Recognizing the Signs of Autism in Girls

Autism, or Autism Spectrum Disorder (ASD), is a neurodevelopmental condition that affects individuals across a wide spectrum of abilities and characteristics.

Historically, autism has often been associated with boys, and diagnostic criteria were primarily based on male presentations. This bias has led to underdiagnosis or misdiagnosis in girls with autism.

Recent research has highlighted the distinct ways in which autism may manifest in girls, making it essential to recognize the signs of autism in this population. In this essay, we will explore the unique signs and challenges of autism in girls, emphasizing the importance of early identification and support.

Subtle Social Differences

  1. Camouflaging: Girls with autism often excel in imitating or mimicking social behaviors, making their social challenges less noticeable than in boys. They may engage in "camouflaging" by imitating their peers, which can mask their difficulties in understanding social cues and relationships. This camouflaging can lead to exhaustion and increased stress.

  2. Friendship Difficulties: Girls with autism may have difficulty forming and maintaining friendships. They may struggle with the intricate rules of social interactions, such as sharing secrets, navigating group dynamics, or understanding non-verbal cues.

Communication Patterns

  1. Echolalia and Scripting: While both boys and girls with autism can exhibit repetitive speech patterns (echolalia), girls may use these scripts to engage in social interactions. They may repeat lines from movies or books as a way to participate in conversations, even if they struggle with spontaneous communication.

  2. Sophisticated Vocabulary: Some girls with autism develop an extensive and advanced vocabulary. However, this can be misleading, as they may struggle with pragmatic language skills, such as initiating and maintaining conversations, taking turns, or understanding sarcasm and humor.

Sensory Sensitivities

  1. Internalizing Sensory Issues: Girls with autism may internalize their sensory sensitivities, making them less obvious to others. They might not display overt reactions to sensory stimuli but could still experience discomfort or distress internally.

  2. Selective Sensory Focus: Some girls may develop intense interests or hobbies related to sensory experiences, such as collecting and organizing objects with specific textures or colors. These interests can be a way to cope with sensory sensitivities.

Restricted and Repetitive Behaviors

  1. Special Interests: Girls with autism often have unique, intense interests that may be similar to those of boys with autism. However, their interests might focus on topics that are perceived as more socially acceptable, like animals, literature, or art.

  2. Rituals and Routines: Girls may have rituals and routines, but these can be less rigid or noticeable compared to boys with autism. They may be more likely to adapt to changes in routines when necessary.

Masking and Mental Health Challenges

  1. Emotional Regulation: Girls with autism may struggle with emotional regulation, leading to anxiety, depression, and internalized stress. Their difficulties in social situations and their efforts to mask their challenges can contribute to these mental health issues.

Recognizing the signs of autism in girls is crucial for providing early intervention and support. Girls with autism often exhibit subtle and distinct patterns of behavior compared to their male counterparts, which can lead to underdiagnosis and delayed intervention. It is essential for parents, educators, and healthcare professionals to be aware of these differences and to consider autism as a possibility when observing social, communication, sensory, or repetitive behavior challenges in girls.

By improving early identification and support, we can help girls with autism thrive and reach their full potential.


By: Casey Garcia (she/her), a high school student in Bay Area, California. A food she could eat everyday is popcorn.

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Brief Overview on what Autism is