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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 Autism and College: Challenges and Support for Autistic Students
Transitioning to college is a significant life change for all students, but for autistic folks, this transition often presents additional challenges. College life, with its complex academic demands, new social interactions and often overwhelming environments, can be a difficult adjustment for autistic people.
Autistic students may face barriers not only in academics but also in navigating the social, emotional and environmental aspects of campus life. Understanding these challenges and implementing appropriate support is essential to ensure that students can thrive in higher education settings.
What is Identity-First Language, and Why Use It?
Most of us were taught that it is best to use “person-first language” when referring to disabilities. Person-first language intentionally separates a person from the disability, as in saying “person with diabetes” rather than “diabetic person.” This intends to emphasize the individual over their disability, showing that the disability does not define the person. However, not everyone views their disability as something that can, or should, be separated from them.
This is why identity-first language—as in saying “autistic person” rather than “person with autism”—is important to the autistic community. Many autistic people prefer identity-first language because it acknowledges that being autistic is a core part of who they are.
Sensory Overload in Autistic Adults: Why It Happens and How to Cope
For autistic and neurodivergent adults, sensory overload can feel like it hits all at once. Imagine you’re in a crowded restaurant. At first, the talking all around you becomes intrusive, and you can’t concentrate on the person across from you, no matter how hard you try. Then, the repeated sound of clinking of glasses and forks on porcelain intensifies, grating at your nerves, and the smell of perfume on the woman next to you becomes unbearably strong.
Suddenly, you’re in full-body panic mode because this combination of sensory experiences is simply too much. Allistic people can compartmentalize and block out these types of input, but autistic people often cannot.
Sensory processing differences—formerly referred to as a “sensory processing disorder”—are the variations in how the brain receives, interprets, and responds to information gained through your senses from the environment and the body. Autistic people’s sensitivity to stimuli will vary depending on the individual.
Sensory overload, on the other hand, can happen when a neurodivergent person’s brain becomes so overwhelmed by sensory information in an environment (think: sights, sounds, smells, textures) that their body goes into a state of panic and fight or flight mode.
“Sensory overload, or strong sensory input, can often be described as ‘physically painful’ or ‘making my skin crawl’ by autistic adults,” says Jackie Shinall, PsyD, head of reliability and quality assurance at Prosper Health. “For example, they don’t necessarily feel anxious or stressed by the input, but rather uncomfortable overall, especially physically.”
While anyone can experience sensory issues and sensory overload, they are especially common among autistic adults and neurodivergent people more broadly. In fact, a 2021 study published in the Journal of Autism and Developmental Disorders surveyed autistic adults and found that 93.9% reported being extra sensitive to sensory experiences. Autism and sensory overload often go hand-in-hand.
If you have questions about sensory overload in autistic adults, you’ve come to the right place. In this article, we'll cover what sensory overload is, why it happens, what it feels like, and how to prevent and recover from it.
How to Get Tested for Autism as an Adult: A Comprehensive Guide
Have you ever thought about getting tested for autism?
Perhaps because, as both a child and an adult, you’ve always felt misunderstood or out of sync with your peers. You could never quite put your finger on why you were different, but deep down, you knew there had to be an underlying reason. As our collective understanding of autism and diverse neurotypes grows, more and more people are realizing their autism might have been missed when they were kids and are now seeking a diagnosis in adulthood.
The day we received my daughter’s autism diagnosis, it felt like the world finally opened its doors to our family. But so many autistic individuals have lived their entire lives without knowing they are neurodivergent, and as a result, aren’t getting the support they need. Luckily, it’s never too late to get an autism diagnosis, but the process can feel intimidating. Where do you even start? Especially when autism testing options for adults, as well as data on autistic adults, are still relatively limited.
For example, the Centers for Disease Control estimates that 1 in 45 adults in the United States is autistic, but many are undiagnosed.
The good news is that there is growing recognition of the need for more accessible and respectful autism assessments and diagnoses. This has led to a push to improve the overall autism testing process for adults in recent years. According to a study published in JAMA Network Open, the rate of diagnosis in young adults (age range: 26-34) rose 450% between 2011 and 2022.
Getting yourself tested for autism can feel like an overwhelming task. That’s why Prosper Health is here to provide you with a step-by-step, supportive guide that will give you everything you need to know about the diagnostic process, from self-reflection to post-diagnosis support and resources.
ADHD vs. Autism: Understanding the Differences and Overlaps
There is not a day that goes by that I don’t ask the question, “Is it ADHD or autism?”
As the parent of an AuDHD child—AuDHD being a colloquial term used to describe the dual diagnosis of both autism and ADHD—I still have difficulty differentiating between the two diagnoses. Is her stimming an autism or an ADHD trait? Which of her Individualized Education Plan (IEP) accommodations at school are tailored to her autism, and which ones are tailored to her ADHD? How is her ADHD medication affecting her autism traits?
My experience is with my 9-year-old daughter, but this dilemma is equally accurate for many adults. If you’re neurodivergent in any capacity, you’ve likely had moments where you’re comparing your characteristics, trying to determine if they could be a sign of autism, ADHD, or both.
AuDHD is becoming increasingly common among neurodivergent people, and those with both diagnoses deserve a clear understanding of autism and ADHD, and what it means when they co-occur.
That said, the two conditions are not the same! Many people will only get diagnosed with one condition or the other, so it's essential to understand how they differ.
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What Is Stimming? A Guide to Autistic Self-Regulation and Expression
Self-stimulatory behavior, or "stimming", is a physical behavior used by autistic and other individuals (including those who are allistic) to regulate emotional or sensory stress, sensory seek, and/or express their emotions. In autistic people, stimming is often repetitive and is a way to calm their minds and bodies.
Personally, I have stimmed my entire life in many ways. Notably, I am always carrying a rolling stim toy with me. It helps to ground me when I get anxious, or when the noises in a room are too loud or overwhelming.
Everyone stims, whether they realize it or not. If you’ve ever bounced your knee while bored, or clicked a pen open and closed, you’ve stimmed. But for autistic folks, stimming serves a key role in sensory and emotional management. It’s not something to fix, but rather something to understand.
In this article, we’ll explain what stimming is, why it happens, and how to support yourself or someone around you who stims.
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