Written by Ariana Waldruff
The generally accepted statistic for the rate of autism in boys vs. girls is around 4:1. However, a massive study in Sweden found that by the age of 35 the ratio is nearly 1:1. This means women and girls are being diagnosed later in life and begs the question: Why?
Autism often looks different in girls and women. Autistic girls are likely to have fewer social difficulties and less noticeable stims. While they have special interests, girls tend to find an interest that their peers also like. Girls and women are more likely to mask or camouflage. Gender stereotypes color perceptions, whether intentionally or not. Autistic traits in girls are often attributed to “feminine” traits such as shyness.
I have been diagnosed with ADHD, anxiety, depression, bipolar, and insomnia. These may be co-morbid conditions, as autism is often accompanied by other conditions, but they could be misdiagnoses for autism. I was outspoken and friendly as a child, though I was unable to maintain friendships. I was obsessed with horses, beyond the level of most of my peers, but it was a typical interest for a young girl. As I aged, my differences became more pronounced.
My first diagnosis was ADHD at age 8, quickly followed by diagnoses for depression and anxiety. I continued to flounder despite medication, leading to a bipolar diagnosis. Everyone around me maintained that I was smart and capable, but I wasn’t living up to my potential. It wasn’t until my 30s that someone brought up autism. While it’s been a great relief to have an answer for a lifetime of struggle, it’s also heartbreaking. I will always wonder what my life would be like if someone had recognized my autism when I was younger.
Take time to learn about autism in girls, advocate for them, and take strides to eliminate gender bias.
