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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.
CPTSD vs Autism: Similarities, Differences, and How to Get Support
Complex PTSD, or CPTSD, is a mental health condition people can develop after prolonged exposure to trauma. CPTSD is fairly common among autistic individuals, and shares a number of features with autism, like sensory sensitivity and emotional dysregulation. However, they are distinct diagnoses, differing in key areas like how and when they emerge during a person’s life and goals for treatment.
Navigating Autism: How to Identify and Cope with Personal Triggers
Autism spectrum disorder is a neurodevelopmental disorder that impacts how an individual communicates and experiences the world. Autistic behaviors may include intense and limited interests, repetitive behaviors, sensory sensitives and difficulty recognizing and expressing emotions.
Autistic individuals may experience meltdowns. A meltdown is an intense and involuntary reaction to the challenges that autism presents, like intense sensory experiences, navigating tricky social situations and emotional dysregulation.
In mental health circles, a trigger refers to an event or feeling that causes a strong emotional response. Neurotypical and neurodiverse individuals alike have triggers, and everyone’s triggers are different. A neurotypical person may feel sadness or nervousness when being confronted with one of their triggers. For autistic individuals, however, being exposed to a trigger can lead to a meltdown.
Meltdowns are stressful and incredibly unpleasant to experience. For autistic adults, meltdowns will happen occasionally, but having a better understanding of individual triggers may help them prevent meltdowns when possible.
Navigating Neurodivergence: Tips for Managing Asperger's Brain Fog
Our understanding of autism spectrum disorder (ASD) has grown significantly over the years, leading to important changes in how we diagnose and describe its various presentations. One of the most significant changes to the ASD diagnosis is the inclusion of Asperger’s syndrome as part of the autism spectrum.
Asperger's syndrome was added to the DSM-IV in 1994 but was moved underneath the diagnostic umbrella of “Autism Spectrum Disorder” in the DSM-V in 2013. Though Asperger’s syndrome is considered to be part of the autism spectrum, it presents symptoms that are similar to ASD but may be less severe or pervasive. Asperger’s is typically marked by:
- Impaired social interaction and nonverbal communication
- Restricted interests
- Repetitive behaviors
- Lack of awareness about how their actions may impact others
The main difference between Asperger’s and autism is that people who were formerly diagnosed with Asperger’s may have less severe symptoms and no speech delay. In fact, those who have been diagnosed with Asperger’s may have advanced speech and language skills.
So, while Asperger’s used to be its own diagnosis, the current diagnostic standards for autism spectrum disorder include Asperger’s. Those who may have, in the past, been diagnosed with Asperger’s syndrome are now likely to be diagnosed with level one autism or to be classified as having low support needs.
While it’s true that diagnostic standards have been updated due to the fact that Asperger’s and autism have a large overlap of symptoms, Asperger’s is no longer used also due in part to its controversial namesake. Asperger’s syndrome was first formally named by Hans Asperger after he conducted a comprehensive study on a group of children with autistic traits in 1944. Though Asperger was never an official member of the Nazi Party, he worked closely with them and cooperated with their policies, which targeted neurodivergent individuals. Asperger’s ties to nazi policies, and the harsh language he used to describe his patients is among the reasons that the term “Asperger’s” is no longer widely used.
However, even though the term is largely outdated, many neurodivergent people were originally diagnosed with Asperger’s syndrome and still resonate with it. Therefore, it’s important to approach the controversy surrounding the name with nuance.
Autism and Psychosis: Overlap, Differences and Co-occurrence
When most people think of psychosis, they think of schizophrenia—not autism. However, psychosis can be associated with several different diagnoses. Although psychosis is not a symptom of autism, it’s more common for autistic individuals to experience psychosis at some point during their lives than it is for neurotypicals.
Psychosis often involves hallucinations and delusions, where an individual perceives things that are not there or believes things that are untrue, respectively. These experiences can feel very real and quite frightening. However, many forms of support can help people thrive while reducing, managing or eliminating symptoms of psychosis.
Rejection Sensitive Dysphoria (RSD): Why Rejection Can Feel So Painful and How to Cope
Note: RSD is a popular term for an experience of unusually intense distress around rejection or perceived rejection, but it has not been established in research as a distinct clinical condition separate from rejection sensitivity or related emotional regulation difficulties.
It’s perfectly normal for breakups to hurt, criticism to sting, and being excluded to feel lousy. But for people with rejection sensitive dysphoria, or RSD, real or perceived rejection can cause severe emotional pain. This is something I’ve dealt with for as long as I can remember.
The shame, humiliation, anger, and sadness I felt when I thought I was being rejected would easily ruin my day. From there, I’d start mentally catastrophizing everything, assuming the worst possible scenario was inevitable. I didn’t have a name for this until I was diagnosed with ADHD in my 30s.
Once I found out that neurodivergent people (including autistic people and those with ADHD) often experience RSD, the extreme emotional responses I was having suddenly made sense. RSD isn’t a formal diagnosis, but a pattern of experience recognized by clinicians and neurodivergent people alike.
In this article, we'll discuss how to recognize RSD and explain why it shows up differently depending on neurotype (autistic, ADHD, neurotypical, etc). We'll also detail concrete coping strategies and paths to support.
Exploring Autism and Intimacy: Navigating Emotional and Physical Connections
Emotional and physical intimacy present unique challenges and opportunities for autistic adults. Autistic people experience romantic relationships differently, navigating complexities related to communication, sensory sensitivities and emotional expression. These issues are compounded if an autistic person’s partner doesn’t fully understand what autism spectrum disorder is or how to support their autistic partner.
However, by fostering an environment of empathy and patience, autistic individuals and their partners can build fulfilling, intimate connections that honor their unique needs and experiences.
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