Autism in Adult Women: Often Missed, Deeply Misunderstood
Autism doesn’t look the same in everyone — and for many adult women, it’s been overlooked for years. Often masked behind social coping strategies, perfectionism, or quiet struggles, autism in females is underdiagnosed and misunderstood.
Many women on the spectrum go through childhood without a diagnosis. They may be labeled as shy, sensitive, anxious, or “just quirky.” They might excel in academics or work but quietly struggle with sensory overload, social fatigue, or rigid routines.
Why is autism harder to recognize in women?
Masking: Many autistic women consciously or unconsciously mimic others to fit in, which hides their traits.
Different expressions: While males may exhibit more external behaviors, autistic females often internalize — leading to anxiety, depression, or eating disorders.
Bias in diagnostic tools: Traditional autism diagnostic criteria were developed with male behaviors in mind.
Thus, the cost of late or missed diagnosis in females is higher: burnout, identity confusion, and a long history of feeling “different” without knowing why.
But diagnosis isn’t about labeling — it’s about understanding. It’s about validating experiences, accessing support, and embracing a neurodivergent identity.
If you’re an adult woman who’s always felt out of step with the world — it’s okay to ask questions. You’re not alone, and you deserve clarity and community.
Above article provided by the collaboration of Dame (Dr.) Georgiana Farrugia Bonnici – MD, MSc Family Medicine, BSc (Hons). Radiography
Diplomas in Mindful Mental Health, Cognitive Behavioural Therapy, Nutrition & Dietetics, Homeopathy & Reflexology, Creative Writing & Interior Design

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