Autism in Women and Girls: Signs and Diagnosis

Autism in Women: Signs, Masking & Diagnosis

As our understanding of autism evolves, it’s becoming clear that autism in women presents differently to autism in men. This difference has contributed to widespread underdiagnosis and misunderstanding. As a psychologist who works with many neurodivergent individuals, I’ve seen the real-world impact of this diagnostic gap.

Women on the spectrum often possess incredible strengths, yet these are often overlooked or misunderstood by traditional educational and workplace systems—costing individuals and society greatly.

The Male Bias in Autism Diagnosis

For years, autism research focused largely on males. This created a diagnostic framework based on male behaviours and interests, such as:

Clear social difficulties
Restricted interests (often in stereotypically “male” topics like trains or technology)
Observable stimming behaviours
Literal language interpretation

However, autism in females frequently presents in more subtle, internalised ways, making it harder to identify.

Masking: Why Autism in Women Often Goes Unseen

One of the main reasons autism in women goes unnoticed is the tendency to mask or camouflage autistic traits. Women are often more socially motivated and face greater pressure to conform to societal expectations, making them more likely to suppress their traits.

Common signs of masking in autistic women include:

Social scripts and mimicking others’ behaviour
Internalised stimming or emotional self-regulation
Special interests that appear “typical” (e.g. animals, art, books)
Emotional intelligence despite social communication challenges

Many women who mask their autism experience anxiety, burnout, and a profound sense of disconnection.

The Cost of Masking Autism in Females

While masking helps individuals function in social environments, it comes at a steep cost. Chronic masking can lead to:

Exhaustion and social burnout
Anxiety and depression
A fragmented or hidden sense of identity
Delayed diagnosis (often in adulthood)
Difficulty accessing effective support
Relationship strain
Health issues and medical gaslighting

At Redman Gall Psychologists, many of our adult clients are women who’ve only recently discovered they are autistic after years of misdiagnosis or confusion.

Signs of Autism in Women and Girls

Identifying autism in girls and women requires looking beneath the surface. Some common signs include:

Perfectionism and high-functioning anxiety
Sensory sensitivity (often internalised)
Strong interest in justice, equality, animals, or niche topics
Fatigue after social interaction
Private meltdowns or shutdowns
Executive dysfunction masked by overworking
Eating disorders (often atypical presentations)

Many of these traits overlap with the Highly Sensitive Person (HSP) profile. Books like Divergent Mind by Jenara Nerenberg explore how ASD, ADHD and HSP traits overlap in women—especially those missed by traditional assessments.

Why Diagnosis Matters

Getting a proper autism diagnosis can be life-changing. Many of our clients express a sense of relief, clarity, and empowerment after understanding their neurodivergent identity.

Diagnosis also:

Enables access to NDIS and other support
Informs more effective treatment of co-occurring conditions
Improves relationships through self-awareness
Provides language for self-advocacy
Helps health professionals avoid medical gaslighting

It’s critical that clinicians are trained to recognise autism in women, and that diagnostic criteria continue to evolve to be gender-inclusive.

Moving Forward: Creating Space for Neurodivergent Women

We need systemic change to better support women with autism, including:

Research that includes female-focused studies
Training for healthcare providers on female autism presentation
Better accommodations in schools, workplaces, and health systems
A neuroaffirming, individualised approach to development and support

At Redman Gall Psychologists, we specialise in autism assessments for women and girls and provide neuroaffirming psychological support.

Feeling Different? You’re Not Alone

If you’re a woman who’s always felt “different” or if you’re a parent concerned about your daughter, seeking a professional autism assessment may be the first step toward understanding and support.

👉 Book an adult ASD assessment

👉 Learn more about autism in girls

Understanding ASD in Women and Girls