Increasing numbers of women are receiving autism diagnoses, often later in life, as the condition manifests differently in them. As Dr. Anne Fleur Stapert, doctor-researcher with Autism Team North Netherlands, explains, "These women often master masking their challenges—appearing effortlessly social."
Autism spectrum disorder (ASD) is characterized by challenges in verbal and non-verbal communication and social interaction. For deeper insights into ASD in women, visit Femaleautismnetwork.jimdo.com.
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Statistics show autism predominantly affects males—in the Netherlands, only one in five people with ASD are women. Dr. Stapert attributes this to underdiagnosis in females: "Women naturally excel in communication and social skills from a young age. Boys may show tantrums or fixate on niche interests like galaxies, while girls observe social cues, blending in as 'shy.' They learn early to camouflage autism with socially appropriate behaviors, sustaining this mask for years."
Research confirms women with autism are often misdiagnosed—up to 45% receive initial labels like anxiety, mood, or personality disorders—due to diagnostic tools tailored to men. Progress is underway, notes Stapert: "Awareness is growing that autism presents differently in women, prompting specific assessments for camouflaging behaviors."
Women with ASD often compare themselves to neurotypical peers who juggle life's demands effortlessly, expending far more energy to do so. Stapert observes: "From childhood, they've adapted seamlessly, making camouflaging second nature. They achieve much but demand too much of themselves, losing touch with their authentic behaviors." Connecting with peers who share ASD experiences aids self-recognition and acceptance.
Rate these common autistic traits as Yes, Sometimes, or No:
Do you find it easy to have a conversation?
Yes – Sometimes – No
Do you find it easy to keep a conversation going?
Yes – Sometimes – No
Can you estimate when eye contact is appropriate?
Yes – Sometimes – No
Do you find it easy to understand others' body language?
Yes – Sometimes – No
Does attending a birthday party or social event drain your energy?
Yes – Sometimes – No
Do you intuitively know appropriate behavior in social situations?
Yes – Sometimes – No
Do you easily pretend to feel differently than you do?
Yes – Sometimes – No
Do you have a high tolerance for physical pain?
Yes – Sometimes – No
Do you easily detect sarcasm or irony (humor)?
Yes – Sometimes – No
Do you quickly become overstimulated by sounds, touches, textures, tastes, patterns, or colors?
Yes – Sometimes – No
Do you struggle to notice your own needs and boundaries?
Yes – Sometimes – No
Do you compulsively repeat certain movements when stressed?
Yes – Sometimes – No
Do you have trouble with changes to your daily routine?
Yes – Sometimes – No
Can you completely immerse yourself in a specific hobby or topic?
Yes – Sometimes – No
Do you often notice details others miss?
Yes – Sometimes – No
The more Yes or Sometimes responses, the more ASD traits you may share. Crucially, assess if these impact daily life—if so, consult your doctor for a specialist referral.
(Quiz source: Mentaalbeter.nl)
Source: Santé February 2020, text: Esmir van Wering
