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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.
How to Deal with Overstimulation in Autism: A Comprehensive Guide
If you’ve ever felt overwhelmed or experienced physical discomfort because of bright flashing lights or the buzz of a crowded room, you may have gotten a glimpse of what overstimulation feels like for an autistic person.
Put simply, overstimulation (also known as sensory overload) occurs when sensory stimuli become too much to handle. There’s just too much sensory information overwhelming your brain. Every sound, color or scent piles up until it feels like everything’s in overdrive. It can range in severity from mildly uncomfortable to physically painful. Research has found that about 90% of autistic individuals struggle with sensory processing, which can lead to feeling overstimulated. Some autistic people will also have co-occurring sensory processing disorder, which deepens the impact of unpleasant sensory stimuli.
Understanding and managing overstimulation is important because it allows us to recognize the warning signs and use effective coping mechanisms. Whether you're a loved one to someone with autism or an autistic adult yourself, learning to notice and reduce sensory overload can make a huge difference in everyday comfort and overall well-being.
Comprehensive Guide to the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2)
While Prosper Health is a neurodiversity-affirming practice, diagnostic criteria and assessments often use deficit-focused language that isn’t neurodiversity-affirming. We chose to include some of this deficit-based language—which does not reflect how we would usually write about autism—in this article for the sake of accurately portraying diagnostic materials.
DEAR MAN: A DBT Skill for Asking for What You Need and Saying No
A few years back, a new friend invited me to the restaurant where she worked so we could hang out after her shift. When I arrived, she was nowhere to be found — and when I texted her, she explained she’d gone home because it was too hot. I was really frustrated and wished she’d told me about the change of plans before I left my house.
Cue my response: “Okay, I understand,” signed with a heart for good measure. If only I’d known of the DEAR MAN DBT skill!
The DEAR MAN technique comes from DBT’s interpersonal effectiveness module, which teaches strategies for asking for what you need, setting boundaries, maintaining relationships, and protecting your self-respect. It exists because sharing our true feelings and opinions can be hard. Many of us — especially those who are autistic or otherwise neurodivergent — have been afraid to speak up, advocate for ourselves, or ask for change. Setting boundaries, including saying “no,” can also be challenging.
This isn’t a personal failing, and it doesn’t mean we’re bad at communicating. It does mean that, at least in certain situations, we might benefit from structure. “DEAR MAN helps because it provides a predictable framework for navigating difficult conversations,” says Jacqueline Shinall, PsyD, a clinical psychologist at Prosper Health.
In this article, we'll discuss how to use DEAR MAN skills to ask for what you need and say "no," deal with common challenges, and adapt the skill if you’re autistic or have ADHD. We’ll also explore how to practice ahead of time using a DEAR MAN worksheet.
Navigating Autism: Essential Reads for Understanding and Supporting Adults on the Spectrum
Receiving an autism diagnosis as an adult is often the culmination of years of wondering and researching. For others, a diagnosis is just the beginning.
There’s an almost insurmountable amount of information to sort through for autistic adults, adults who suspect they’re autistic or loved ones of a newly diagnosed adult.
You might have a lot of questions: What exactly is autism spectrum disorder? How do I support myself through this diagnosis? How can I best support my loved one?
No matter what answers you’re searching for, there are plenty of wonderful books about autism to help you on your journey to understand autism and everything that comes along with it.
Embracing Autism Acceptance Month: Moving Beyond Awareness to Inclusion and Understanding
April is Autism Acceptance Month, a time to champion autistic voices and to embrace the strengths and diversity of the autistic community.
Originally, Autism Acceptance Month was known as Autism Awareness Month. It was first conceived by psychologist Dr. Bernard Rimland in 1970, and then officially designated as a national awareness month in April, 1988.
In 2011, however, the Autism Self-Advocacy Network (ASAN), in collaboration with the autistic community, began commemorating Autism Acceptance Month instead of Autism Awareness Month. Autism Awareness Month focused more on the condition’s deficits, or even as something to be “fixed,” but Autism Acceptance Month proudly emphasized autism as an identity.
As someone with an autistic daughter, I’ve seen the benefits of an “acceptance” approach firsthand, rather than approaches that minimize her neurodivergent traits. She thrives in inclusive environments where her self-stimulatory behavior (or “stimming”) is welcomed.
“Acceptance shifts the default from ‘the autistic person should adapt’ to ‘the people and systems around them share the work of making life accessible,’” explains Marie Masse, who identifies as autistic.
This article will cover what Autism Acceptance Month is and provide clarity around why it was changed from Autism Awareness Month. We’ll also delve into, with the help of several autistic voices, what acceptance actually means in daily life, and how to embrace and encourage real inclusion every month of the year.
Autism and Depression
Depression is one of the most common diagnoses to co-occur with autism spectrum disorder. As many as 40% of autistic individuals will have depression at some point during their lives. Researchers don’t have a definitive answer as to why––but many believe social stigma, mistreatment and insufficient support have to do with it.
Understanding the link between autism and depression can go a long way toward helping autistic individuals manage, or even move past, depression.
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