Autistic children and young people may have found disruption to routines and support during the COVID-19 pandemic particularly difficult, emotionally and socially. Also, if the child or young person becomes unwell with COVID-19, they may struggle to manage the physical experience. You can help to manage these experiences using any strategies that you know work for them, or by seeking further advice and support, as well as talking to the child or young person’s education setting. Autistic children and young people may struggle to recognise the emotions they are feeling and to communicate them to others, for example anxiety or low mood. Be alert for changes in behaviour which may help you to identify their emotional state, for example increased agitation, physical symptoms of anxiety or changes in sleeping and eating. It is important to be honest when communicating with the child or young person you care for about the changing situation, measures they can take to stay safe, and the symptoms of the virus. Try to avoid giving definitive statements about the future – this is a rapidly developing and changing situation and the child or young person may be more distressed if things change when they were told they would not. Children and young people with autism often find change more difficult. Let the young person you care for know in the most appropriate way for them if arrangements change so they are prepared. You will know the child or young person best, so consider their own specific needs when deciding when and how to let them know what the new arrangements will be. For example, visual strategies (such as social stories, pictures, timetables or timers) or visiting new places when it is quiet or virtually may help them prepare for any changes. It is also helpful for children if there is a consistent approach between home and school, so communicating closely with staff at school or college can be supportive. If helpful, ask your health professional for advice. You should continue to access support of local autism groups online or via phone. The National Autistic Society guidance on managing anxiety might also be helpful. Autistica also provide support and information, including an Autism Helpline.