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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.
Dorsal Vagal Shutdown: When Your Nervous System Goes Offline
When Aaron, 35, experiences dorsal vagal shutdown as an autistic person, his body feels massively heavy and isn’t as responsive as normal. Mentally, everything feels more taxing.
“I feel uncoordinated because even just moving around and existing takes significant effort,” he says. “If I try to power through those moments, it feels like pulling myself out of a vat of sludge, and then moving around still covered in it.”
Simply put, dorsal vagal shutdown is “a state of overwhelm of the nervous system,” explains Jephtha Tausig, PhD, a licensed clinical psychologist specializing in autism. It commonly occurs in autistic and neurodivergent adults, like Aaron.
Although people have started to use the term “dorsal vagal shutdown,” and it appears in online discourse, there is no strong empirical evidence that we can measure or isolate a discrete dorsal vagal shutdown state in autistic adults, says Dr. Rachel Loftin, PhD, chief clinical officer at Prosper Health.
For the reasons above, we’ll focus on what the science clearly supports and what people reliably experience, and provide examples of support that can help.
Is Autism Genetic? What Science Actually Shows
Autism diagnoses have increased by about 300% over the past 20 years, along with a rise in more widespread understanding about this neurological condition. While the phrase “knowledge is power” comes to mind, the more we understand autism, the more questions about its origins and causes inevitably arise.
When I received my daughter’s autism diagnosis, part of me was relieved. My suspicions had been confirmed, and we could now obtain much-needed accommodations. At the same time, countless questions were spilling out of my brain as quickly as I could form them.
- “Did I do something unhealthy in my pregnancy?” (Answer: No)
- “Is there a connection between my neurodivergent brother and my husband’s autistic nephew? (Answer: Probably)
- “How did our genetics play a role in my daughter’s diagnosis?” (Answer: It’s complicated; more importantly, no one is to blame, and no one gene is responsible)
- “Is there an autism cure?” (Answer: No, because autism is not a disease and doesn’t need to be “fixed”)
The truth is, there remains a lot of confusion around the causes of autism—specifically on the subject of genetics—even though we know so much more about this condition now than we did only a decade or two ago.
Still, everyone deserves to understand why they are the way they are, without fear, guilt, or shame. Our goal with this article is to help you understand the relationship between autism and genetics, as well as to clarify common misconceptions about genetic inheritance, the process by which DNA is passed down from parents to children.
But above all, we’re here to remind you that humans, whether neurotypical or neurodivergent, are so much more than their genetic makeup.
Understanding the Link Between Autism and Alcohol Use
As a young teenager, Chelsey Flood felt drawn to alcohol for the reasons many people do. She felt that it gave her access to a more confident version of herself and the ability to relax in group settings.
Although she was never officially diagnosed with a disorder related to alcohol, Flood started to choose drinking over almost everything else. This kept her from living the life she truly wanted to live—enjoying hobbies, practicing healthy habits, and looking after herself.
After Flood became sober in her early 30s, she learned the main reason social settings came as such a struggle to begin with: she is autistic. Recent research suggests that alcohol addiction is more common among autistic people than previously believed.
While many people ask about the link between autism and alcoholism, we won’t use the latter term. Instead, we will use the term alcohol use disorder (AUD). This reflects that the condition is a treatable disorder and a clinically defined, spectrum-based term that is more precise and less stigmatizing.
In this article, we’ll explore the relationship between autism and drinking, why some autistic adults are more vulnerable to alcohol misuse, and why it can be especially risky for them. We'll also learn why standard recovery models can be tough for autistic adults, and what autism-affirming recovery support looks like.
Unmasking: What It Means for Autistic Adults and How to Do It Safely
For autistic people, masking—presenting yourself in a way, either consciously or unconsciously, to fit in better in a neurotypical world—can be both necessary and exhausting. That’s where the concept of “unmasking” comes in.
Unmasking is the process of making space for your autistic or neurodivergent traits to shine through in your day-to-day life. It's about working toward honoring your unique brain and what it needs, slowly letting go of the pressure to appear neurotypical.
“Unmasking, in the simplest terms, is about letting your nervous system participate in your life instead of fighting it all day,” says Stephanie Steele-Wren, PsyD, a licensed psychologist specializing in adult autism. “It isn’t about turning into a different person or suddenly being ‘your real self.’ Unmasking is the gradual decision to stop overriding your nervous system to appear ‘acceptable.’”
But it’s important to note that autistic masking exists for a reason, and unmasking is not mandatory. Like most things related to autism, it’s not black and white. That’s why we’re here to break down what you need to know about unmasking, why it can be beneficial (when done safely), what it looks like in practice, and what supports can help.
Sensory Processing Disorder in Adults: What It Feels Like
Let’s say you’re taking a walk, enjoying the bright sunshine and fresh air, when suddenly, a loud, smelly garbage truck speeds by. For most neurotypical people, it’s just a brief hiccup in their otherwise peaceful stroll.
But for adults with sensory processing disorder—or the more affirming, sensory processing differences—the truck’s fleeting noise and stench can cause sensory overload, thus destroying whatever pleasure they might’ve been getting from their morning walk.
Sensory processing disorder presents a tricky situation for adults, because while it is a very real condition, it is not a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5-TR). But this grey area doesn’t diminish how difficult and potentially isolating sensory overwhelm can be as an adult.
In this article, we’ll explain what sensory processing disorder is, why it’s not a formal diagnosis, how it can present in adults, how it relates to autism, and what supports exist for those who experience sensory overload.
Why Do I Get Overstimulated So Easily?
As an author, much of my life is spent at crowded bookstores, meeting readers and signing books. Sometimes I go to conventions, where sensory input is dialed up to eleven: cue buzzing lights, loud crowds, music, and bright colors.
Without fail, after any stressful author event, as an autistic person, I hit a point of overstimulation, where I reach a maximum capacity for sensory input. Often, I become overwhelmed and incapacitated, sometimes shutting down. It can take time to reduce overstimulation, but I’ve learned to anticipate my sensory needs, so I avoid it as much as possible.
Overstimulation is something that many people experience—especially those who are neurodivergent. In this article, we’ll cover why some people get more overstimulated than others, and how to take steps to support your unique brain the next time sensory input becomes overwhelming.
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