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Prosper Health's Autism Resource Center
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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.
What Are Signs of Autism in Adults? A Guide to Autistic Traits and Self-Discovery
When you picture someone with autism, there’s a good chance that a child comes to mind. Maybe your nephew or a member of your child’s class is diagnosed, so you’re familiar with some of the behaviors associated with the condition...or at least how they show up in children. But millions of autistic adults exist too, since autism is a distinct neurotype, not something you grow out of.
However, if the condition wasn’t assessed already in childhood, it can be harder to spot as an adult. In fact, the Centers for Disease Control and Prevention (CDC) estimates that one in 45 adults is autistic, and even more are likely undiagnosed.
Though there are many shared traits between the age groups, autism can present differently in adults than in children, which is something we'll discuss in depth within this article. But fundamentally, the signs of autism in adults include a range of characteristics like:
- Social interaction and communication differences
- Self-soothing and self-regulatory behaviors
- Sensory and processing differences
- Special interests and activities
- Emotional regulation and cognitive traits
If you suspect you may be autistic, you likely know the journey toward diagnosis isn’t so straightforward. It can be confusing and frustrating! Especially since no two people with autism are the same, and everyone has their own unique combination of strengths and challenges.
On top of that, many adults tend to mask their autistic behaviors to fit in with their neurotypical peers, oftentimes without even realizing it. Plus, thanks to gender and cultural bias and other stereotypes, countless autistic adults are overlooked due to their more subtle presentation of the condition.
That’s why Prosper Health is here to provide you with a clear, inclusive, neurodivergent-affirming breakdown of adult autism signs: what they are, why they’re often missed, and what to do if they resonate.
Understanding Autism and Relationships: Navigating Love, Family and Friendship
Autism can shape how individuals experience relationships, bringing unique strengths like honesty, loyalty, and focus. However, autism also creates challenges related to interpreting social cues or expressing emotions. These differences can easily lead to misunderstandings.
Autistic people thrive in relationships with clear communication and mutual understanding. For instance, they may prefer direct communication or need time to recharge after sensory overload. When these needs are respected, it fosters trust and support.
Autism Support Needs, Not Labels: A Guide to “Levels”
As an adult diagnosed first with autism as a child and again as an adult, I have witnessed firsthand the change in the way the DSM, or The Diagnostic and Statistical Manual of Mental Disorders, has changed to affirm autistic people. In 2013, the DSM updated its resources with an eye to supportive care.
Rather than labeling autistic people with misleading descriptors like high-functioning, low-functioning, or others, experts now categorize autistic individuals based on levels (one, two, or three). These levels indicate varying degrees of support needs, which are often fluid and can change over time.
Mental health professionals and patients can now navigate autism support without labels, a notable step forward in recognizing the individuality of care.
This DSM change also did away with the term pervasive developmental disorder, which encompassed disorders such as Aspergers and child disintegrative disorder. Instead, they were replaced by autism spectrum levels.
Kaila Hattis, MA, LMFT, founder and therapist of Pacific Coast Therapy, explains, “The change focuses less on what someone has to more on what someone needs, and changes the way families access services and disperse information on what their loved one needs."
While these three levels of autism don’t capture the full picture of autism spectrum disorder, they’re a move in the right direction to fuller, more nuanced autism treatment.
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Understanding Rejection Sensitive Dysphoria in Autism: A Guide for Autistic Adults
Do you ever feel intense emotional pain when faced with the slightest bit of criticism? Or, does rejection send you into a spiral of shame and avoidance? For some people, these are signs of rejection sensitive dysphoria (RSD).
Rejection sensitive dysphoria is an intense emotional response to perceived rejection, criticism, or failing to meet expectations. In both autistic and allistic (non-autistic) people, it manifests as an acute sensitivity to rejection, often leading to feelings of deep emotional pain, anxiety or depression when an individual believes they’ve been dismissed or judged negatively.
For autistic individuals, RSD may manifest differently than typical rejection sensitivity. Emotion regulation challenges may mean that their emotional response to perceived rejection can be more intense and long-lasting, often leading to avoidance of social situations or heightened anxiety about relationships and social interactions. This can create a cycle where fear of rejection limits opportunities for connection and support. Differences in social communication, such as struggling to interpret nonverbal and other social cues, could also exacerbate RSD for autistic adults.
Read on to learn more about RSD, its psychological impacts and how to cope.
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.
Understanding Autism and Sleep: Navigating Sleep Patterns in Autistic Adults
Restorative sleep is essential for maintaining overall good health, influencing both mental and physical well-being. However, for many autistic adults, quality sleep feels out of reach.
Sleep challenges, such as trouble falling asleep or staying asleep, are some of the most common complaints among adults with autism spectrum disorder (ASD). Some autistic people may sleep too much or too little, have irregular sleep patterns or struggle with other diagnosable sleep disorders.
Read on to learn about sleep challenges associated with autism spectrum disorder, factors contributing to sleep struggles and how to get better sleep.
Unlocking the Power of Self-Care: A Guide for Autistic Adults
For autistic adults, self-care plays a crucial role in managing the unique challenges of life on the spectrum. By prioritizing self-care, autistic individuals can improve their mental health, enhance daily functioning and build resilience against stress and sensory overload.
However, self-care isn't always straightforward for autistic adults. Sensory sensitivities, executive functioning difficulties and social expectations can make implementing and maintaining self-care routines more challenging. Overwhelm from day-to-day demands or a lack of accessible resources may also hinder efforts to practice self-care effectively.
Despite these barriers, self-care can become an empowering tool for autistic adults with thoughtful planning and individualized approaches. By addressing these challenges head-on and finding strategies that work, self-care can support emotional well-being, strengthen independence and lead to a more positive and sustainable quality of life.
How to Develop a Daily Routine For Autistic Adults
According to the diagnostic criteria outlined in the DSM-V, individuals with autism spectrum disorder (ASD) exhibit a preference for sameness and routines. Most people, both neurodiverse and neurotypical, have routines or schedules they like to stick to. The difference between neurotypical and neurodiverse routines is how someone reacts when their routine is disrupted.
Neurotypical individuals may experience frustration if their routine is thrown off, but they can usually go with the flow and adapt without too much stress. For an autistic individual, however, a disruption to their routine is often quite distressing and may even lead to a meltdown. To outsiders, an autistic individual’s stress when facing a change of plans may seem disproportionate, but routine is essential to an autistic person’s well-being.
Autism in Adult Women: Why We’re Underdiagnosed and Undersupported
When you think of autism, who do you picture? Many people may envision a young boy—maybe he’s fixated on toys like model trains or rocking back and forth to stim. But what about a little girl playing out the same scenes with her dolls on a loop or a woman constantly playing with her hair?
There’s a reason these images don’t come to mind for many—men and boys are around 3 to 4 times more likely to be diagnosed with autism spectrum disorder than women and girls. This isn’t because of sex-based neurobiological differences, or at least not fully. Most researchers and advocates recognize that autism presents differently in women and girls than in men and boys. Autistic women are underdiagnosed because traditional models don’t recognize their traits as autistic, leaving huge gaps in support for autistic adult women and in broader awareness of their experiences.
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