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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 Meltdowns: Effective Strategies to Support Autistic Adults
Meltdowns are an extremely overwhelming experience for autistic people. In the throes of total overload, it can be difficult to identify and meet one’s own needs. While preventing and managing meltdowns is a skill many autistic adults can and do have, knowing how to help an autistic loved one during a meltdown can be an important way to show support.
Alexithymia and Autism
Everyone will, at some point in their lives, find themselves at a loss for words when describing how they’re feeling. When it occurs on occasion, it’s human nature. However, if the challenge to name or express emotions is a prevailing theme in someone’s life, it may be a sign of alexithymia. While primary alexithymia is relatively uncommon, the odds of having alexithymia traits are much higher in autistic people.
OCD and Autism: Understanding the Differences, Overlaps, and Support Options
Having autism and obsessive-compulsive disorder (OCD) can be confusing for people with both conditions, especially because there are so many similarities between OCD and autism. It can also be a puzzle for people trying to figure out if they have autism or OCD.
However, overlapping traits, such as repetitive behaviors, can sometimes lead to an overall misunderstanding of the support people with these co-occurring conditions may need. This is mainly because although the characteristics of both autism and OCD are alike, the underlying reasons behind those behaviors are rather different.
As with autism, people with an OCD diagnosis are considered neurodivergent because they respond to the world differently than neurotypical individuals.
No matter where you are in your journey toward understanding OCD and autism (whether you’re considering an evaluation or have recently received a diagnosis), this article unpacks the differences between these conditions, as well as where they overlap. In addition, we’ll discuss understanding what it means to have both autism and OCD, as well as the supports available to you.
Advocating for Inclusion: The Role of the Social Model in Disability Empowerment
Most people know someone who has a disability––or they have a disability themselves. According to the census, 13.4% of the total population in the U.S. is disabled. This means 44.1 million people live with various challenges, from ambulatory to cognitive to visual.
Disabilities can be visible or invisible, such as autism or mental health conditions. In addition to the great variations in disability, there’s also more than one way to view the concept of being disabled.
Many autistic folks have engaged in discussion at one point or another about whether being autistic is a difference or a disability. This answer can change depending on which model through which we see autism. In the medical model, autism itself is the cause of a disability, but in the social model, autism is a difference, and it is the environment that disables us.
Read on to explore the differences between the medical and social models of disability.
Special Interests and Autism
Most autistic individuals have one or more special interests. A special interest is an intense fixation that far exceeds a typical hobby or passion. An autistic person will typically have the desire to devote large portions of their time, and sometimes large portions of their money, to their special interests. Neurotypical people can and do experience fixations or passions, but having a special interest is a trait strongly associated with autism.
Here’s what you need to know about special interests, how they manifest, the benefits of encouraging them, and more.
Understanding Autism and Relationships: Navigating Love, Family and Friendship
Many autistic people experience relationship challenges—whether they’re romantic or platonic—in environments shaped around non-autistic social norms. Some unwritten rules and behaviors don’t necessarily come naturally to neurodivergent people.
Christal Castagnozzi, a clinical and school psychologist who received a late autism diagnosis, says that while she had friends growing up, there was an “underlying sense of being misunderstood.” She feels she “struggled to access deeper, more meaningful connections,” and ultimately believed she didn’t belong, even when her friends included her in their social activities.
Even in romantic relationships, Castagnozzi says she had difficulty “interpreting cues, flirting, [her partner’s] intentions, and emotional subtext.”
If any of these experiences sound familiar, you are not alone. But more importantly, the challenges of autism and relationships are not a personal failing. They are often due to differences in communication style, sensory processing, social expectations, and mutual misunderstanding between autistic and non-autistic people. Castagnozzi says what made a difference for her was forming relationships with neurodivergent individuals who provided “less pressure to mask and more space for directness and authenticity.”
In this article, we’ll examine how autism shapes all kinds of relationships, the roots of certain challenges, and practical strategies for effectively navigating relationships.
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