Does insistence on sameness include wanting others to follow the same routine in autism?

PostedDecember 10, 2025

UpdatedDecember 10, 2025

ByMy Patient Advice

Author: Beatrice Holloway, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

The idea of autism and social routines is key to understanding how insistence on sameness can extend beyond personal habits. For many autistic people, predictability doesn’t just apply to their own actions, it can also include how others behave. This highlights how autism and social routines shape expectations of order in shared environments, such as family life, school, or work.

Researchers suggest that an insistence on others following rules often comes from a need for stability. If one person’s actions break a familiar pattern, it can feel unsettling or even distressing. In this way, shared routines in autism can create comfort and security, helping individuals know what to expect. However, disruptions whether someone uses a different plate at dinner or skips part of a group ritual may trigger anxiety. These reactions reflect sameness expectations, where others are expected to help maintain the sense of order that feels safe.

How this may appear in everyday life

Here are some ways autistic individuals might want others to join in or follow routines:

Family settings

A child may want everyone to sit in the same spot at the dinner table each night.

School or work

An individual might expect peers or colleagues to follow rules exactly as written, without exceptions.

Social rituals

Shared greetings, traditions, or group activities may be strongly preferred to happen in the same way every time.

Recognising these patterns helps create more understanding and flexible support.

Visit providers like Autism Detect for personal consultations and guidance.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Insistence on Sameness.

Beatrice Holloway, MSc

Author

Beatrice Holloway is a clinical psychologist with a Master’s in Clinical Psychology and a BS in Applied Psychology. She specialises in CBT, psychological testing, and applied behaviour therapy, working with children with autism spectrum disorder (ASD), developmental delays, and learning disabilities, as well as adults with bipolar disorder, schizophrenia, anxiety, OCD, and substance use disorders. Holloway creates personalised treatment plans to support emotional regulation, social skills, and academic progress in children, and delivers evidence-based therapy to improve mental health and well-being across all ages.

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, 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.