08/03/2023
Autism was assumed for many years to be a condition that only affected men. When I was 6 I was diagnosed with dyslexia and dyspraxia. At the end of the report were the words “if we had observed these presentations in a boy, the threshold for Autism would have been met”. I was fortunate in having a school that saw what I needed and allowed me to thrive.
Sadly even today when there is a better understanding around autism and women there are still so many misconceptions and missed opportunities to support girls and women on the spectrum. Successful education in recent years in the media has meant that there is a greater understanding of the signs to look out for in an individual who may have autism. Most of these are still from a male perspective. Remember just because the action may not be the same, it doesn’t mean that the reason isn’t.
A common conception of an autistic boy would be repetitive rocking or flapping of hands as a form or a stim. An autistic girl may not present in this stereotypical way and might instead twirl their hair for example. This action is more subtle and may not be picked up so readily.
Many autistic girls outwardly seem more sociable than autistic boys. This isn’t because girls find social situations easier, but as a general rule they are better at masking. This means that they might be able to appear to cope in situations that autistic boys wouldn’t but the impact on them afterwards can be greater.
In the past year I have heard of several girls who have been denied diagnoses because they are “too sociable” or “they are able to communicate too well” or “they are not stimming”. An incorrect diagnosis is disastrous for anyone regardless of gender but an understanding of the different ways in which autism presents in women and girls is essential.