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Many adults with autism often go undiagnosed because their symptoms are subtle or misinterpreted.

Autism in Adults

Autism is a neurodevelopmental condition that can be challenging to recognize in adults. Many people, particularly women, mask their symptoms unknowingly. This masking makes it difficult for others, including medical professionals, to identify the signs.

For instance, Kory Andreas, a 43-year-old from Maryland, was often perceived as overly passionate and struggled with small talk and sensory sensitivities. Her diagnosis of autism spectrum disorder (ASD) came only in 2023 after she became a counselor for neurodiverse clients and recognized similarities with her patients.

Common Autism Signs in Adults That Are Often Ignored

Difficulty in Social Settings

Adults with autism might find social interactions overwhelming. They may struggle with reading social cues, maintaining eye contact, and engaging in conversations. These challenges often lead to difficulties in forming and keeping friendships. As noted by Dr. Sarah Quaratella, this is because people with ASD process social information differently.

Intense Focus on Interests

People with autism often have deep, intense interests. They may become highly knowledgeable about a particular topic and prefer to talk about it exclusively. This intense focus can sometimes interfere with their daily responsibilities and social interactions. Dr. Michelle Gorenstein-Holtzman highlights how such passionate interests can dominate a person's life.

Sensitivity to Sensory Stimuli

Many adults with autism are highly sensitive to sensory inputs such as lights, sounds, textures, and smells. This heightened sensitivity can lead to discomfort and avoidance of certain environments. Dr. Gorenstein-Holtzman explains that even minor sensory inputs can cause significant internal distress for people with ASD.

Need for Routine and Predictability

A preference for routine is common among adults with autism. Changes in their daily schedule can cause significant stress and anxiety. They might also be particular about the organization of their personal spaces. Dr. Quaratella notes that disruptions to routine can severely impact a person's ability to function.

General Anxiety and Depression

While not symptoms of ASD per se, anxiety and depression often accompany autism. Navigating a world designed for neurotypical people can be exhausting and lead to mental health challenges. The constant effort to conform to societal expectations can result in what is known as autistic burnout, characterized by emotional exhaustion and heightened stress.