Anxiety in autism can wreak havoc on functioning. It can be challenging under the best of circumstances, but downright nightmarish for someone who cannot use language. Although we still have a long way to go, the role of anxiety in autism is increasingly being recognized and therapies have been developed or adapted to meet this need. I offer six steps to address anxiety for nonverbal people with autism. Modify the specifics to match the age, developmental level, and preferences of the person you are supporting.