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Prosper Health's Autism Resource Center
Featured Article
Social Cues and Autism: Why the "Missed Signals" Narrative Gets It Wrong
Consider this: a coworker asks you to complete a task, “whenever you get the chance,” and you take it at face value. Two days later, you find out the request was urgent, and your coworker assumed their tone made that obvious. Or another example: you're mid-conversation with a friend, and something in their face shifts. You notice it, and you're also tracking their tone, their words, and your own response, all at once. By the time it's processed, the moment to say something has passed.
If either scene felt familiar, you’ve probably been told that you missed something obvious. Maybe you’ve been called hard to read, rude, oblivious, cold, or “bad at people.” But inside, you know that’s not really what happened.
These messages put the entire problem on one person in a conversation between two people. This article looks at autism and social cues, including why social cues can be harder to read for some autistic adults, why misunderstanding is often mutual, and what can help in situations where it matters most.
Misophonia and Autism: Why Certain Sounds Feel Unbearable, and What to Do About It
Do certain everyday sounds — like slurping, tapping, or chewing — send you into a whirlwind of distress or discomfort? Perhaps it’s not just emotional, but also physical, and you can’t shove down the reactions no matter how hard you try. If this feels relatable, you might have a common condition called misophonia.
Research suggests a possible link between misophonia and autism. Autistic individuals are more likely to have sensory sensitivities, after all. In any case, misophonia is “a nervous system response and not a cognizant decision,” says Jacqueline Shinall, Psy.D., a psychologist at neurodivergent-affirming telehealth provider Prosper Health.
Delane, a 27-year-old autistic woman, experiences misophonia due to “human sounds” like eating. “It just feels like someone constantly poking at the same spot, to the point of overstimulation and irritation,” she says. “It takes a lot of self-control to not lash out.”
Let’s take a closer look at what misophonia is, what research shows and doesn’t show about its connection to autism, and how to manage it. Whether you're wondering whether misophonia may be a sign of autism, are autistic and want to understand misophonia, or are simply looking for relief, there's no wrong reason to be here.
The Fear of Being Perceived in Autistic Adults
Let’s say you’re about to go to lunch with a colleague, but you just need to make a few last tweaks on a task.
Your colleague is happy to wait for you and remains quiet while you finish up, but it doesn’t matter. You still feel like you’re being watched. Suddenly, your anxiety skyrockets, and completing your work task now feels impossible with your coworker standing idly by.
Many call this the fear of being perceived — and it’s become a viral shorthand for a much broader feeling — but for autistic and ADHD adults, there’s usually something more concrete that’s happening behind the scenes.
Autistic content creator Morgan Foley even made a video illustrating the fear of being perceived, in which she not only demonstrates how this feeling can present in several scenarios (work, socializing, chores, etc.), but also the thoughts going through her head in that moment.
After reading this article, you will be able to recognize this type of fear as a specific, explainable pattern connected to neurodivergence, understand why it hits differently depending on your neurotype, and identify at least one concrete step toward feeling safer while still being yourself.
Most importantly, this article will help you to answer the question, “Why do I hate being perceived?”
Black and White Thinking: What It Is and Why It Happens
“If I can’t do this project perfectly, I shouldn’t have this job, should I?”
“OMG, my friend canceled our coffee meetup. I knew she never really liked me.”
“My partner forgot I wanted to see The Odyssey this weekend. I think our relationship is in trouble.”
If any of these internal monologues sound familiar, it’s not because someone gained access to your innermost emotions: It’s because these thought patterns are more common than you may think, and they’re known as black-and-white thinking.
Before we delve into these patterns more deeply, know this: It’s okay if you’re unsure whether your black-and-white thinking is a problem, a trait, or both, even if you’ve been told that you tend to “overreact” or that you “can’t see nuance.” Examining this kind of dichotomous thinking doesn’t mean it’s a flaw to be fixed or even a symptom of a specific disorder.
These patterns are just one part of who you are, and you deserve to understand what exactly black-and-white thinking is, what’s driving these patterns, and if you should pursue support.
Navigating Friendship on the Autism Spectrum: Strategies for Success
Making friends while having autism spectrum disorder can feel complicated, exhausting or even discouraging—especially when social rules seem unclear or your way of connecting doesn’t always match what others expect. Many autistic people grow up being told they’re “too much,” “too quiet” or “too blunt,” which can make reaching out feel risky. You might have been burned before or feel unsure about how to move from casual interactions to deeper connections.
But friendship doesn’t have to follow a neurotypical script to be meaningful. When you understand your own social needs, boundaries and communication style, it becomes easier to build relationships that feel safe and authentic. While every person’s experience is different, there are some common challenges autistic individuals can face when it comes to friendship. Thankfully, there are also practical, affirming strategies for forming connections in ways that honor who you are.
Whether you’re looking to make one solid friend or expand your community a little at a time, friendship is possible—and you deserve it.
Navigating Autism and Gender Dysphoria: A Journey Towards Identity and Acceptance
For many people living with autism spectrum disorder (ASD), exploring gender identity can feel especially complex. Research and community experience consistently show that autistic individuals are more likely to identify as transgender, nonbinary or outside the traditional gender binary than the general population.
That doesn’t mean being autistic causes someone to be transgender or vice versa. Instead, this should be a wake-up call to understanding how neurodivergence can shape people's experience and expression. For example, this can lead to an autistic person questioning social norms more often and feeling less pressure to conform to the traditional gender role for their assigned gender or sex.
Understanding this intersection is crucial. Gender dysphoria is often just one part of a broader autistic identity that deserves affirmation, respect and support. Recognizing how autism and gender diversity interact helps reduce stigma, improve mental health outcomes and empower autistic individuals to live more fully as their authentic selves.
What Are the Best Jobs for Autistic People? A Guide to Supportive Work Environments
Finding a job isn’t easy for anyone in today’s economy, but it can be especially challenging if you're an autistic adult. Many jobs demand constant masking, sensory tolerance, and unspoken rules that can be very hard to sustain long-term. Studies suggest that nearly 40% of autistic adults are unemployed or underemployed in general.
That said, if you’re autistic and hunting for a job, or helping an autistic loved one in their job search, you have good reason to stay optimistic! Autistic brains are uniquely suited to thrive in all kinds of employment settings; you just need to know what to look for. Work environment is also especially important because adequate accommodations can make or break the sustainability of a role. It’s all about finding where you fit in and feel supported.
Because everyone can use help navigating their job search, we’ve put together this guide of autism-friendly jobs and other supports that are available to autistic adults.
How to Find the Right Therapist for Autistic Adults: A Practical, Affirming Guide
For over a decade, Ana David has had a therapist who truly sees, understands, and cares for her. But even she can attest to the difficulty of finding a therapist for autistic adults. Before she found her current therapist, David had several traumatic experiences in the healthcare system.
Unfortunately, David’s story is all too common. Many autistic people have had negative experiences in therapy. If this is true for you, you’re not the problem. Typically, the real issue is a mismatch in therapeutic approach.
The effectiveness of therapy for autistic adults depends heavily on the therapeutic relationship, says Dr. Kelly Whaling, Research Lead and Licensed Clinical Psychologist at Prosper Health. It also depends on whether therapy is adapted to your personal support needs. These may be quite different from those of people whose cognitive function aligns with social norms (also known as neurotypicals). That’s why autism affirming therapy is so important.
In this guide, we’ll explore how to find a therapist who truly supports you on your terms, so that you can be partners on your journey toward better mental health.
How to Regulate Your Nervous System: A Guide for Autistic Adults
For me, nervous system dysregulation begins at the center of my body: a quaking, liquid feeling that leaves me unsettled. I have episodes of verbal shutdown, and may engage more in stimming: rocking back and forth, humming to myself, and bouts of anger that have no outlet. It’s in times like these that I try and re-center myself through deep breathing, reducing sensory input, and leaning on my support systems.
Autistic people often experience heightened nervous system responses, which can lead to dysregulation, especially in overwhelming environments. This can lead to chronic stress, shutdowns, meltdowns, and sensory overwhelm. Addressing dysregulation can improve quality of life, positively impacting physical health, emotional regulation, sensory processing, and mental health over all.
In this article, we’ll discuss tools to help autistic adults shift out of dysregulation and offer strategy suggestions to become more regulated and maintain equilibrium. However, as always, it’s best to consult with a healthcare professional before starting any new therapeutic techniques.
All About Interoception: How You Sense Your Body From the Inside
Noticing internal body signals, like hunger, thirst, or pain, is something many adults don't think twice about. But for people with interoception differences, staying on top of these cues can be a daily challenge.
Lucy*, who identifies as a “late-diagnosed AuDHD-er” shares that anytime she hyperfixates on a task, paying attention to her body’s cues is almost impossible. She even had to set goals for herself in therapy to ensure she stayed hydrated and used the bathroom regularly.
If Lucy’s experiences sound familiar (perhaps you don’t always remember to grab a drink or something to eat until you’re ravenous!) then your body might also experience interoception differently from others.
This is a common trait in neurodivergent people, and the more it’s understood, the better equipped you’ll be to support yourself and others.
In this article, we’re going to explore what exactly interoception is, how it works in the brain, how it shows up differently in autistic adults, and how to increase awareness of interoception differences.
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