2. Inspired Warrior Coping Toolkit

Research into autism continues to focus on men and, in the case of neuroimaging research, there is an ascertainment bias (meaning that males are specifically selected in favour of females as research subjects) of up to 15:1.4

The fact that girls with autism tend to have a more pronounced drive to be sociable suggests that it stems from the inherent differences between boys and girls in terms of their need for social relationships.

Based on surface appearances, then, girls and women with autism appear to be more socially adept than their male counterparts. This difference is one of the main reasons for the misdiagnosis, and underdiagnosis, of female autism. Autistic women have to work really hard at being sociable, but they can become so skilled at it that other people can’t see the difficulties they’re having.

In my own experience, when I first approached my GP about a diagnosis, he dismissed me as being “too normal.” My client, Sandra, experienced a similar reaction. “My GP told me that I smiled, made eye contact, and that because I was married with kids and a job which involved a high degree of social interaction, there was no way I could have autism.”

Part of the diagnostic criteria for autism in the DSM-5 is “restricted, repetitive patterns of behaviour, interests or activities”10—and in this area, girls and women often have different types of interests from men with autism. Boys may be extremely interested in collecting items and gathering information about objects or categories of things—which fits into how we typically think of autism. But while girls may display the same intense level of interest as boys, their interests tend to appear more “normal.”

Girls with autism are often interested in similar things as other girls of their age, such as celebrities, bands, or ponies. Thus, the fact that they are more interested, sometimes to the point of obsession, often goes unnoticed by parents.

Some girls develop a special interest in the workings of the brain and social interactions and some become obsessive about a “crush” or romantic partner, again displaying the intensity of interest but towards things which can be considered “normal."

Given that girls and women experience the drive to be more sociable than men and boys with autism, it makes sense that they also tend to use more, and different, camouflaging tactics than men. "Camouflaging" is a technique used by both men and women with autism—as well as many neurotypical people—to pass as “normal” in a given situation. Women with autism use techniques such as developing a script for conversations, forcing themselves to make eye contact, or avoiding talking about subjects that interest them.

Many women with autism become particularly skilled at camouflaging, to a far greater degree than other people (including autistic men). But camouflaging is linked to mental health issues—including depression, anxiety, and suicidality—and the degree to which women camouflage is closely linked to their mental health.

Because women still tend to take on a greater share of domestic responsibilities, many women with autism find it hard to manage their own autistic needs while still fulfilling their expected roles of daughter, mother, or wife. Much as they would like to pursue their special interests, carve out alone time, and lead a life that meets their needs, many women feel pressured to fulfill gendered expectations.

Which team succeeded in the end? The team that took consistent daily action. Why? Because what we do EVERY day defines us! Today’s progress is always compounded by yesterday’s effort, no matter how small.

In most cases, problems like these are not caused not by a physically present limitation, but by a weakness of the mind — specifically, a lack of self-discipline.

We put the hard things off until tomorrow — because the “weather” is bad — until we’ve lost our edge. We grow accustomed to the idea that things should be easier than they are, and that waiting another day or two makes the best sense. Then one day we wake up and we’re emotionally incapable of doing the hard things that must be done — it’s too late.

Remember, many great things can be done in a day if you don’t always make that day tomorrow. Take positive action and plant the right seeds in your life right now. Nature herself does not distinguish between what seeds she receives. She grows whatever seeds are planted. This is the way life works. Be mindful of the seeds you plant today, as they will become the crop you harvest tomorrow.

Some children with autism struggle with profound difficulties in social, language, and cognitive skills and might be non-verbal, while others show significant improvements as they grow older.

Previous studies had suggested that autism has prenatal origins, but no study had definitively linked early brain development with the severity of autism symptoms until now.

A significant finding was that BCOs derived from toddlers with ASD grew substantially larger—about 40% larger—than those derived from neurotypical toddlers.

“Toddlers who had profound autism, which is the most severe type of autism, had the largest BCO overgrowth during embryonic development. Those with mild autism social symptoms had only mild overgrowth.”