An increasing number of adults have begun questioning whether they may have autism, often after noticing lifelong struggles with social interactions, routines, or sensory sensitivities. For many, the realization comes later in life when work environments, relationships, and personal expectations demand more complex social navigation. Some, like Natasha Nelson, have spent years feeling out of sync with societal norms before finally receiving a diagnosis.
Nelson, a 35-year-old entrepreneur from Stone Mountain, Georgia, never fully understood why small talk dominated initial conversations or why making a bed was considered necessary. A few years ago, she was diagnosed with autism after her youngest daughter received the same diagnosis. The discovery answered years of uncertainty. Reflecting on her journey, she encouraged others to seek clarity, asking, “If your life has always felt like it was in chaos and you don’t feel comfortable and you don’t feel like you thrive, what have you got to lose?”
Autism spectrum disorder affects individuals in different ways, often influencing language skills, social communication, and behaviors. Many autistic individuals rigidly adhere to routines, develop deep interests in specific topics, or struggle with nonverbal cues like eye contact and body language. While early screening and diagnosis can occur as young as 18 months, countless individuals grow up without recognizing their own neurodivergence.
A surge in adult autism diagnoses has emerged in recent years, largely due to increased awareness and discussions surrounding neurodiversity. Many adults begin to explore their own symptoms after their children receive a diagnosis or after encountering experiences shared on social media. A study published in JAMA Network Open last year revealed a staggering 452% increase in autism diagnoses among adults aged 26 to 34 between 2011 and 2022.
Certain autistic traits remain unnoticed in childhood, particularly when environments provide stability and structured routines. However, as responsibilities grow and social expectations become more demanding, previously manageable difficulties can become more apparent. Some individuals unconsciously develop coping mechanisms to mask their autistic traits, making it even harder to recognize underlying neurodivergence. Psychologist Whitney Ence from the University of California, San Francisco, explained how adults often learn to compensate over time. “They may have learned, ‘I can’t display that in public, so I do that in private,’” she said, highlighting the challenge of unmasking ingrained behaviors.
Autism can also overlap with other conditions such as ADHD and OCD, leading to additional complexities in diagnosis. Executive function challenges, such as difficulties with attention, memory, or problem-solving, may resemble traits of multiple disorders. This overlap makes it crucial for professionals to carefully assess symptoms to ensure an accurate diagnosis.
Despite growing interest in adult autism diagnoses, many individuals struggle to access proper evaluations. A shortage of medical professionals specializing in adult autism assessments leaves many without clear pathways to diagnosis. Costs also present a barrier, as insurance coverage for adult autism testing varies widely, and private evaluations can be expensive.
For those considering an evaluation, self-reflection can offer a starting point. Identifying lifelong patterns in social interactions, sensory sensitivities, and emotional regulation can provide valuable insights. Online self-assessment tools, while not diagnostic, can help individuals determine whether further evaluation is warranted. Seeking guidance from therapists or psychologists with expertise in autism can also provide direction.
Understanding and embracing neurodiversity has allowed many adults to redefine their experiences and find supportive communities. A diagnosis can validate years of confusion and offer tools for self-acceptance. While challenges remain in accessing proper evaluation and support, growing awareness ensures that more individuals receive the recognition and resources they deserve.
Many adults hesitate to pursue an autism diagnosis due to misconceptions about who can be autistic. Traditional portrayals often focus on young children, particularly boys, leading many women and nonbinary individuals to go undiagnosed for years. The presentation of autism can differ based on gender, as many women are socialized to mimic neurotypical behaviors, making their struggles less visible. This discrepancy has contributed to a significant diagnostic gap, with many adults only recognizing their traits later in life.
Cultural perceptions also play a role in delaying diagnoses. In some communities, discussions about autism remain limited, and seeking an evaluation may carry stigma. Many individuals internalize feelings of being “difficult” or “too sensitive” without realizing these traits stem from neurological differences rather than personal failings. Without widespread education on neurodiversity, countless autistic adults continue to mask their struggles rather than seek support.
Workplace challenges frequently push adults to explore a diagnosis. Many autistic individuals experience burnout due to the overwhelming demands of professional settings. Sensory sensitivities, difficulty with social nuances, and the pressure to conform to workplace expectations can lead to chronic stress. Without accommodations, individuals may struggle with maintaining employment, often unaware that adjustments like flexible schedules or alternative communication methods could greatly improve their experience.
A diagnosis can provide more than just clarity—it can open doors to self-advocacy and support networks. Many adults find relief in discovering that their lifelong challenges stem from autism rather than personal shortcomings. Connecting with autistic communities, both online and in-person, allows individuals to share experiences, coping strategies, and resources. Finding a space where neurodivergence is embraced rather than misunderstood can be life-changing.
As awareness continues to grow, more professionals are working to improve accessibility to autism assessments for adults. While barriers remain, ongoing research and advocacy efforts aim to expand diagnostic services and reduce stigma. Seeking a diagnosis remains a deeply personal decision, but for many, it represents the first step toward greater self-understanding and empowerment.