How do I know if I’m autistic?

Some people with autism spectrum disorder (ASD) don’t get diagnosed until later in childhood, or even as an adult. This is especially common for people with so-called ‘high-functioning’ autism, whose language and academic skills are typical — or even higher than average. Though they may struggle in social settings, their behaviors are often labeled as “quirks,” or simply “who they are,” leaving these individuals feeling isolated and misunderstood.

If you live with a niggling feeling of: Why does everything feel harder for me than it does for other people?, and some of the following scenarios feel familiar, it may be worthwhile to consider an autism evaluation. 

Do you find social situations confusing or draining? For people with autism, social situations are often difficult to navigate. Jokes or sarcasm may not land right away, and fast-moving conversations may be hard to follow.

Do everyday environments feel overwhelming? Many people with autism find everyday environments overwhelming. You may get drained from listening to your coworkers' chatter, and be overwhelmed by the sounds and smells of a shopping mall.

Do you struggle with unexpected change? If someone runs late or plans shift suddenly, does that throw you off? Difficulty with change is a common characteristic of people with autism.

Do you have sensory sensitivities? You might prefer certain fabrics and clothing because they “feel right,” or find yourself bothered by bright lights, loud noises, or someone standing too close to you.

Do you have deep, focused interests? Some people with autism connect intensely with specific subjects and can focus on for long stretches. It may be frustrating when others don't share — or can't quite understand — that level of enthusiasm.

Do some of the above feel familiar, yet you’ve managed life until now without a diagnosis, and are wondering whether it’s worth pursuing one? 

Many individuals with autism develop coping strategies known as “masking” or “camouflaging” — adapting their behavior, consciously or unconsciously, to blend in with those around them. You might maintain eye contact even when it feels uncomfortable, mentally rehearse what to say before speaking, or mirror the mannerism of others to get through social situations.

While masking can appear as success on the surface, it often comes at a cost, leading to exhaustion, anxiety, or burnout over time. For some people, getting a diagnosis brings a sense of clarity, and helps them understand themselves in a new way.