Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder that affects people of all genders, races and backgrounds.
However, there have been significant gender differences in the prognosis and perception of autism. For many years, stereotypes of autism have primarily described young boys with social problems, repetitive behaviors, and severe peculiar interests.
This distorted perception means that many girls and women with autism spectrum disorder are under-recognized or misdiagnosed, as symptoms also manifest differently. In this blog post, we explore the symptoms of autism in girls, aiming to draw attention to them and encourage early diagnosis and intervention.
Breaking stereotypes
Social camouflage: Autistic women regularly develop coping mechanisms to hide their social difficulties. They are adept at mimicking and imitating the behavior of their neurologically normal friends, making it difficult for them to recognize their struggles in social interactions. This masking can lead to feelings of exhaustion and an experience of not being true to themselves.
Unique Hobbies: Extremely unique hobbies are a common trait of autism, but in girls they tend to be less masculine. Girls’ hobbies may also align more closely with typical girl leisure activities and themes, such as animals, literature, art, etc. These unique interests can be a source of great passion and understanding.
Sensory sensitivities: Sensory sensitivities are not unique to autistic men. Women can also experience noticeable sensory sensitivities and feel emotionally and physically overwhelmed. Common sensitivities include aversions to certain textures and textures, and strong reactions to bright lights and loud noises. read more
Empathy: Contrary to the stereotype that autistic people lack empathy, women on the autism spectrum often experience extreme levels of empathy that can be emotionally overwhelming. They have trouble processing the emotions of others and distinguishing them from their own.
Communication challenges: While it is true that some women with autism struggle to communicate verbally, some have a strong vocabulary and prefer to communicate through writing, which they find more satisfying, makes them feel special, and allows them to communicate their thoughts and feelings more effectively.
Autism diagnosis in women
Diagnosing autism in women can be difficult due to the differences in symptom presentation mentioned above. Here are some tips for medical professionals, educators, and family members:
Understand odd symptoms: Be aware that autism can manifest differently in men and women. Look for broader symptoms such as social nervousness, excessive recreation, sensory sensitivity, and hiding behavior.
Get complete data: Get detailed records that include behavioral observations and data on early development. Understanding a person’s early childhood behavior and developmental milestones is crucial for a proper analysis.
Focus on self-report: Focus on the individual’s experience and self-report. Women with autism spectrum disorder often have accurate insight into their challenges and strengths.
Seek a professional evaluation: Speak to a specialist who has experience diagnosing autism in girls and women. These professionals can pick up on the subtleties of the situation and provide a more accurate evaluation.
Autism is not limited to a particular gender or age group. It is a diverse and multifaceted condition that affects different individuals differently. To break away from the stereotypes that have obscured our understanding of autism for so long,
We need to understand that women and those with autism spectrum disorder may exhibit different symptoms and behaviors. By promoting awareness and appreciation, we can help ensure that everyone with autism has the support and resources they need to thrive. Early diagnosis and intervention are essential for everyone with autism spectrum disorder, regardless of gender.
Autism Analysis and Prevalence
Autism diagnoses have traditionally been most common in childhood, when differences from neurotypical peers may first become apparent.
However, in recent years, the costs of adult studies have increased significantly, especially as diagnostic criteria have been broadened so that people who did not receive an autism diagnosis in adolescence may now meet the current diagnostic criteria (Happé et al.
(2016). Language: We use “autism” to refer to the scientific diagnosis of autism spectrum disorder because some in the autism community feel that the label “disease” creates stigma, highlights the problems and downplays the strengths associated with autism.
For similar reasons, we use identification-preferential language throughout (‘autistic male or female’) to respect the choices of the majority of autistic people (Kenny et al. 2016 ).
Adjustments to diagnostic criteria leading to an increase in standard diagnostic levels include merging previously separate diagnostic classes (including “autism” and “Asperger syndrome”) into a single “autism spectrum disorder” class ( Murphy et al., 2016 ).
There has been a wealth of research exploring the needs and experiences of individuals seeking an autism diagnosis in adulthood (Crane et al. 2018), focusing primarily on the difficulties autistic girls experience when receiving an autism diagnosis, the motivations of which are discussed in more detail below.
As there are no reliable biomarkers for autism, the condition is recognised behaviourally, based on the observation and profile of core characteristics that have a “clinically significant” impact on normal functioning (American Psychiatric Association 2013; World Health Organisation 2018).Estimates of the prevalence of autism are regularly updated.
Latest estimates suggest an incidence rate of 1 in 69 in the USA (Christensen et al. 2018), while in the UK it is estimated to be 1 in 59 (Russell et al. 2014). Incidence estimates are most frequently determined in more developed Western countries.
(e.g., Randall et al. 2016), and they tend to be higher than would be expected for low-income countries (Elsabbagh et al. 2012), suggesting that other countries have significantly higher rates of autism.
This includes African and Asian countries where autism is not diagnosed due to lack of support or access to medical and educational institutions (Hossain et al. 2017; Mpaka et al. 2016).Rather, there are lifestyle factors that may increase the incidence of autism in developed countries.
Autism spectrum disorder (ASD) is often under-diagnosed or misdiagnosed in girls because symptoms may present differently or be atypical than in boys. It is important to be aware that autism is a wide spectrum and girls and women with ASD may exhibit the following symptoms:
Does autism manifest differently in women?
Autistic women need to be diagnosed (or understand they are autistic) so they can be recognised and supported.
But because of stereotypes about what autism is and who has it, many autistic girls and girls struggle to receive a diagnosis, are diagnosed shortly after birth, or are misdiagnosed with something other than autism.
The autistic traits of girls and women may differ from those of other autistic people. They may appear to have fewer social difficulties than autistic men and boys, but this may be due to the fact that they are more likely to ‘hide’ their autistic traits.
(Although the stress of doing so can cause anxiety and frustration.) At school, autistic girls are more likely to join peer groups, which may be why teachers don’t notice their differences. They also get overlooked when their educational achievements mask the difficulties they experience in other areas.
Many of the core features of autism are “repetitive behaviors” and highly focused interests. Classic examples of these include rocking back and forth and an interest in trains.
However, in the case of autistic girls and girls, these behaviors and hobbies, such as twirling their hair or reading a book, are almost identical to those of non-autistic girls and girls and therefore may be ignored, despite the deep concern and awareness shared by autistic people.
Doctors and other health professionals may lack knowledge about how autism manifests differently in women and girls, meaning women may be misdiagnosed with intellectual health disabilities or autistic traits may be overlooked among symptoms of co-occurring disorders.
Some devices used to diagnose autism are designed to detect the more severe autistic traits that are more common in autistic men and boys, meaning the tests are not as sensitive to traits that are more common in autistic women and girls.
Why are men more likely to be diagnosed with autism?
The higher rate of autism diagnoses among adult males than females has been the subject of extensive research and debate. Several factors contribute to this significant gender bias in the analysis of autism.
Diagnostic bias and criteria: Traditionally, diagnostic criteria for autism were based on studies and observations of boys with the condition. These criteria may not fully capture the different symptoms of autism seen in women and girls. Diagnostic criteria have evolved over the years, and in recent years, there has been an increased awareness of the different symptoms that autism can exhibit, especially in women.
Camouflage and concealment: Girls and women with autism often have excellent social camouflage abilities, meaning they may be good at mimicking social behaviors and hiding their autistic tendencies in the right circumstances. This ability to blend in socially can make autism even more difficult for clinicians to understand.
Typical behaviors: Typical behaviors commonly seen in autism, such as repetitive behaviors or very specific hobbies, are more prominent in boys but may be less common or more subtly expressed in girls. This can lead to delayed diagnosis in girls.
Social expectations: Social expectations and gender roles can influence perceptions of autism. For example, a girl who is quiet and well-behaved in social situations may not receive as much attention as a boy with similar characteristics.
Research bias: Many early autism studies were conducted primarily with men, and their perceptions may have skewed our understanding of the condition and its symptoms.
Prejudice and gender stereotypes: Social expectations and gender stereotypes that women are naturally more empathetic and sociable can make people hesitant to give women an autism diagnosis.
Co-occurring conditions: Girls with autism are likely to suffer from co-occurring conditions, such as tension or depression, which may mask the underlying autism diagnosis.
It is essential to recognize that these factors contribute to the underdiagnosis of autism in women, but they do not mean that autism is less common in women. Perception of autism continues to evolve,
There is a growing desire to assess and diagnose people based on their exact characteristics and appearance, regardless of gender. Efforts are being made to address this bias and provide more accurate diagnoses and support for all people on the autism spectrum. read more