. 

Evidence and impact 

Executive functioning differences are a key reason why budgeting can be challenging. The NHS Greater Glasgow & Clyde explains that autistic people may find it harder to plan ahead, keep track of spending and manage time-bound payments. Using planners, reminders, visual charts or digital tools can reduce cognitive load. 

Sensory needs also have a financial impact. Many autistic individuals rely on sensory support such as ear defenders, fidget tools, comfortable clothing, or quiet travel options to regulate stress and maintain wellbeing. The National Autistic Society notes that budgeting often needs to account for these additional items because they may be essential for daily comfort and safety, not luxuries. 

Personal health budgets and direct payments are another way budgeting supports self-care. According to the NHS, personal budgets can be used to fund care, equipment, activities or support that meets an individual’s specific needs. For autistic people, this might include support with daily routines, sensory environments or mental wellbeing. 

NHS England adds that personal health budgets can give autistic people greater choice and control over how their health and wellbeing needs are met (NHS England Personal Health Budgets). This can allow more flexible spending on what matters most, such as predictable transport, safe routines or wellbeing activities. 

The National Autism Strategy recognises budgeting and money management as core independence skills for autistic adults and young people. It highlights the importance of planning tools, supported decision-making and accessible financial education. 

Practical support and approaches 

Practical strategies can help autistic people budget in a way that supports self-care and wellbeing. These can include: 

  • Using visual tools and predictable routines. Visual budgets, spending charts or colour-coded categories can simplify information and make planning more concrete. The National Autistic Society provides step-by-step guides to managing money that break tasks down into manageable chunks. 
  • Planning for essential sensory spending. Items such as ear defenders, weighted blankets or sensory toys may be essential for emotional regulation. Making space for these in the budget supports sustainably maintaining self-care needs. 
  • Building routines for money management. Setting aside the same time each week to check balances, pay bills or review spending reduces uncertainty. The NICE CG142 guidance recommends structured skills training and routine-based approaches for financial and daily living tasks. 
  • Support and advocacy. Carers, relatives or advocates may need to help with forms, benefit applications or managing payments. The NHS and NHS England emphasise that supported decision-making can improve independence while ensuring essential needs are met. 
  • Planning spending around energy levels. Autistic fatigue or burnout can affect ability to manage finances. Predictable reminders, reduced demands and support with planning can help maintain stability. The National Autism Strategy highlights budgeting as an important part of transitions to adulthood for this reason. 

Challenges and considerations 

Budgeting for self-care may require additional flexibility due to sensory needs, transport choices, accessibility costs or the need for breaks and recovery. Many autistic people report that self-care costs, such as quiet transport or sensory-friendly environments, are not optional extras but essential supports. 

Executive functioning challenges can make budgeting exhausting, and some individuals may feel overwhelmed by long-term planning or financial forms. Periods of burnout can worsen these difficulties, making it important for budgeting systems to be forgiving and adaptable. 

There are also gaps in formal research. Most UK evidence focuses on children or transitions into adulthood, with fewer rigorous studies examining budgeting interventions for autistic adults. 

How services can help 

Health and social care services can play an important role in supporting budgeting for self-care. The NHS provides guidance on personal budgets and direct payments, which can give autistic adults more control over spending on essential supports. Local authorities and voluntary sector services often offer budgeting classes, advocacy and money-management support. 

NICE CG142 recommends that training in daily living skills including budgeting should be tailored, structured and delivered using approaches that match a person’s communication and processing preferences. Personalised support from professionals or community organisations can help autistic individuals prioritise wellbeing-related spending while maintaining independence. 

Coaching or behavioural programmes may also help people develop financial routines, manage emotional drivers of spending or strengthen organisational skills. Services like Theara Change provide educational support to build habits, routines and planning skills as part of wider wellbeing.  

Takeaway 

Budgeting can be a powerful tool for supporting self-care in autism, helping people plan for essential sensory needs, wellbeing routines and daily living costs. With structured tools, visual supports, predictable routines and personalised guidance, budgeting can reduce stress and help autistic individuals feel more in control of their self-care and independence. 

If you or someone you support would benefit from early identification or structured autism guidance, visit Autism Detect, a UK-based platform offering professional assessment tools and evidence-informed support for autistic individuals and families. 

Hannah Smith, MSc
Hannah Smith, MSc
Author

Hannah Smith is a clinical psychologist with a Master’s in Clinical Psychology and over three years of experience in behaviour therapy, special education, and inclusive practices. She specialises in Applied Behavior Analysis (ABA), Cognitive Behavioural Therapy (CBT), and inclusive education strategies. Hannah has worked extensively with children and adults with Autism Spectrum Disorder (ASD), ADHD, Down syndrome, and intellectual disabilities, delivering evidence-based interventions to support development, mental health, and well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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