{"id":16118,"date":"2023-03-07T17:26:54","date_gmt":"2023-03-07T22:26:54","guid":{"rendered":"https:\/\/last-drum.flywheelsites.com\/?p=16118"},"modified":"2024-08-19T13:40:30","modified_gmt":"2024-08-19T18:40:30","slug":"women-in-autism","status":"publish","type":"post","link":"https:\/\/autism.org\/women-in-autism\/","title":{"rendered":"Women in Autism"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:40px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h2>Article Contents<\/h2>\n<ul>\n<li><a href=\"#gender-bias\">What is the autism gender bias?<\/a>\n<ul>\n<li><a href=\"#theories\">Past theories on the autism gender ratio<\/a><\/li>\n<li><a href=\"#holistic\">Holistic understanding of the autism gender\/sex bias<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#cycle\">Real-world outcomes for autistic women<\/a>\n<ul>\n<li><a href=\"#cycle\">The cycle of late and missed\/misdiagnosis<\/a><\/li>\n<li><a href=\"#trauma\">Trauma and victimization<\/a><\/li>\n<li><a href=\"#masking\">Masking, burnout, and suicidality<\/a><\/li>\n<li><a href=\"#masking2\">Gender and masking<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#where\">Where do we go from here?<\/a>\n<ul>\n<li><a href=\"#phenotype\">Female autism phenotype<\/a><\/li>\n<li><a href=\"#expression\">Neural expression and brain organization<\/a><\/li>\n<li><a href=\"#microbiome\">Gut microbiome &#8211; brain axis (GBA)<\/a><\/li>\n<li><a href=\"#dimorphic\">Sex\/gender dimorphic GM &amp; GBA<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#binary\">Beyond the binary<\/a><\/li>\n<li><a href=\"#models\">New models for a new future<\/a><\/li>\n<\/ul>\n<\/div><div class=\"fusion-image-element \" style=\"--awb-margin-top:20px;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"2560\" height=\"746\" alt=\"female autism, women autism, women and autism, autism and gender\" title=\"women\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image.png\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image.png\" class=\"lazyload img-responsive wp-image-16127\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%27746%27%20viewBox%3D%270%200%202560%20746%27%3E%3Crect%20width%3D%272560%27%20height%3D%27746%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image-200x58.png 200w, https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image-400x117.png 400w, https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image-600x175.png 600w, https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image-800x233.png 800w, https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image-1200x350.png 1200w, https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/womens-day-image.png 2560w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><div id=\"gender-bias\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><h2><b>What is the autism gender bias?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">To correctly detail and discuss these topics, it is essential to understand that \u201csex\u201d and \u201cgender\u201d are not interchangeable. Although they are viewed as such in basic science descriptions, the extrapolation into human studies has not been critically assessed (Hines, 2019). Within the holistic view of autism, \u201c<a href=\"https:\/\/autism.org\/sexuality-and-gender\/\">gender<\/a>\u201d refers to the range of characteristics, behaviors, and social structures that define the broader culture\u2019s experience with femininity and masculinity. \u201cSex\u201d (female or male) is based on chromosomes, gonads, hormones, and genitals and is a biological descriptive which does not consider lived experiences or the influence of social and cultural structures (Mulak et al., 2022; Hines, 2019). The term \u201csex\/gender\u201d is used in this article to describe instances where sex and gender influence the same aspect(s) of investigation or care.\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"theories\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><h3><strong>Past theories on the autism gender ratio<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Historically, much research has shown that males are more affected by autism than females. One of the most consistent findings in autism research has been the male-to-female prevalence ratio of 4:1 (Nordgren et al., 2018). This ratio and observed sex\/gender differences have underpinned our comprehension of autism and simultaneously stumped researchers for decades. Explanations for these observations range from social reasoning to genetics. One prevalent theory explaining this observation is the Female Protective Effect (FPE), which posits that women have a higher carrying capacity for genetic information that links to autism. Therefore, \u201cfemales are \u2018protected\u2019 from the combined effects of autism-linked genes, such that it takes a larger number of random genetic events for them to manifest autism traits\u201d (Wigdor et al., 2022). FPE has been broadly tested, and results confirm and deny its credibility (Bai et al., 2020; Lewis et al., 2019).\u00a0<\/span><\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-1\"><div class=\"fusion-panel panel-default panel-5515f9a834a5b7ca4 fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_5515f9a834a5b7ca4\"><a aria-expanded=\"false\" aria-controls=\"5515f9a834a5b7ca4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-1\" data-target=\"#5515f9a834a5b7ca4\" href=\"#5515f9a834a5b7ca4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"5515f9a834a5b7ca4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_5515f9a834a5b7ca4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">Outside of genetics, explanations for the autism gender bias have included the Extreme Male Brain Theory (EMBT) and camouflaging. EMBT asserted that autistic individuals process and experience the world through a dominantly \u201cmale\u201d lens. The theory placed empathizing (female) and systemizing (male) on opposite ends of a gender spectrum and posited that, regardless of sex, autistic individuals tend to present more \u201cmale\u201d characteristics (i.e., patterns and systemizing) instead of \u201cfemale\u201d traits (i.e., social literacy and empathy) (Baron-Cohen, 2002; Greenberg et al., 2018). The theory of camouflaging, or compensating for and\/or masking autistic characteristics, similarly argued that autistic women present with less social difficulty than males. Specifically, research literature asserted that women are more adept at camouflaging than men and, therefore, more difficult to identify as autistic (Hull et al., 2020; Tub\u00edo-Fungueiri\u00f1o et al., 2021). While these and other theories have been widely assessed, study methods and data collection vary across experiments making corroborated evidence rare and increasing the potential for errors in analysis (Zhang et al., 2020; Jacquemont et al., 2014).\u00a0<\/span><\/p>\n<p><strong><i>Read more about the history of autism in Dr. Edelson\u2019s editorial, <\/i><a href=\"https:\/\/autism.org\/diagnosis-screening-autism\/\"><i>Past, Present, and Future of Autism Diagnosis and Screening<\/i><\/a><i>\u00a0<\/i><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Contrary to historical findings, contemporary studies calculate an autism gender\/sex ratio of 3:1, and recent investigations reveal gender biases in many diagnostic tools and assessments. Compoundingly, the autism gender gap significantly reduces when data account for autistic people without intellectual disabilities or extreme behaviors and potentially undiagnosed autistic individuals (Loomes et al., 2017; Belcher et al., 2022a). In light of such findings and without proper corroboration of historical theories, autism communities, and researchers stand, yet again, on the cusp of a monumental paradigm shift &#8211; one that will alter the foundations of autism descriptions and diagnosis. Given what we know, the autism community must consider whether the gender differences observed and understood in autism result from some mechanism we have yet to theorize or are simply a product of innate and foundational gender biases.<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cI think there&#8217;s a recognition, slow going, but a recognition that women and girls present a bit differently and that there are definitely some gender differences in terms of symptoms.\u201d<\/span><\/i><\/p>\n<p><strong>Emily Cassanova, PhD, researcher, and assistant professor <i>(Interview, 21\/02\/23)<\/i><\/strong><\/p><\/blockquote>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"holistic\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><h3><strong>Holistic understanding of the autism gender\/sex bias<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">In tandem with major social and cultural shifts over the last decade, autism research has adopted a multi-disciplinary and holistic understanding of diagnosis and treatment. Consequently, researchers are reassessing the definitions and classifications that underpin autism literature and clinical practices. Within this expanded and more critical observation of the field, previous blind spots in how we define and assess autism have been brought to light. For example, autism is no longer understood as a pediatric condition. This paradigm shift allowed for the discovery of a \u201clost generation\u201d of autistic adults who did not meet the criteria or have access to assessments and treatments in their youth. Research has further revealed that within this lost generation, self-diagnosed autistic adults are more likely to be women and female-presenting people, suggesting a skewed gender\/sex ratio across generations (Lai &amp; Baron-Cohen, 2015; McDonald, 2020).\u00a0<\/span><\/p>\n<blockquote>\n<p><i><span style=\"font-weight: 500;\">\u201cThe understanding that autism can present very differently to how first imagined [was a critical shift in the last decade]. Many of the early studies that built the conception of autism were based on young, white males. Understanding how women may be diagnosed later and manifest their traits differently, has opened up a whole door to other research on intersectionality and better inclusion of all autistic people within the research.\u201d<\/span><\/i><\/p>\n<p><strong>Dr. Hannah Belcher, autistic author and researcher (Communication 03\/03\/23)<\/strong><\/p>\n<\/blockquote>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-2\"><div class=\"fusion-panel panel-default panel-46f418bdb2ff65a6e fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_46f418bdb2ff65a6e\"><a aria-expanded=\"false\" aria-controls=\"46f418bdb2ff65a6e\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-2\" data-target=\"#46f418bdb2ff65a6e\" href=\"#46f418bdb2ff65a6e\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"46f418bdb2ff65a6e\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_46f418bdb2ff65a6e\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">Contemporary assessments of historical autism descriptions and screening tools increasingly reveal fundamental gender biases. The first detailed descriptions of autism core symptoms and behaviors published by Hans Asperger (1938) and Leo Kanner (1943) used disproportionately male participant groups &#8211; Kanner described a cohort of eight (8) males and three (3) females. Nevertheless, these early descriptions of autism created the foundation upon which subsequent diagnostic classification systems and treatment strategies have evolved. Recent research reveals that the Autism Quotient (AQ), the primary diagnostic screening tool in the UK, was validated with a significantly higher number of males than females. Copoundingly, they found that the AQ does not measure identical traits in females and males and that the ADOS-2, a golden standard assessment, shows signs of significant gender bias (Belcher et al., 2022a; Belcher et al., 2022b). Such gender imbalances within initial autism descriptions and subsequent assessment tools suggest that the recorded gender ratio is due to the absence of female voices and experiences within the research literature. Thus, the 4:1 male-to-female ratio is reflected in unrepresentative baseline descriptions and biased assessment instruments.\u00a0<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cFrom the beginning, we have not included women in the research or built our systems and conceptions of autism around their experiences\u2026 Research to date has not included equal numbers of autistic females.\u201d\u00a0<\/span><\/i><\/p>\n<p><strong>Dr. Hannah Belcher (ARI presentation, 2022)<\/strong><\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">The endless evolution of social and scientific understandings is demonstrated well by contrasting calculations and the invalidity of previous theories and descriptions in autism literature. Historically, without a \u201ctypical\u201d female autism presentation, clinicians have had little on which to base observations, diagnoses, or treatments for women and female-presenting people. However, novel autism understandings elicit necessary changes in assessment tools and intervention options. As we continue to realize, accept, and redress the lived experiences of autistic women (within and without the lost generation), the autistic identity will be redefined, allowing a better quality of life for more autistic individuals.<\/span><\/p>\n<p><strong><i>Explore related articles and webinars on our list of <\/i><a href=\"https:\/\/autism.org\/resources-for-adults-with-autism\/\"><i>Resources for Autistic Adults<\/i><\/a><\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"cycle\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-5\"><h2><b>Real-world outcomes for autistic women<\/b><\/h2>\n<h3><strong>The cycle of late and missed\/misdiagnosis<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Due to a historically incomplete description of autism (lacking the female, trans, non-binary\u2026 perspectives) and, therefore, biased diagnostic and assessment tools,\u00a0 practitioners have been predisposed to consider mental health issues in females as stand-alone conditions instead of co-occurring with autism. This often leads to misdiagnosing autism or missing an autism diagnosis in favor of a coexisting mental health issue. In fact, on average, women face a 10-year delay in receiving an autism diagnosis from the first time they present to mental health services. This is especially true for autistic women and female-presenting people who exhibit more nuanced autistic traits and do not have intellectual disabilities (Gesi et al., 2021).\u00a0<\/span><\/p>\n<blockquote>\n<p><i><span style=\"font-weight: 500;\">\u201cI think one of the most difficult parts [of receiving a late diagnosis] was really realizing how much I missed, how much I&#8217;ve been oblivious to throughout my whole life\u2026And as soon as I realized that I could do things differently, [in ways] better suited to me and how my brain works, life got so much easier\u2026 I don&#8217;t hesitate now to make little adjustments if [something]\u2019s causing me problems.\u201d<\/span><\/i><\/p>\n<p><strong>Chris Nicholson, autistic home-decor store manager and single mother of two (Interview, 21\/02\/23)<\/strong><\/p>\n<\/blockquote>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-3\"><div class=\"fusion-panel panel-default panel-78372f889ee209b3b fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_78372f889ee209b3b\"><a aria-expanded=\"false\" aria-controls=\"78372f889ee209b3b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-3\" data-target=\"#78372f889ee209b3b\" href=\"#78372f889ee209b3b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"78372f889ee209b3b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_78372f889ee209b3b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">Although a late diagnosis can provide identity and relief, the long-term consequences of missed\/misdiagnosis are often severe. Many undiagnosed individuals struggle with self-understanding and acceptance and thus suffer escalated mental health issues. The presentation of mental health issues, in turn, increases the likelihood that they will be misdiagnosed (Lilley et al., 2021; Zener, 2019). Recent studies on the mental health trajectories for autistic women found that potentially undiagnosed women were more likely to receive a diagnosis of borderline personality disorder (BPD) and that autistic women and female-presenting people with a diagnosis only received one after a series of mental health misdiagnoses, which was not the case for autistic men (Belcher et al., 2022b; Dell\u2019Osso &amp; Carpita, 2022).\u00a0<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cI took apart all the so-called symptoms [of borderline personality disorder] and, just like 10 years earlier, found I could almost make everything fit\u2026 I brought it up with my psychiatrist and he laughed\u2026 and said gently \u201cYou don&#8217;t have a disordered personality. You are neurobiologically atypical. Perhaps it may be helpful to find someone who specializes in autism spectrum disorders.\u2019\u201d<\/span><\/i><\/p>\n<p><strong>Hannah Gadsby, autistic author, comedian and actress, (Ten Steps to Nanette, Atlantic Books, 2022)<\/strong><\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">Frequently misdiagnosed conditions often prescribe medications that can alter various aspects of one\u2019s emotional, mental, and physical state. Common misdiagnoses include conditions with similar presentation to autism, such as BPD, ADHD, depression, anxiety, and schizophrenia. A recent study on misdiagnosis in autistic women found that 15% of patients attending a clinic for BPD met criteria for an autism diagnosis (Belcher et al., 2022b). Although they present similarly (e.g., self-harm, emotion regulation issues, impulsivity), BPD and other mental\/psychiatric conditions are understood to occur more frequently in women whereas, according to historical descriptions, autism is not.\u00a0<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cWe see a lot of these overlapping chronic health conditions that by and large affect women more anyways\u2026The strange thing that you see with autism versus Ehlers Danlos and other spectrum conditions is that they have slightly opposite trends when it comes to sex.\u201d<\/span><\/i><\/p>\n<p><strong>Emily Cassanova (Interview, 21\/02\/23)<\/strong><\/p><\/blockquote>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"trauma\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-6\"><h3><strong>Trauma and victimization<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Autism is often characterized by differences in how individuals interpret and act during social situations, and research literature asserts that early interventions (as young as possible) yield the most positive results for autistic individuals. However, without a diagnosis and subsequent knowledge of autism traits, autistic girls and female-presenting people frequently lack self-understanding and are, therefore, unaware of their social and neurobiological differences. Such gaps in comprehension leave autistic females vulnerable to abuse, manipulation, and <a href=\"https:\/\/autism.org\/autism-and-trauma\/\">trauma<\/a>, often for decades, as they walk the road to diagnosis (Zener, 2019). Research shows that autistic females are at three times the risk of coercive sexual victimization compared to their neurotypical peers and that autistic individuals have less sexual knowledge and experience more <a href=\"https:\/\/autism.org\/sexual-victimization-in-autism\/\">sexual victimization<\/a> than neurotypical controls (Gotby et al., 2018; Brown-Lavoie et al., 2014). Another recent study identified an association between autistic traits, childhood abuse, trauma, victimization, and PTSD, where individuals with elevated autistic traits are at higher risk (Roberts et al., 2015). Without the understanding and support that generally accompany a diagnosis, autistic females often experience victimization, which leads to increased mental health difficulties and thus continues the cycle of missed\/misdiagnosis (Jordan et al., 2010).<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"masking\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-7\"><h3><strong>Masking, burnout, and suicidality<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Masking, sometimes called camouflaging, is the conscious or unconscious adjustment and suppression of natural tendencies to \u201cfit in\u201d with social and cultural expectations. Techniques used for masking include forcing oneself to make eye contact, imitating social movements, scripting conversations, suppressing traits, and more (Pearson &amp; Rose. 2021; Sedgewick et al., 2021). This and other forms of identity management frequently result from stigma and prejudice avoidance, a required part of daily functioning for many autistic individuals across their lifetime (Belcher et al., 2022a; Hull et al., 2017). Consequences of masking can include exhaustion, threats to self-perception, increased mental health difficulties, self-injurious behavior, autistic burnout, and suicidality (Hull et al., 2017; Cassidy et al., 2018; Miller et al., 2021).\u00a0<\/span><\/p>\n<blockquote>\n<p><i><span style=\"font-weight: 500;\">\u201cI used to sit next to a person or with a group of people for hours and be so uncomfortable, and everything was wrong, but I wouldn&#8217;t want them to know [and] I didn&#8217;t want to be difficult [or] cause a problem. So I would just sit there and just suck it up. And I realized that 90% of my life was sucking it up. And I&#8217;m like other people don&#8217;t do this! Other people will say \u2018Hey, I don&#8217;t like the way I&#8217;m sitting, I&#8217;m gonna move.\u2019 I would just sit there and be so uncomfortable. I was always afraid about being misunderstood.\u201d<\/span><\/i><\/p>\n<p><strong>Chris Nicholson (Interview, 21\/02\/23)<\/strong><\/p>\n<\/blockquote>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-4\"><div class=\"fusion-panel panel-default panel-8d620dbad4ef295f4 fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8d620dbad4ef295f4\"><a aria-expanded=\"false\" aria-controls=\"8d620dbad4ef295f4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-4\" data-target=\"#8d620dbad4ef295f4\" href=\"#8d620dbad4ef295f4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"8d620dbad4ef295f4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8d620dbad4ef295f4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">Autistic burnout (AB) is a \u201chighly debilitating condition\u201d characterized by withdrawal, exhaustion, executive function problems, and increased manifestation of autistic traits. AB results from the cumulative load of stressors and barriers experienced by many autistic individuals and is significantly associated with high rates of masking and increased suicidality (Arnold et al., 2023a; Raymayker et al., 2020; Hedley et al., 2018; Kirby et al., 2019; K\u00f5lves et al., 2021). Researchers posit that much of the pressure to mask stems from a widespread lack of autism awareness and understanding due to classical descriptions and stigmas like the \u201cdeficit narrative\u201d(Bradley et al., 2021; Raymaker et al., 2020; Dinishak, 2016). Such narratives have historically shaped autism descriptions within research literature and the broader culture, creating a lack of acceptance and empathy from non-autistic people. Uninformed social expectations and a general lack of empathy inflate the need for autistic people to mask and subsequently increase the risk of autistic burnout and suicidality (Mantzalas et al., 2022; Pearson &amp; Rose, 2021).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Research shows that autistic women and female-presenting people are at more than eight times the risk of suicidality compared to non-autistic women, whereas autistic men are at less than twice the risk (Kirby et al., 2019; K\u00f5lves et al., 2021). Another study found that autistic women and female-presenting individuals (without intellectual disabilities) are at higher risk for suicidal behaviors than autistic men and male-presenting people (Hirvikoski et al., 2020). As previously discussed, masking is a significant risk factor for mental health difficulties and suicidality in autistic people (without intellectual disabilities) regardless of gender (Hull et al., 2021). However, recent studies reveal an association between the <\/span><i><span style=\"font-weight: 400;\">length of time spent masking<\/span><\/i><span style=\"font-weight: 400;\"> and adverse mental health outcomes. Contrastingly, social acceptance and receiving a diagnosis are reasons autistic adults feel they <\/span><i><span style=\"font-weight: 400;\">do not<\/span><\/i><span style=\"font-weight: 400;\"> need to mask (Bradley et al., 2021; Cage et al., 2017).\u00a0<\/span><\/p>\n<p><strong><i>You can learn more in our article on <\/i><a href=\"https:\/\/autism.org\/autism-and-depression\/\"><i>Autism and Depression<\/i><\/a><i> and our webinar on <\/i><a href=\"https:\/\/autism.org\/treatment\/stress-anxiety-reduction\/\"><i>Stress and Anxiety Reduction<\/i><\/a> <i>presented by Dr. Amy Keefer<\/i><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">When we consider the cycle of late and missed\/diagnosis alongside the obligation of autistic masking, the rate of suicidality and poor mental health in autistic females is no surprise. Given such data, healthcare providers and clinical practitioners are investigating and adapting assessment tools and treatments to bolster support and increase quality of life for autistic women and female-presenting people (Raymaker et al., 2020; Hull et al., 2021). Contemporary studies have identified specific levels of masking associated with a higher risk of mental health problems, and treatment strategies focused on intentional masking and authenticity are being explored (Hull et al., 2021; Beck et al., 2020). However, to ensure increased support and care, shifts in societal autism understandings must occur alongside advances in diagnosis and treatment.\u00a0<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cWe need to minimize and move the onus of fitting in from autistic people masking toward non-autistic people learning to accept autistic people as they are. Consequences are severe if this is not the case\u2026 masking natural behaviors and traits denies expression of our true selves and identity.\u201d<\/span><\/i><\/p>\n<p><strong>Dr. Hannah Belcher (ARI presentation, 2022)<\/strong><\/p><\/blockquote>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"masking2\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-8\"><h3><strong>Gender and masking<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Investigations on the interaction of gender and self-reported masking relay contradicting findings. A recent study using the Camouflaging Autistic Traits Questionnaire (CAT-Q) found that autistic females self-reported higher amounts of masking than males but found no significant gender difference in scores for social compensation (Hull et al., 2020). Simultaneously, studies on the metrics and validity of camouflage assessments posit that, while the CAT-Q is a valuable baseline measurement tool, the psychometric properties of it and other masking rating scales must be improved (van der Putten et al., 2023; Hannon et al., 2023). Another study used an online survey to explore the moderating effect of gender on the relationship between self-reported camouflaging\/masking and anxiety and depression. Researchers found a positive association between masking and mental health issues but no interaction between autistic masking and gender (Hull et al., 2021).\u00a0<\/span><\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-5\"><div class=\"fusion-panel panel-default panel-95a602d4b3d3f3c01 fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_95a602d4b3d3f3c01\"><a aria-expanded=\"false\" aria-controls=\"95a602d4b3d3f3c01\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-5\" data-target=\"#95a602d4b3d3f3c01\" href=\"#95a602d4b3d3f3c01\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"95a602d4b3d3f3c01\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_95a602d4b3d3f3c01\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">It is critical to note that understanding masking\/camouflaging as an adaptation to and consequence of late and missed\/misdiagnosis is very different from the camouflaging theory described in the first section. Where the theory asserted that women are more adept at camouflaging than men, the idea of masking posits that autistic individuals across the gender spectrum trade natural responses for socially tolerated learned alternatives (Hull et al., 2020; Tub\u00edo-Fungueiri\u00f1o et al., 2021). This suggests that the differences in autism presentations are a mark of the condition&#8217;s heterogeneity instead of gender-based camouflaging skills. Although we can deduce that autistic women and female-presenting individuals mask for more extended periods due to the cycle of missed\/misdiagnosis, gender\/sex has yet to be validly associated with the level of autistic masking.\u00a0<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201c[Camouflaging and masking] are the same theoretically. Camouflaging was initially used to refer to a number of strategies, one of which was masking of autistic traits. Others included compensation of autistic traits, and feeling a need to assimilate to others. Some felt the term &#8216;camouflaging&#8217; held a negative bias, whilst many people may be aware of their masking of traits. It often starts as an unconscious strategy born from social trauma in childhood. Indeed, others have re-labelled this &#8216;adaptive morphing&#8217;.\u201d<\/span><\/i><\/p>\n<p><strong>Hannah Belcher (Communication, 03\/03\/23)<\/strong><\/p><\/blockquote>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"where\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-9 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-25 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-9\"><h2><b>Where do we go from here?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Despite the fact that core traits and descriptions of autism do not include social characteristics, the concept of autism as a &#8220;social disorder&#8221; has proven pervasive and unyielding. Within this view, the nuanced social difficulties presented by autistic females (without intellectual disabilities) were often overlooked as they did not match the specifically male descriptors used by clinicians. However, contemporary research underscores the fact that autism is a <\/span><i><span style=\"font-weight: 400;\">neurodevelopmental <\/span><\/i><span style=\"font-weight: 400;\">condition. Studies reveal sex and gender disparities in various aspects of autism presentation, pathology, and maintenance, and multi-disciplinary frameworks for assessing these disparities have been created (Lai et al., 2021). Researchers therefore assert that, although masking may contribute to diagnostic disparities, gender norms and stereotypes must not be imposed by associating masking\/camouflaging with the evolving and expanding definitions of autism (Raymaker et al., 2020). Understanding what sex\/gender differences exist in autism trait presentation and neurodevelopment will pave the way for establishing more inclusive descriptions and differential\/updated diagnostic criteria and treatments. The following section summarizes contemporary fields of autism research and their potential for taking us forward.\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-26 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"phenotype\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-10 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-27 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-28 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-10\"><h3><strong>Female autism phenotype<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">The Female Autism Phenotype theory (FAP) asserts that autistic women and female-presenting individuals possess the same core traits as autistic males but manifest them differently (Kopp &amp; Gillberg, 1992). Although initially published in 1992, FAP has only gained traction in the last decade and has since revealed numerous gender differences in autism presentation. Studies show that autistic women and female-presenting people have better social awareness, are more likely to engage in reciprocal conversation, have more social motivation for friendships, participate in more group activities, use more nonverbal gestures and pragmatic language, have fewer repetitive\/restrictive behaviors, and have more friends than autistic men and male-presenting individuals (Hsiao et al., 2013; Hiller et al., 2014; Rynkiewicz et al., 2016; Parish-Morris et al., 2017; Sedgewick et al., 2016; Dean et al., 2017; Wilson et al., 2016).\u00a0<\/span><\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-6\"><div class=\"fusion-panel panel-default panel-10a2d890397520496 fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_10a2d890397520496\"><a aria-expanded=\"false\" aria-controls=\"10a2d890397520496\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-6\" data-target=\"#10a2d890397520496\" href=\"#10a2d890397520496\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"10a2d890397520496\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_10a2d890397520496\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">In light of revealed gender differences in presentation and a lack of female autism descriptions, contemporary research aims to discover and describe a FAP that will better inform practitioners on diagnostic and treatment criteria for autistic women and female-presenting people. A recent study on possible descriptive traits revealed that potentially undiagnosed autistic females scored significantly higher on empathy and general social functioning measures than diagnosed females. Another study on clinically perceived gender differences in autistic presentation found that males display more apparent difficulties (e.g., hyperactivity). In contrast, autistic females are more socially motivated and, therefore present as less similar to the historical conceptualization of autism (Lundin et al., 2020). These findings suggest that some social abilities may be an aspect of autism phenotypes like the FAP, further challenging the idea that autistic individuals lack empathy and social understanding (Belcher et al., 2022). It is important to note that FAP aims only to describe autism presentations associated more with females. The FAP therefore preserves the classical binary gender lens and so simultaneously expands (beyond male descriptors) and limits (only looks at females) evolving descriptions of autism. Nevertheless, as characteristics of the FAP are verified, clinicians will have more on which to base observation, diagnosis, and treatment of autistic women and female-presenting people. Therefore, investigation into the FAP is an integral starting point in the creation of a holistic and expanded autism description.\u00a0<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cI disagree with the use of the category &#8216;female autism phenotype&#8217;, because I think it plays into this binary idea that there&#8217;s a &#8216;male&#8217; brain and a &#8216;female&#8217; brain. Actually, many autistic men also mask and many autistic women demonstrated more stereotypical traits as children and were diagnosed as children. It seems to be the case though that females are more likely to present this phenotype, possibly because of cognitive differences and also gender socialization, where girls are taught to be more empathetic. What it does tell us though, is there is more than one way to present as &#8216;autistic&#8217;, and the stereotype of autism that has dominated the research is not the only, or possibly even most common, presentation.\u201d<\/span><\/i><\/p>\n<p><strong>Dr. Hannah Belcher (Communication, 03\/03\/23)<\/strong><\/p><\/blockquote>\n<p><strong><i>Find out more From Dr. Hannah Belcher in our webinar about <\/i><a href=\"https:\/\/autism.org\/gender-differences-in-diagnoses\/\"><i>Delayed and Missed Diagnosis of Autistic Women<\/i><\/a><i>\u00a0<\/i><\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-29 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"expression\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-11 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-30 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-31 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-11\"><h3><strong>Neural expression and brain organization<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Modern discoveries in brain expression are beginning to characterize neurobiological drivers of sex differences in autism. One study on brain connectivity revealed differential autistic neural expression where females are characterized by patterns of hyper (enhanced)-connectivity and males by patterns of hypo(reduced)-connectivity compared to their neurotypical peers (Alaerts et al., 2016). A similar study revealed that the expression of RORA target genes (essential for neurodevelopment) differs according to sex, where males experience more significant dysregulation of genes associated with autism (Hu et al., 2015). Such findings suggest that RORA expression and brain connectivity are sexually dimorphic (different in females and males), thus invalidating the Extreme Male Brain Theory (Alaerts et al., 2016; Hu et al., 2015).<\/span><\/p>\n<blockquote>\n<p><i><span style=\"font-weight: 500;\">\u201c\u2026 sex hormones work on a gradient, [and] the brain has many secondary sex characteristics. So [the brain] is much more fluid than the primary sex organs. That&#8217;s why you do see a lot of variability in terms of gender, as opposed to sex.\u201d<\/span><\/i><\/p>\n<p><strong>Emily Cassanova, PhD\u00a0 (Interview, 02\/21\/23)<\/strong><\/p>\n<\/blockquote>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-7\"><div class=\"fusion-panel panel-default panel-e49c149341e775d8b fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e49c149341e775d8b\"><a aria-expanded=\"false\" aria-controls=\"e49c149341e775d8b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-7\" data-target=\"#e49c149341e775d8b\" href=\"#e49c149341e775d8b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"e49c149341e775d8b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e49c149341e775d8b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">Sex-based differences are also found in the structural and functional brain organization of autistic people. For example, one study revealed that <\/span><i><span style=\"font-weight: 400;\">structural brain organization<\/span><\/i><span style=\"font-weight: 400;\"> in autistic females is significantly different from that of autistic males, especially in brain regions of the motor, language, and visual-motor systems. Correlated clinical scores showed a relationship between restrictive repetitive behavior (RRB) domains and gray matter volume in autistic females, but not males. These sex discrepancies in structural brain organization are associated with significantly different autistic phenotypes (Supekar &amp; Menon, 2015). Further assessment of sex-based <\/span><i><span style=\"font-weight: 400;\">functional organization differences<\/span><\/i><span style=\"font-weight: 400;\"> found disparities in brain regions associated with visual-spatial attention. Clinical correlation of differential brain regions revealed that motor systems regions predicted the severity of RRB in autistic females but not males. These findings suggest the presence of domain-specific effects associated with RRB in females and some level of FPE (female protective effect) in those brain regions. Notably, the sex differences observed in autistic structural and functional brain organization significantly differ from normative sex differences. Such disparity underscores the need for sex-based research and treatments specific to autistic individuals (Supekar et al., 2022). Researchers now assert that sex-based disparities in brain expression and organization distinctly contribute to autistic clinical symptoms. As the sources and functions of these differences are further investigated, sex-specific autism diagnostic and treatment tools will evolve accordingly (Supekar &amp; Menon, 2015; Supekar et al., 2022; Hu et al., 2015).\u00a0<\/span><\/p>\n<p><strong><i>The studies on structural and functional brain organization discussed above are detailed by Kaustubh Supekar, PhD in a webinar on<\/i> <a href=\"https:\/\/autism.org\/gender-brain-differences-autism\/\"><i>Behavioral and Brain Signatures of Autism in Females<\/i><\/a><\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-32 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"microbiome\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-12 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-33 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-34 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-12\"><h3><strong>Gut microbiome &#8211; brain axis (GBA)<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Trillions of microbial cells (microbiota) make up the gut microbiome (GM) which contains more than 100 times the genetic material of each person\u2019s human genome. Known contributors to GM composition include diet, ethnicity, antibiotics, stress, maternal health during pregnancy, exercise, and psychological and environmental factors (Kim, 2022). The core of the GM resides in the GI tract and plays an integral role in physical and mental health. GI difficulties such as constipation, diarrhea, and abdominal pain commonly co-occur with autism, and many therapies target the GM via dietary and environmental adjustments like Microbiota Transfer Therapy (MTT) (Quigley &amp; Hurley, 2000; Li et al., 2017; Yang et al., 2018; Kang et al., 2017; Nirmalkar et al., 2022). Over the last decade, perceptions of the GM\u2019s capacity and nature have shifted dramatically, unlocking new and exciting avenues of autism understanding and treatment. Specifically, a bidirectional communication pathway called the gut microbiome-brain axis (GBA) has emerged as an influencing factor on metabolism, immunity, behavior, and neurodevelopment. The GBA is established shortly after birth and integrates information from the nervous, endocrine, and immune systems within the communication pathway (Ja\u0161arevi\u0107 et al., 2016; Li &amp; Zhou, 2016).\u00a0<\/span><\/p>\n<p><i><span style=\"font-weight: 500;\">Listen to Dr. Rosa Krajmalnik-Brown discuss exciting treatments in her presentation on <\/span><\/i><strong><a href=\"https:\/\/autism.org\/webinars\/autism-webinar-microbiota\/\"><i>Microbiota Transfer Therapy (MTT) in autism<\/i><\/a><i>\u00a0<\/i><\/strong><\/p>\n<p><i><span style=\"font-weight: 500;\">You can also learn about gut health and maintenance in our article on <\/span><\/i><strong><a href=\"https:\/\/autism.org\/nutrition-gut-brain-connection\/\"><i>Nutrition and the Gut-Brain Connection<\/i><\/a><\/strong><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-35 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"dimorphic\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-13 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-36 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-37 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-13\"><h3><strong>Sex\/gender dimorphic GM &amp; GBA<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Contemporary studies reveal that the metabolism and circulation of sex hormones (estrogen and androgen) are associated with the GM. The functional capacity and composition of the GM also undergo transitions that mirror periods of dynamic brain development distinctly differentiated by sex\u00a0 (Yoon &amp; Kim, 2021; Ja\u0161arevi\u0107 et al., 2016). Further, a study on maternal stress during pregnancy found that stress-induced decreases in vaginal immunity negatively impact the GMs of male children but not females (Kim, 2022). Such findings suggest that GBA maintenance and neurodevelopment are sexually dimorphic and are significantly impacted by changes to the GM. As autism is a neurodevelopmental condition, these findings indicate that sex-based disparities in the structure and function of the GBA partly explain presentation and genetic differences in autistic females and males (Ja\u0161arevi\u0107 et al., 2016; Shobeiri et al., 2022).<\/span><\/p>\n<blockquote>\n<p><i><span style=\"font-weight: 500;\">\u201cHormone response elements are little segments in the DNA that have the potential to alter gene expression of relevant genes. These guys have presumably been a major source of influence on sexual dimorphism in the primate lineage (human evolution)&#8230;Feasibly, these have also been really involved in how the primate lineage has adapted over time, and the kind of sexual dimorphism that you end up seeing throughout the lineage.\u201d\u00a0<\/span><\/i><\/p>\n<p><strong>Emily Cassanova, PhD (Interview, 02\/21\/23)<\/strong><\/p>\n<\/blockquote>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-8\"><div class=\"fusion-panel panel-default panel-9cb028f6c32dc02c0 fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_9cb028f6c32dc02c0\"><a aria-expanded=\"false\" aria-controls=\"9cb028f6c32dc02c0\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-8\" data-target=\"#9cb028f6c32dc02c0\" href=\"#9cb028f6c32dc02c0\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"9cb028f6c32dc02c0\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_9cb028f6c32dc02c0\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">Terminology for this concept remains debated (Microgenderome vs. Microsexome) as both sex and gender undeniably impact the microbiome via biological cycles and socially constructed gender norms. Researchers assert the need for a thorough investigation of gender role impacts on the GBA via diet, physical activity, and antimicrobial exposure (Mulak et al., 2022; Mo et al., 2021). As understanding of sex\/gender disparities in GBA functionality increases, autism treatment strategies will have the potential to improve and fine-tune MTT, GBA, and other therapy techniques based on sex\/gender-specific GM characteristics (Kim, 2022; Shobeiri et al., 2022; Kang et al., 2019).<\/span><\/p>\n<p><strong><i>Learn more about the GM and GBA in our webinar on <\/i><a href=\"https:\/\/autism.org\/webinars\/gastrointestinal-autism-research\/\"><i>The Role of Neurotransmitters in GI Disorders Related to Autism<\/i><\/a><i> presented by Kara Margolis, MD.<\/i><\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-38 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"binary\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-14 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-39 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-40 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-14\"><h2><b>Beyond the binary<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">In the past, theories like Extreme Male Brain Theory (EMBT) and Camouflaging exaggerated the idea of a \u201cmale\u201d presentation of autism. Against the backdrop of a strictly binary and gender-defined society, such paradigms resonated with cultural norms and traditions. However, contemporary research shows that autistic lived experiences stand in stark contrast to the classical binary understanding of gender. A meta-synthesis exploring the intersection of autism and gender found themes related to: how the autism discourse (i.e., EMBT and masking) restricts gender identities, how gendered autistic identities are positioned within social hierarchies (i.e., as \u201cothered\u201d less acceptable ways of being), and the possibilities of finding spaces for belonging and advocacy (Moore et al., 2022). Autistic females also present with greater gender and sexuality diversity compared to non-autistic females, and many report conflicts between autism and the traditional feminine identity (Bargiela et al., 2016; Pecora et al., 2020). Even further, autistic women and men sometimes display the \u201ctypical\u201d brain of the other gender (Sedgewick et al., 2021). Research findings therefore demonstrate that, while autism identity may offer liberation from normative expectations, autism discourse often restricts gender and has, until recently, reinforced classical hierarchies. Modern researchers therefore assert that gender, both statistically and anecdotally, is far more fluid within the autistic population (Moore et al., 2022; Sedgewick et al., 2021; Hall et al., 2020).\u00a0<\/span><\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-9\"><div class=\"fusion-panel panel-default panel-91b32129403939d14 fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_91b32129403939d14\"><a aria-expanded=\"false\" aria-controls=\"91b32129403939d14\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-9\" data-target=\"#91b32129403939d14\" href=\"#91b32129403939d14\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"91b32129403939d14\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_91b32129403939d14\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><strong><i>For resources and more information, please visit our<\/i> <a href=\"https:\/\/autism.org\/lgbtq-and-autism\/\"><i>LGBTQ+ and Autism Resource Page<\/i><\/a><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Studies on the relationship between culturally defined gender roles and the physical and mental health of autistic individuals are largely lacking in the research literature (Mo et al., 2021). Research into the biological and neurodevelopmental aspects of autism deals exclusively with sex (female and male) and does not consider social and environmental implications associated with gender. Biological findings are therefore limited in their scope and cannot be used to characterize autistic lived experiences or gender-based cultural phenomena. The lack of literature on autistic gender experiences likely results from past attempts to describe the more fluid autistic gender experience using a binary (specifically male) lens and vocabulary. Therefore, contemporary researchers urge practitioners to \u201creflect on the clinical, ethical and political implications of their positioning concerning the constructs of \u201cautism\u201d and \u201cgender\u201d and to step beyond the \u201cmale lens\u201d that previously captivated the field (Moore et al., 2022; Mo et al., 2021). Coupled with recent discoveries and ongoing research, such a shift in perspective could springboard the synthesis of an autism discourse capable of describing and assisting a significantly larger portion of the autistic population.\u00a0<\/span><\/p>\n<p><strong><i>Discover more about the intersection of sex, gender, and autism in Dr. Wenn Lawson\u2019s presentation on<\/i> <a href=\"https:\/\/autism.org\/webinars\/gender-dysphoria-asd\/\"><i>Gender Dysphoria and Autism<\/i><\/a><\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-41 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div id=\"models\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-15 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-42 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-43 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-15\" style=\"--awb-margin-top:20px;\"><h2><b>New models for a new future<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Autism was once understood as a pediatric condition that only affected boys, but we have come a long way since those first descriptions by Kanner and Asperger. We now understand that autism is a lifelong neurodevelopmental condition with heterogeneous (diverse) presentation across all genders. Advancements in understanding and practice allow wider access to autism diagnosis and treatments and therefore continually expand autism descriptions and identities. This integral relationship between \u201chard\u201d (mathematical) and \u201csoft\u201d (social) science has proven a difficult gap to close for most of autism research history. However, appeals for more holistic and multidisciplinary approaches to investigation and treatment are finally being answered. In alignment with ongoing paradigm shifts in autism understandings, contemporary investigations study models of disability and how they impact policy and practice. The recently proposed Biological Gradient Model (BGM) \u201cintegrates scientific theory while avoiding pathology-based concepts and value-laden judgments concerning \u2018deficiency\u2019\u201d (Cassanova &amp; Windman, 2021). This model asserts that many phenotypes (presentations) normally pathologized or categorized within the Medical Model need to be considered more as gradients. The BGM is a \u201chodgepodge\u201d of the best parts of the medical and neurodivergent models. It provides a framework for further examination of the intersection of sex and gender within autism and other neurodevelopmental conditions.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<blockquote>\n<p><i><span style=\"font-weight: 500;\">\u201c&#8230; it&#8217;s just this idea of kind of getting down to the biology of how to describe something, how to describe exactly how this phenotype is coming about. But also with the recognition that a lot of the processes we see functioning within the body are not usually an on-off switch. They tend to be a little bit more of a gradient, or at the very least\u2026 may have a threshold effect at some point. But it really does fulfill more of a gradient concept than [whether something] is pathological versus not pathological.\u201d<\/span><\/i><\/p>\n<p><strong>Emily Cassanova, PhD (Interview, 02\/21\/23)<\/strong><\/p>\n<\/blockquote>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:e8eaf0;--awb-divider-hover-color:e8eaf0;--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-10\"><div class=\"fusion-panel panel-default panel-1cc84854672e3ad41 fusion-toggle-no-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_1cc84854672e3ad41\"><a aria-expanded=\"false\" aria-controls=\"1cc84854672e3ad41\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-10\" data-target=\"#1cc84854672e3ad41\" href=\"#1cc84854672e3ad41\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-up fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Continue Reading<\/span><\/a><\/h4><\/div><div id=\"1cc84854672e3ad41\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_1cc84854672e3ad41\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">The BGM and other contemporary models and theories work to determine and assess the biological and cultural roots of autism neurodevelopment and presentation. Such multidisciplinary frameworks allow increasingly specific assessment of underlying autism concepts, descriptions, and practices. As research literature continues to recognize and record the lived experiences of autistic females in tandem with biological investigation, we will more clearly comprehend the reasons for and ramifications of the sex\/gender differences recorded in autism. However, new findings and discoveries will only translate to advances in diagnosis and treatment if such information is continuously and rigorously disseminated to clinicians. Should practitioners remain underinformed about novel phenotypes and biological findings, autistic women and female-presenting people will continue to be underserved and underdiagnosed (Lundin et al., 2020; Navarro-Pardo et al., 2021; Estrin et al., 2020). Information sharing and collaboration are fundamental to successful advances in autism research and treatment.<\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cIt excites me to see more understanding of the cultural and social differences between autistic people and how this can influence how traits manifest. I&#8217;m seeing more research on adapting mental health services for all autistic people, which is great because we have such a heightened risk. I&#8217;m also excited to see so many autistic voices being included in the research and in some instances leading the research. The neurodiversity movement has re-adjusted the power balance, so instead of research being done on autistic people, we are now looking at actually what autistic people want to be researched. What really matters to them, and it seems that better care and support is key.\u201d<\/span><\/i><\/p>\n<p><strong>Dr. Hannah Belcher (Communication, 03\/03\/23)<\/strong><\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\"> Future baseline descriptions of autism presentation and neurodevelopment will significantly differ from today&#8217;s. Much like the past, present advances in biological and social comprehensions of autism fuel one another and continue to lay the path forward. Contemporary findings assert that questions about sex\/gender disparities in autism are critical building blocks for the future. As these questions are investigated and we carry on weaving theoretical and practical understandings together, gaps in autism diagnosis and treatment will continue to close. Within this holistic and inclusive view of autism, the legacy of ARI&#8217;s founder, Dr. Bernard Rimland, is kept alive &#8211; A well-coordinated effort by all stakeholders in the autism community (autistic individuals, parents, clinicians, researchers, therapists, and families) is as important today as it was 20 years ago. Historical advances in autism research suggest a future bursting with potential not only for autistic females, but also for autistic people of color, low-income families, and adults and seniors. It is clear that as diagnostic and screening efforts improve alongside societal understanding and empathy, a significantly greater portion of autistic individuals will be supported in realizing their full potential. <\/span><\/p>\n<blockquote><p><i><span style=\"font-weight: 500;\">\u201cI&#8217;m just really excited for the future for children, for my children\u2026 I\u2019m really happy for them; that they&#8217;re coming up during this time and they&#8217;re not going to have a lot of the same struggles that I&#8217;ve had.\u201d<\/span><\/i><\/p>\n<p><strong>Chris Nicholson (Interview, 21\/02\/23)<\/strong><\/p><\/blockquote>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-44 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-16 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-45 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-46 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:40px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:40px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:20px;--awb-icon-alignment:left;--awb-hover-color:#f7f8f9;--awb-border-color:#e8eaf0;--awb-background-color:#ffffff;--awb-divider-color:rgba(232,234,240,0);--awb-divider-hover-color:rgba(232,234,240,0);--awb-icon-color:#ffffff;--awb-title-color:#ff8900;--awb-content-color:#5d5f64;--awb-icon-box-color:#202020;--awb-toggle-hover-accent-color:#ffa737;--awb-title-font-family:&quot;Josefin Sans&quot;;--awb-title-font-weight:700;--awb-title-font-style:normal;--awb-title-font-size:24px;--awb-title-line-height:1.4;--awb-content-font-family:&quot;PT Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-16118-11\"><div class=\"fusion-panel panel-default panel-9ae7ddde8cc8c6bea fusion-toggle-has-divider\" style=\"--awb-title-color:#ff8900;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_9ae7ddde8cc8c6bea\"><a aria-expanded=\"false\" aria-controls=\"9ae7ddde8cc8c6bea\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-16118-11\" data-target=\"#9ae7ddde8cc8c6bea\" href=\"#9ae7ddde8cc8c6bea\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">References<\/span><\/a><\/h4><\/div><div id=\"9ae7ddde8cc8c6bea\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_9ae7ddde8cc8c6bea\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span style=\"font-weight: 400;\">Alaerts, K., Swinnen, S. P., &amp; Wenderoth, N. (2016). Sex differences in autism: A resting-state fMRI investigation of functional brain connectivity in males and females. <\/span><i><span style=\"font-weight: 400;\">Social Cognitive and Affective Neuroscience<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">11<\/span><\/i><span style=\"font-weight: 400;\">(6), 1002\u20131016. https:\/\/doi.org\/10.1093\/scan\/nsw027<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Arnold, S. R., Higgins, J. M., Weise, J., Desai, A., Pellicano, E., &amp; Trollor, J. N. (2023a). Confirming the nature of autistic burnout. <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, 13623613221147410. https:\/\/doi.org\/10.1177\/13623613221147410<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Arnold, S. R., Higgins, J. M., Weise, J., Desai, A., Pellicano, E., &amp; Trollor, J. N. (2023b). Towards the measurement of autistic burnout. <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, 13623613221147400. https:\/\/doi.org\/10.1177\/13623613221147401<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Asperger, H. (1938). Das psychisch abnorme Kind. <\/span><i><span style=\"font-weight: 400;\">Wien Klin Wochenschr<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">49<\/span><\/i><span style=\"font-weight: 400;\">, 1314\u20131317.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Autism Research Institute (Director). (2022, November 8). <\/span><i><span style=\"font-weight: 400;\">Delayed and Missed Diagnoses of Autistic Women<\/span><\/i><span style=\"font-weight: 400;\">. https:\/\/autism.org\/gender-differences-in-diagnoses\/<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bai, D., Marrus, N., Yip, B. H. K., Reichenberg, A., Constantino, J. N., &amp; Sandin, S. (2020). Inherited Risk for Autism Through Maternal and Paternal Lineage. <\/span><i><span style=\"font-weight: 400;\">Biological Psychiatry<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">88<\/span><\/i><span style=\"font-weight: 400;\">(6), 480\u2013487. https:\/\/doi.org\/10.1016\/j.biopsych.2020.03.013<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bargiela, S., Steward, R., &amp; Mandy, W. (2016). The Experiences of Late-diagnosed Women with Autism Spectrum Conditions: An Investigation of the Female Autism Phenotype. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">46<\/span><\/i><span style=\"font-weight: 400;\">(10), 3281\u20133294. https:\/\/doi.org\/10.1007\/s10803-016-2872-8<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Baron-Cohen, S. (2002). The extreme male brain theory of autism. <\/span><i><span style=\"font-weight: 400;\">Trends in Cognitive Sciences<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">6<\/span><\/i><span style=\"font-weight: 400;\">(6), 248\u2013254. https:\/\/doi.org\/10.1016\/s1364-6613(02)01904-6<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beck, J. S., Lundwall, R. A., Gabrielsen, T., Cox, J. C., &amp; South, M. (2020). Looking good but feeling bad: \u201cCamouflaging\u201d behaviors and mental health in women with autistic traits. <\/span><i><span style=\"font-weight: 400;\">Autism: The International Journal of Research and Practice<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">24<\/span><\/i><span style=\"font-weight: 400;\">(4), 809\u2013821. https:\/\/doi.org\/10.1177\/1362361320912147<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Belcher, H. (2022, November 8). <\/span><i><span style=\"font-weight: 400;\">Delayed and Missed Diagnoses of Autistic Women<\/span><\/i><span style=\"font-weight: 400;\">. https:\/\/autism.org\/gender-differences-in-diagnoses\/<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Belcher, H. L., Morein-Zamir, S., Mandy, W., &amp; Ford, R. M. (2022). Camouflaging Intent, First Impressions, and Age of ASC Diagnosis in Autistic Men and Women. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">52<\/span><\/i><span style=\"font-weight: 400;\">(8), 3413\u20133426. https:\/\/doi.org\/10.1007\/s10803-021-05221-3<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Belcher, H. L., Morein-Zamir, S., Stagg, S. D., &amp; Ford, R. M. (2022). Shining a Light on a Hidden Population: Social Functioning and Mental Health in Women Reporting Autistic Traits But Lacking Diagnosis. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">. https:\/\/doi.org\/10.1007\/s10803-022-05583-2<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Burrows, C. A., Grzadzinski, R. L., Donovan, K., Stallworthy, I. C., Rutsohn, J., St. John, T., Marrus, N., Parish-Morris, J., MacIntyre, L., Hampton, J., Pandey, J., Shen, M. D., Botteron, K. N., Estes, A. M., Dager, S. R., Hazlett, H. C., Pruett, J. R., Schultz, R. T., Zwaigenbaum, L., \u2026 Elison, J. T. (2022). A Data-Driven Approach in an Unbiased Sample Reveals Equivalent Sex Ratio of Autism Spectrum Disorder\u2013Associated Impairment in Early Childhood. <\/span><i><span style=\"font-weight: 400;\">Biological Psychiatry<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">92<\/span><\/i><span style=\"font-weight: 400;\">(8), 654\u2013662. https:\/\/doi.org\/10.1016\/j.biopsych.2022.05.027<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cage, E., Di Monaco, J., &amp; Newell, V. (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">48<\/span><\/i><span style=\"font-weight: 400;\">(2), 473\u2013484. https:\/\/doi.org\/10.1007\/s10803-017-3342-7<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Casanova, E. L., &amp; Widman, C. J. (2021). A sociological treatment exploring the medical model in relation to the neurodiversity movement with reference to policy and practice. <\/span><i><span style=\"font-weight: 400;\">Evidence &amp; Policy<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">17<\/span><\/i><span style=\"font-weight: 400;\">(2), 363\u2013381. https:\/\/doi.org\/10.1332\/174426421X16142770974065<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cassidy, S., Bradley, L., Shaw, R., &amp; Baron-Cohen, S. (2018). Risk markers for suicidality in autistic adults. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">9<\/span><\/i><span style=\"font-weight: 400;\">(1), 42. https:\/\/doi.org\/10.1186\/s13229-018-0226-4<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dean, M., Harwood, R., &amp; Kasari, C. (2017). The art of camouflage: Gender differences in the social behaviors of girls and boys with autism spectrum disorder. <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">21<\/span><\/i><span style=\"font-weight: 400;\">(6), 678\u2013689. https:\/\/doi.org\/10.1177\/1362361316671845<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dell\u2019Osso, L., &amp; Carpita, B. (2022). What misdiagnoses do women with autism spectrum disorder receive in the DSM-5? <\/span><i><span style=\"font-weight: 400;\">CNS Spectrums<\/span><\/i><span style=\"font-weight: 400;\">, 1\u20132. https:\/\/doi.org\/10.1017\/S1092852922000037<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dinishak, J. (2016). The Deficit View and Its Critics. <\/span><i><span style=\"font-weight: 400;\">Disability Studies Quarterly<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">36<\/span><\/i><span style=\"font-weight: 400;\">(4), Article 4. https:\/\/doi.org\/10.18061\/dsq.v36i4.5236<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Furfaro, H. (2019, May 1). The extreme male brain, explained. <\/span><i><span style=\"font-weight: 400;\">Spectrum | Autism Research News<\/span><\/i><span style=\"font-weight: 400;\">. https:\/\/www.spectrumnews.org\/news\/extreme-male-brain-explained\/<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gadsby, H. (2022). <\/span><i><span style=\"font-weight: 400;\">Ten Steps to Nanette: A Memoir Situation<\/span><\/i><span style=\"font-weight: 400;\">. Atlantic Books.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gesi, C., Migliarese, G., Torriero, S., Capellazzi, M., Omboni, A. C., Cerveri, G., &amp; Mencacci, C. (2021). Gender Differences in Misdiagnosis and Delayed Diagnosis among Adults with Autism Spectrum Disorder with No Language or Intellectual Disability. <\/span><i><span style=\"font-weight: 400;\">Brain Sciences<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">11<\/span><\/i><span style=\"font-weight: 400;\">(7), Article 7. https:\/\/doi.org\/10.3390\/brainsci11070912<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Greenberg, D. M., Warrier, V., Allison, C., &amp; Baron-Cohen, S. (2018). Testing the Empathizing\u2013Systemizing theory of sex differences and the Extreme Male Brain theory of autism in half a million people. <\/span><i><span style=\"font-weight: 400;\">Proceedings of the National Academy of Sciences<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">115<\/span><\/i><span style=\"font-weight: 400;\">(48), 12152\u201312157. https:\/\/doi.org\/10.1073\/pnas.1811032115<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hall, J. P., Batza, K., Streed, C. G., Boyd, B. A., &amp; Kurth, N. K. (2020). Health Disparities Among Sexual and Gender Minorities with Autism Spectrum Disorder. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">50<\/span><\/i><span style=\"font-weight: 400;\">(8), 3071\u20133077. https:\/\/doi.org\/10.1007\/s10803-020-04399-2<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Halladay, A. K., Bishop, S., Constantino, J. N., Daniels, A. M., Koenig, K., Palmer, K., Messinger, D., Pelphrey, K., Sanders, S. J., Singer, A. T., Taylor, J. L., &amp; Szatmari, P. (2015). Sex and gender differences in autism spectrum disorder: Summarizing evidence gaps and identifying emerging areas of priority. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">6<\/span><\/i><span style=\"font-weight: 400;\">, 36. https:\/\/doi.org\/10.1186\/s13229-015-0019-y<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hannon, B., Mandy, W., &amp; Hull, L. (2023). A comparison of methods for measuring camouflaging in autism. <\/span><i><span style=\"font-weight: 400;\">Autism Research<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">16<\/span><\/i><span style=\"font-weight: 400;\">(1), 12\u201329. https:\/\/doi.org\/10.1002\/aur.2850<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hedley, D., Uljarevi\u0107, M., Foley, K.-R., Richdale, A., &amp; Trollor, J. (2018). Risk and protective factors underlying depression and suicidal ideation in Autism Spectrum Disorder. <\/span><i><span style=\"font-weight: 400;\">Depression and Anxiety<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">35<\/span><\/i><span style=\"font-weight: 400;\">(7), 648\u2013657. https:\/\/doi.org\/10.1002\/da.22759<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Higgins, J. M., Arnold, S. R., Weise, J., Pellicano, E., &amp; Trollor, J. N. (2021). Defining autistic burnout through experts by lived experience: Grounded Delphi method investigating #AutisticBurnout. <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">25<\/span><\/i><span style=\"font-weight: 400;\">(8), 2356\u20132369. https:\/\/doi.org\/10.1177\/13623613211019858<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hill, A. (2021, November 19). \u2018Diagnosis is rebirth\u2019: Women who found out they were autistic as adults. <\/span><i><span style=\"font-weight: 400;\">The Guardian<\/span><\/i><span style=\"font-weight: 400;\">. https:\/\/www.theguardian.com\/society\/2021\/nov\/19\/diagnosis-women-autism-later-life<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hiller, R. M., Young, R. L., &amp; Weber, N. (2014). Sex Differences in Autism Spectrum Disorder based on DSM-5 Criteria: Evidence from Clinician and Teacher Reporting. <\/span><i><span style=\"font-weight: 400;\">Journal of Abnormal Child Psychology<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">42<\/span><\/i><span style=\"font-weight: 400;\">(8), 1381\u20131393. https:\/\/doi.org\/10.1007\/s10802-014-9881-x<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hines, M. (2020). Neuroscience and Sex\/Gender: Looking Back and Forward. <\/span><i><span style=\"font-weight: 400;\">The Journal of Neuroscience: The Official Journal of the Society for Neuroscience<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">40<\/span><\/i><span style=\"font-weight: 400;\">(1), 37\u201343. https:\/\/doi.org\/10.1523\/JNEUROSCI.0750-19.2019<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hirvikoski, T., Boman, M., Chen, Q., D\u2019Onofrio, B. M., Mittendorfer-Rutz, E., Lichtenstein, P., B\u00f6lte, S., &amp; Larsson, H. (2020). Individual risk and familial liability for suicide attempt and suicide in autism: A population-based study. <\/span><i><span style=\"font-weight: 400;\">Psychological Medicine<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">50<\/span><\/i><span style=\"font-weight: 400;\">(9), 1463\u20131474. https:\/\/doi.org\/10.1017\/S0033291719001405<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hsiao, M.-N., Tseng, W.-L., Huang, H.-Y., &amp; Gau, S. S.-F. (2013). Effects of autistic traits on social and school adjustment in children and adolescents: The moderating roles of age and gender. <\/span><i><span style=\"font-weight: 400;\">Research in Developmental Disabilities<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">34<\/span><\/i><span style=\"font-weight: 400;\">(1), 254\u2013265. https:\/\/doi.org\/10.1016\/j.ridd.2012.08.001<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hu, V. W., Sarachana, T., Sherrard, R. M., &amp; Kocher, K. M. (2015). Investigation of sex differences in the expression of RORA and its transcriptional targets in the brain as a potential contributor to the sex bias in autism. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">6<\/span><\/i><span style=\"font-weight: 400;\">(1), 7. https:\/\/doi.org\/10.1186\/2040-2392-6-7<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hull, L., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., Petrides, K., &amp; Mandy, W. (2020). Gender differences in self-reported camouflaging in autistic and non-autistic adults. <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">24<\/span><\/i><span style=\"font-weight: 400;\">(2), 352\u2013363. https:\/\/doi.org\/10.1177\/1362361319864804<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hull, L., Levy, L., Lai, M.-C., Petrides, K. V., Baron-Cohen, S., Allison, C., Smith, P., &amp; Mandy, W. (2021). Is social camouflaging associated with anxiety and depression in autistic adults? <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">12<\/span><\/i><span style=\"font-weight: 400;\">(1), 13. https:\/\/doi.org\/10.1186\/s13229-021-00421-1<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hull, L., Petrides, K. V., Allison, C., Smith, P., Baron-Cohen, S., Lai, M.-C., &amp; Mandy, W. (2017). \u201cPutting on My Best Normal\u201d: Social Camouflaging in Adults with Autism Spectrum Conditions. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">47<\/span><\/i><span style=\"font-weight: 400;\">(8), 2519\u20132534. https:\/\/doi.org\/10.1007\/s10803-017-3166-5<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jacquemont, S., Coe, B. P., Hersch, M., Duyzend, M. H., Krumm, N., Bergmann, S., Beckmann, J. S., Rosenfeld, J. A., &amp; Eichler, E. E. (2014). A Higher Mutational Burden in Females Supports a \u201cFemale Protective Model\u201d in Neurodevelopmental Disorders. <\/span><i><span style=\"font-weight: 400;\">The American Journal of Human Genetics<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">94<\/span><\/i><span style=\"font-weight: 400;\">(3), 415\u2013425. https:\/\/doi.org\/10.1016\/j.ajhg.2014.02.001<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ja\u0161arevi\u0107, E., Morrison, K. E., &amp; Bale, T. L. (2016). Sex differences in the gut microbiome\u2013brain axis across the lifespan. <\/span><i><span style=\"font-weight: 400;\">Philosophical Transactions of the Royal Society B: Biological Sciences<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">371<\/span><\/i><span style=\"font-weight: 400;\">(1688), 20150122. https:\/\/doi.org\/10.1098\/rstb.2015.0122<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jordan, C. E., Campbell, R., &amp; Follingstad, D. (2010). Violence and women\u2019s mental health: The impact of physical, sexual, and psychological aggression. <\/span><i><span style=\"font-weight: 400;\">Annual Review of Clinical Psychology<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">6<\/span><\/i><span style=\"font-weight: 400;\">, 607\u2013628. https:\/\/doi.org\/10.1146\/annurev-clinpsy-090209-151437<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kang, D.-W., Adams, J. B., Coleman, D. M., Pollard, E. L., Maldonado, J., McDonough-Means, S., Caporaso, J. G., &amp; Krajmalnik-Brown, R. (2019). Long-term benefit of Microbiota Transfer Therapy on autism symptoms and gut microbiota. <\/span><i><span style=\"font-weight: 400;\">Scientific Reports<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">9<\/span><\/i><span style=\"font-weight: 400;\">(1), Article 1. https:\/\/doi.org\/10.1038\/s41598-019-42183-0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kang, D.-W., Adams, J. B., Gregory, A. C., Borody, T., Chittick, L., Fasano, A., Khoruts, A., Geis, E., Maldonado, J., McDonough-Means, S., Pollard, E. L., Roux, S., Sadowsky, M. J., Lipson, K. S., Sullivan, M. B., Caporaso, J. G., &amp; Krajmalnik-Brown, R. (2017). Microbiota Transfer Therapy alters gut ecosystem and improves gastrointestinal and autism symptoms: An open-label study. <\/span><i><span style=\"font-weight: 400;\">Microbiome<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">5<\/span><\/i><span style=\"font-weight: 400;\">(1), 10. https:\/\/doi.org\/10.1186\/s40168-016-0225-7<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kanner, L. (1943). Autistic disturbances of affective contact. <\/span><i><span style=\"font-weight: 400;\">Nervous Child<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">2<\/span><\/i><span style=\"font-weight: 400;\">, 217\u2013250.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kim, N. (2022). Sex Difference of Gut Microbiota. In N. Kim (Ed.), <\/span><i><span style=\"font-weight: 400;\">Sex\/Gender-Specific Medicine in the Gastrointestinal Diseases<\/span><\/i><span style=\"font-weight: 400;\"> (pp. 363\u2013377). Springer Nature. https:\/\/doi.org\/10.1007\/978-981-19-0120-1_22<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kirby, A. V., Bakian, A. V., Zhang, Y., Bilder, D. A., Keeshin, B. R., &amp; Coon, H. (2019). A 20\u2010year study of suicide death in a statewide autism population. <\/span><i><span style=\"font-weight: 400;\">Autism Research<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">12<\/span><\/i><span style=\"font-weight: 400;\">(4), 658\u2013666. https:\/\/doi.org\/10.1002\/aur.2076<\/span><\/p>\n<p><span style=\"font-weight: 400;\">K\u00f5lves, K., Fitzgerald, C., Nordentoft, M., Wood, S. J., &amp; Erlangsen, A. (2021). Assessment of Suicidal Behaviors Among Individuals With Autism Spectrum Disorder in Denmark. <\/span><i><span style=\"font-weight: 400;\">JAMA Network Open<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">4<\/span><\/i><span style=\"font-weight: 400;\">(1), e2033565. https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.33565<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kopp, S., &amp; Gillberg, C. (1992). Girls with social deficits and learning problems: Autism, atypical Asperger syndrome or a variant of these conditions. <\/span><i><span style=\"font-weight: 400;\">European Child &amp; Adolescent Psychiatry<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">1<\/span><\/i><span style=\"font-weight: 400;\">(2), 89\u201399. https:\/\/doi.org\/10.1007\/BF02091791<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lai, M.-C., &amp; Baron-Cohen, S. (2015). Identifying the lost generation of adults with autism spectrum conditions. <\/span><i><span style=\"font-weight: 400;\">The Lancet. Psychiatry<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">2<\/span><\/i><span style=\"font-weight: 400;\">(11), 1013\u20131027. https:\/\/doi.org\/10.1016\/S2215-0366(15)00277-1<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lai, M.-C., Lombardo, M. V., Auyeung, B., Chakrabarti, B., &amp; Baron-Cohen, S. (2015). Sex\/Gender Differences and Autism: Setting the Scene for Future Research. <\/span><i><span style=\"font-weight: 400;\">Journal of the American Academy of Child &amp; Adolescent Psychiatry<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">54<\/span><\/i><span style=\"font-weight: 400;\">(1), 11\u201324. https:\/\/doi.org\/10.1016\/j.jaac.2014.10.003<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lewis, E. M. A., Meganathan, K., Baldridge, D., Gontarz, P., Zhang, B., Bonni, A., Constantino, J. N., &amp; Kroll, K. L. (2019). Cellular and molecular characterization of multiplex autism in human induced pluripotent stem cell-derived neurons. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">10<\/span><\/i><span style=\"font-weight: 400;\">, 51. https:\/\/doi.org\/10.1186\/s13229-019-0306-0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Li, Q., Han, Y., Dy, A. B. C., &amp; Hagerman, R. J. (2017). The Gut Microbiota and Autism Spectrum Disorders. <\/span><i><span style=\"font-weight: 400;\">Frontiers in Cellular Neuroscience<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">11<\/span><\/i><span style=\"font-weight: 400;\">. https:\/\/www.frontiersin.org\/articles\/10.3389\/fncel.2017.00120<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Li, Q., &amp; Zhou, J.-M. (2016). The microbiota-gut-brain axis and its potential therapeutic role in autism spectrum disorder. <\/span><i><span style=\"font-weight: 400;\">Neuroscience<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">324<\/span><\/i><span style=\"font-weight: 400;\">, 131\u2013139. https:\/\/doi.org\/10.1016\/j.neuroscience.2016.03.013<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lilley, R., Lawson, W., Hall, G., Mahony, J., Clapham, H., Heyworth, M., Arnold, S. R., Trollor, J. N., Yudell, M., &amp; Pellicano, E. (2022). \u2018A way to be me\u2019: Autobiographical reflections of autistic adults diagnosed in mid-to-late adulthood. <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">26<\/span><\/i><span style=\"font-weight: 400;\">(6), 1395\u20131408. https:\/\/doi.org\/10.1177\/13623613211050694<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lockwood Estrin, G., Milner, V., Spain, D., Happ\u00e9, F., &amp; Colvert, E. (2021). Barriers to Autism Spectrum Disorder Diagnosis for Young Women and Girls: A Systematic Review. <\/span><i><span style=\"font-weight: 400;\">Review Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">8<\/span><\/i><span style=\"font-weight: 400;\">(4), 454\u2013470. https:\/\/doi.org\/10.1007\/s40489-020-00225-8<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Loomes, R., Hull, L., &amp; Mandy, W. P. L. (2017). What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis. <\/span><i><span style=\"font-weight: 400;\">Journal of the American Academy of Child &amp; Adolescent Psychiatry<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">56<\/span><\/i><span style=\"font-weight: 400;\">(6), 466\u2013474. https:\/\/doi.org\/10.1016\/j.jaac.2017.03.013<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lundin, K., Mahdi, S., Isaksson, J., &amp; B\u00f6lte, S. (2021). Functional gender differences in autism: An international, multidisciplinary expert survey using the International Classification of Functioning, Disability, and Health model. <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">25<\/span><\/i><span style=\"font-weight: 400;\">(4), 1020\u20131035. https:\/\/doi.org\/10.1177\/1362361320975311<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mantzalas, J., Richdale, A. L., &amp; Dissanayake, C. (2022). A conceptual model of risk and protective factors for autistic burnout. <\/span><i><span style=\"font-weight: 400;\">Autism Research<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">15<\/span><\/i><span style=\"font-weight: 400;\">(6), 976\u2013987. https:\/\/doi.org\/10.1002\/aur.2722<\/span><\/p>\n<p><span style=\"font-weight: 400;\">McDonald, T. A. M. (2020). Autism Identity and the \u201cLost Generation\u201d: Structural Validation of the Autism Spectrum Identity Scale and Comparison of Diagnosed and Self-Diagnosed Adults on the Autism Spectrum. <\/span><i><span style=\"font-weight: 400;\">Autism in Adulthood: Challenges and Management<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">2<\/span><\/i><span style=\"font-weight: 400;\">(1), 13\u201323. https:\/\/doi.org\/10.1089\/aut.2019.0069<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Miller, D., Rees, J., &amp; Pearson, A. (2021). \u201cMasking Is Life\u201d: Experiences of Masking in Autistic and Nonautistic Adults. <\/span><i><span style=\"font-weight: 400;\">Autism in Adulthood<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">3<\/span><\/i><span style=\"font-weight: 400;\">(4), 330\u2013338. https:\/\/doi.org\/10.1089\/aut.2020.0083<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mo, K., Sadoway, T., Bonato, S., Ameis, S. H., Anagnostou, E., Lerch, J. P., Taylor, M. J., &amp; Lai, M.-C. (2021). Sex\/gender differences in the human autistic brains: A systematic review of 20 years of neuroimaging research. <\/span><i><span style=\"font-weight: 400;\">NeuroImage: Clinical<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">32<\/span><\/i><span style=\"font-weight: 400;\">, 102811. https:\/\/doi.org\/10.1016\/j.nicl.2021.102811<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Moore, I., Morgan, G., Welham, A., &amp; Russell, G. (2022). The intersection of autism and gender in the negotiation of identity: A systematic review and metasynthesis. <\/span><i><span style=\"font-weight: 400;\">Feminism &amp; Psychology<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">32<\/span><\/i><span style=\"font-weight: 400;\">(4), 421\u2013442. https:\/\/doi.org\/10.1177\/09593535221074806<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mulak, A., Larauche, M., &amp; Tach\u00e9, Y. (2022). Sexual Dimorphism in the Gut Microbiome: Microgenderome or Microsexome? <\/span><i><span style=\"font-weight: 400;\">Journal of Neurogastroenterology and Motility<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">28<\/span><\/i><span style=\"font-weight: 400;\">(2), 332\u2013333. https:\/\/doi.org\/10.5056\/jnm21242<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nag, H. E., Nordgren, A., Anderlid, B.-M., &amp; N\u00e6rland, T. (2018). Reversed gender ratio of autism spectrum disorder in Smith-Magenis syndrome. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">9<\/span><\/i><span style=\"font-weight: 400;\">(1), 1. https:\/\/doi.org\/10.1186\/s13229-017-0184-2<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Navarro-Pardo, E., L\u00f3pez-Ram\u00f3n, F., Alonso-Esteban, Y., &amp; Alcantud-Mar\u00edn, F. (2021). Diagnostic Tools for Autism Spectrum Disorders by Gender: Analysis of Current Status and Future Lines. <\/span><i><span style=\"font-weight: 400;\">Children (Basel, Switzerland)<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">8<\/span><\/i><span style=\"font-weight: 400;\">(4), 262. https:\/\/doi.org\/10.3390\/children8040262<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nirmalkar, K., Qureshi, F., Kang, D.-W., Hahn, J., Adams, J. B., &amp; Krajmalnik-Brown, R. (2022). Shotgun Metagenomics Study Suggests Alteration in Sulfur Metabolism and Oxidative Stress in Children with Autism and Improvement after Microbiota Transfer Therapy. <\/span><i><span style=\"font-weight: 400;\">International Journal of Molecular Sciences<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">23<\/span><\/i><span style=\"font-weight: 400;\">(21), Article 21. https:\/\/doi.org\/10.3390\/ijms232113481<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ohlsson Gotby, V., Lichtenstein, P., L\u00e5ngstr\u00f6m, N., &amp; Pettersson, E. (2018). Childhood neurodevelopmental disorders and risk of coercive sexual victimization in childhood and adolescence\u2014A population-based prospective twin study. <\/span><i><span style=\"font-weight: 400;\">Journal of Child Psychology and Psychiatry, and Allied Disciplines<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">59<\/span><\/i><span style=\"font-weight: 400;\">(9), 957\u2013965. https:\/\/doi.org\/10.1111\/jcpp.12884<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Parish-Morris, J., Liberman, M. Y., Cieri, C., Herrington, J. D., Yerys, B. E., Bateman, L., Donaher, J., Ferguson, E., Pandey, J., &amp; Schultz, R. T. (2017). Linguistic camouflage in girls with autism spectrum disorder. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">8<\/span><\/i><span style=\"font-weight: 400;\">(1), 48. https:\/\/doi.org\/10.1186\/s13229-017-0164-6<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pearson, A., &amp; Rose, K. (2021). A Conceptual Analysis of Autistic Masking: Understanding the Narrative of Stigma and the Illusion of Choice. <\/span><i><span style=\"font-weight: 400;\">Autism in Adulthood<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">3<\/span><\/i><span style=\"font-weight: 400;\">(1), 52\u201360. https:\/\/doi.org\/10.1089\/aut.2020.0043<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pecora, L. A., Hancock, G. I., Hooley, M., Demmer, D. H., Attwood, T., Mesibov, G. B., &amp; Stokes, M. A. (2020). Gender identity, sexual orientation and adverse sexual experiences in autistic females. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">11<\/span><\/i><span style=\"font-weight: 400;\">(1), 57. https:\/\/doi.org\/10.1186\/s13229-020-00363-0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Quigley, E. M. M., &amp; Hurley, D. (2000). Autism and the Gastrointestinal Tract. <\/span><i><span style=\"font-weight: 400;\">Official Journal of the American College of Gastroenterology | ACG<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">95<\/span><\/i><span style=\"font-weight: 400;\">(9), 2154. https:\/\/doi.org\/10.1111\/j.1572-0241.2000.03247.x<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., Kapp, S. K., Hunter, M., Joyce, A., &amp; Nicolaidis, C. (2020). \u201cHaving All of Your Internal Resources Exhausted Beyond Measure and Being Left with No Clean-Up Crew\u201d: Defining Autistic Burnout. <\/span><i><span style=\"font-weight: 400;\">Autism in Adulthood<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">2<\/span><\/i><span style=\"font-weight: 400;\">(2), 132\u2013143. https:\/\/doi.org\/10.1089\/aut.2019.0079<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rynkiewicz, A., Schuller, B., Marchi, E., Piana, S., Camurri, A., Lassalle, A., &amp; Baron-Cohen, S. (2016). An investigation of the \u2018female camouflage effect\u2019 in autism using a computerized ADOS-2 and a test of sex\/gender differences. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">7<\/span><\/i><span style=\"font-weight: 400;\">(1), 10. https:\/\/doi.org\/10.1186\/s13229-016-0073-0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Schneid, I., &amp; Raz, A. E. (2020). The mask of autism: Social camouflaging and impression management as coping\/normalization from the perspectives of autistic adults. <\/span><i><span style=\"font-weight: 400;\">Social Science &amp; Medicine<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">248<\/span><\/i><span style=\"font-weight: 400;\">, 112826. https:\/\/doi.org\/10.1016\/j.socscimed.2020.112826<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sedgewick, F., Hill, V., Yates, R., Pickering, L., &amp; Pellicano, E. (2016). Gender Differences in the Social Motivation and Friendship Experiences of Autistic and Non-autistic Adolescents. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">46<\/span><\/i><span style=\"font-weight: 400;\">(4), 1297\u20131306. https:\/\/doi.org\/10.1007\/s10803-015-2669-1<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sedgewick, F., Hull, L., &amp; Ellis, H. (2021). <\/span><i><span style=\"font-weight: 400;\">Autism and Masking: How and Why People Do It, and the Impact It Can Have<\/span><\/i><span style=\"font-weight: 400;\">. Jessica Kingsley Publishers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Shobeiri, P., Kalantari, A., Teixeira, A. L., &amp; Rezaei, N. (2022). Shedding light on biological sex differences and microbiota\u2013gut\u2013brain axis: A comprehensive review of its roles in neuropsychiatric disorders. <\/span><i><span style=\"font-weight: 400;\">Biology of Sex Differences<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">13<\/span><\/i><span style=\"font-weight: 400;\">(1), 12. https:\/\/doi.org\/10.1186\/s13293-022-00422-6<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Supekar, K., de Los Angeles, C., Ryali, S., Cao, K., Ma, T., &amp; Menon, V. (2022). Deep learning identifies robust gender differences in functional brain organization and their dissociable links to clinical symptoms in autism. <\/span><i><span style=\"font-weight: 400;\">The British Journal of Psychiatry: The Journal of Mental Science<\/span><\/i><span style=\"font-weight: 400;\">, 1\u20138. https:\/\/doi.org\/10.1192\/bjp.2022.13<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Supekar, K., &amp; Menon, V. (2015). Sex differences in structural organization of motor systems and their dissociable links with repetitive\/restricted behaviors in children with autism. <\/span><i><span style=\"font-weight: 400;\">Molecular Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">6<\/span><\/i><span style=\"font-weight: 400;\">(1), 50. https:\/\/doi.org\/10.1186\/s13229-015-0042-z<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tub\u00edo-Fungueiri\u00f1o, M., Cruz, S., Sampaio, A., Carracedo, A., &amp; Fern\u00e1ndez-Prieto, M. (2021). Social Camouflaging in Females with Autism Spectrum Disorder: A Systematic Review. <\/span><i><span style=\"font-weight: 400;\">Journal of Autism and Developmental Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">51<\/span><\/i><span style=\"font-weight: 400;\">(7), 2190\u20132199. https:\/\/doi.org\/10.1007\/s10803-020-04695-x<\/span><\/p>\n<p><span style=\"font-weight: 400;\">van der Putten, W. J., Agelink van Rentergem, J. A., Radhoe, T. A., Torenvliet, C., Groenman, A. P.,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mol, A. J. J., &amp; Geurts, H. M. (2023). How to measure camouflaging? A conceptual replication of the validation of the Camouflaging Autistic Traits Questionnaire in Dutch adults. <\/span><i><span style=\"font-weight: 400;\">Research in Autism Spectrum Disorders<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">100<\/span><\/i><span style=\"font-weight: 400;\">, 102072. https:\/\/doi.org\/10.1016\/j.rasd.2022.102072<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Wigdor, E. M., Weiner, D. J., Grove, J., Fu, J. M., Thompson, W. K., Carey, C. E., Baya, N., van der Merwe, C., Walters, R. K., Satterstrom, F. K., Palmer, D. S., Rosengren, A., Bybjerg-Grauholm, J., Hougaard, D. M., Mortensen, P. B., Daly, M. J., Talkowski, M. E., Sanders, S. J., Bishop, S. L., \u2026 Robinson, E. B. (2022). The female protective effect against autism spectrum disorder. <\/span><i><span style=\"font-weight: 400;\">Cell Genomics<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">2<\/span><\/i><span style=\"font-weight: 400;\">(6), 100134. https:\/\/doi.org\/10.1016\/j.xgen.2022.100134<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Wilson, C. E., Murphy, C. M., McAlonan, G., Robertson, D. M., Spain, D., Hayward, H., Woodhouse, E., Deeley, P. Q., Gillan, N., Ohlsen, J. C., Zinkstok, J., Stoencheva, V., Faulkner, J., Yildiran, H., Bell, V., Hammond, N., Craig, M. C., &amp; Murphy, D. G. (2016). Does sex influence the diagnostic evaluation of autism spectrum disorder in adults? <\/span><i><span style=\"font-weight: 400;\">Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">20<\/span><\/i><span style=\"font-weight: 400;\">(7), 808\u2013819. https:\/\/doi.org\/10.1177\/1362361315611381<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Yang, Y., Tian, J., &amp; Yang, B. (2018). Targeting gut microbiome: A novel and potential therapy for autism. <\/span><i><span style=\"font-weight: 400;\">Life Sciences<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">194<\/span><\/i><span style=\"font-weight: 400;\">, 111\u2013119. https:\/\/doi.org\/10.1016\/j.lfs.2017.12.027<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Yoon, K., &amp; Kim, N. (2021). Roles of Sex Hormones and Gender in the Gut Microbiota. <\/span><i><span style=\"font-weight: 400;\">Journal of Neurogastroenterology and Motility<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">27<\/span><\/i><span style=\"font-weight: 400;\">(3), 314\u2013325. https:\/\/doi.org\/10.5056\/jnm20208<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zeidan, J., Fombonne, E., Scorah, J., Ibrahim, A., Durkin, M. S., Saxena, S., Yusuf, A., Shih, A., &amp; Elsabbagh, M. (2022). Global prevalence of autism: A systematic review update. <\/span><i><span style=\"font-weight: 400;\">Autism Research<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">15<\/span><\/i><span style=\"font-weight: 400;\">(5), 778\u2013790. https:\/\/doi.org\/10.1002\/aur.2696<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zener, D. (2019). Journey to diagnosis for women with autism. <\/span><i><span style=\"font-weight: 400;\">Advances in Autism<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">5<\/span><\/i><span style=\"font-weight: 400;\">(1), 2\u201313. https:\/\/doi.org\/10.1108\/AIA-10-2018-0041<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zhang, Y., Li, N., Li, C., Zhang, Z., Teng, H., Wang, Y., Zhao, T., Shi, L., Zhang, K., Xia, K., Li, J., &amp; Sun, Z. (2020). Genetic evidence of gender difference in autism spectrum disorder supports the female-protective effect. <\/span><i><span style=\"font-weight: 400;\">Translational Psychiatry<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">10<\/span><\/i><span style=\"font-weight: 400;\">(1), Article 1. https:\/\/doi.org\/10.1038\/s41398-020-0699-8<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-47 fusion_builder_column_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11.52%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-17 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:#31478e;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1315.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-48 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-social-links fusion-social-links-1\" style=\"--awb-margin-top:0px;--awb-margin-right:0px;--awb-margin-bottom:0px;--awb-margin-left:0px;--awb-alignment:center;--awb-box-border-top:0px;--awb-box-border-right:0px;--awb-box-border-bottom:0px;--awb-box-border-left:0px;--awb-icon-colors-hover:rgba(255,137,0,0.8);--awb-box-colors-hover:rgba(255,255,255,0);--awb-box-border-color:var(--awb-color1);--awb-box-border-color-hover:var(--awb-color4);\"><div class=\"fusion-social-networks color-type-custom\"><div class=\"fusion-social-networks-wrapper\"><a class=\"fusion-social-network-icon fusion-tooltip fusion-facebook awb-icon-facebook\" style=\"color:var(--awb-color1);font-size:36px;\" data-placement=\"top\" data-title=\"Facebook\" data-toggle=\"tooltip\" title=\"Facebook\" aria-label=\"facebook\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.facebook.com\/autismresearchinstitute\"><\/a><a class=\"fusion-social-network-icon fusion-tooltip fusion-twitter awb-icon-twitter\" style=\"color:var(--awb-color1);font-size:36px;\" data-placement=\"top\" data-title=\"X\" data-toggle=\"tooltip\" title=\"X\" aria-label=\"twitter\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/x.com\/ariConference\"><\/a><a class=\"fusion-social-network-icon fusion-tooltip fusion-instagram awb-icon-instagram\" style=\"color:var(--awb-color1);font-size:36px;\" data-placement=\"top\" data-title=\"Instagram\" data-toggle=\"tooltip\" title=\"Instagram\" aria-label=\"instagram\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.instagram.com\/autismresearchinstitute\/\"><\/a><a class=\"fusion-social-network-icon fusion-tooltip fusion-linkedin awb-icon-linkedin\" style=\"color:var(--awb-color1);font-size:36px;\" data-placement=\"top\" data-title=\"LinkedIn\" data-toggle=\"tooltip\" title=\"LinkedIn\" aria-label=\"linkedin\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.linkedin.com\/company\/autism-research-institute\/\"><\/a><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-18 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-49 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-recent-posts fusion-recent-posts-1 avada-container layout-default layout-columns-3\"><section class=\"fusion-columns columns fusion-columns-3 columns-3\"><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/understanding-and-supporting-puberty\/\" aria-label=\"Understanding and Supporting Puberty in Autistic Girls and Boys\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2025\/01\/paid-teens-700x441.jpg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Diverse Teens Hands Star Concept\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271709%27%20viewBox%3D%270%200%202560%201709%27%3E%3Crect%20width%3D%272560%27%20height%3D%271709%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2025\/01\/paid-teens-700x441.jpg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2025\/01\/paid-teens-320x202.jpg 320w, https:\/\/autism.org\/wp-content\/uploads\/2025\/01\/paid-teens-700x441.jpg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-09-11T12:52:59-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/understanding-and-supporting-puberty\/\">Understanding and Supporting Puberty in Autistic Girls and Boys<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-09-11T12:52:59-05:00<\/span><span>August 28th, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/gender\/\" rel=\"category tag\">Gender<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/medical-care\/\" rel=\"category tag\">Medical Care<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/parenting-webinar\/\" rel=\"category tag\">Parenting<\/a>, <a href=\"https:\/\/autism.org\/category\/research\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/research-webinar\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/category\/sexuality\/\" rel=\"category tag\">Sexuality<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/social-skills\/\" rel=\"category tag\">Social Skills<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>   Blythe A. Corbett, Ph.D., discusses her lab's research on puberty, adolescence, and mental health in autistic individuals. She emphasizes puberty as a period of significant biological maturation involving several physical, biological, hormonal,<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/live-qa-masking-deconstructing-the-myths\/\" aria-label=\"Live Q&#038;A\u2014Masking: Deconstructing the Myths\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2025\/06\/teens-2-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271583%27%20viewBox%3D%270%200%202560%201583%27%3E%3Crect%20width%3D%272560%27%20height%3D%271583%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2025\/06\/teens-2-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2025\/06\/teens-2-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2025\/06\/teens-2-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-10-23T13:56:31-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/live-qa-masking-deconstructing-the-myths\/\">Live Q&#038;A\u2014Masking: Deconstructing the Myths<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/melanie\/\" title=\"Posts by Melanie Glock\" rel=\"author\">Melanie Glock<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-10-23T13:56:31-05:00<\/span><span>August 5th, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/medical-care\/\" rel=\"category tag\">Medical Care<\/a>, <a href=\"https:\/\/autism.org\/category\/research\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/research-webinar\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>     This is a follow-up session to Dr. Dena Gassner's June 11th, 2025, presentation on the same subject. You can watch the live recording for more context and information. In the<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/sexuality-and-gender\/\" aria-label=\"Gender, Sexuality, and Autism\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/06\/AdobeStock_238082786-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"puzzle pieces with male and female gender symbols on the pink and blue background. concept equality\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271707%27%20viewBox%3D%270%200%202560%201707%27%3E%3Crect%20width%3D%272560%27%20height%3D%271707%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/06\/AdobeStock_238082786-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/06\/AdobeStock_238082786-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2019\/06\/AdobeStock_238082786-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2024-08-07T10:38:10-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/sexuality-and-gender\/\">Gender, Sexuality, and Autism<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2024-08-07T10:38:10-05:00<\/span><span>July 12th, 2024<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/gender\/\" rel=\"category tag\">Gender<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/category\/seniors\/\" rel=\"category tag\">seniors<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/sensory\/\" rel=\"category tag\">Sensory<\/a>, <a href=\"https:\/\/autism.org\/category\/sexuality\/\" rel=\"category tag\">Sexuality<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/social-skills\/\" rel=\"category tag\">Social Skills<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/ways-to-help\/\" rel=\"category tag\">Ways to Help<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>    Dr. Wenn Lawson, Ph.D., delves into the intersection of autism, sexuality, and gender. He describes monotropism as a theory of attention and addresses common sex differences in autism. The presenter discusses<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/gender-discomfort-and-autism\/\" aria-label=\"Gender Discomfort and Autism\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/06\/AdobeStock_557444134-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Person made of colorful data in the virtual reality\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271707%27%20viewBox%3D%270%200%202560%201707%27%3E%3Crect%20width%3D%272560%27%20height%3D%271707%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/06\/AdobeStock_557444134-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/06\/AdobeStock_557444134-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2023\/06\/AdobeStock_557444134-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2024-11-22T08:34:54-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/gender-discomfort-and-autism\/\">Gender Discomfort and Autism<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2024-11-22T08:34:54-05:00<\/span><span>June 16th, 2023<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>   \"I think society has an expectation where you have to be male or female, or you can be somewhere in between [...]. But they don't get that, actually, there are many genders<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/age-and-diagnosis\/\" aria-label=\"How Age &#8211; and Age of Diagnosis &#8211; Affect Quality of Life\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/09\/AdobeStock_120494780-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"autism written on the white paper with the glasses on it\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271690%27%20viewBox%3D%270%200%202560%201690%27%3E%3Crect%20width%3D%272560%27%20height%3D%271690%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/09\/AdobeStock_120494780-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/09\/AdobeStock_120494780-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2019\/09\/AdobeStock_120494780-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-01-21T17:00:03-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/age-and-diagnosis\/\">How Age &#8211; and Age of Diagnosis &#8211; Affect Quality of Life<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-01-21T17:00:03-05:00<\/span><span>May 2nd, 2023<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/anxiety\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/research-webinar\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>   Dr. Gray Atherton discusses the critical role of age and age of diagnosis in shaping the quality of life for autistic individuals. She provides a brief history of autism understanding and considers<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/gender-differences-in-diagnoses\/\" aria-label=\"Delayed and Missed Diagnoses of Autistic Women\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/05\/preteen-girl-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Upset young girl sitting on the floor of her bedroom, feeling down\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271707%27%20viewBox%3D%270%200%202560%201707%27%3E%3Crect%20width%3D%272560%27%20height%3D%271707%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/05\/preteen-girl-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/05\/preteen-girl-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2021\/05\/preteen-girl-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-10-17T17:01:33-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/gender-differences-in-diagnoses\/\">Delayed and Missed Diagnoses of Autistic Women<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-10-17T17:01:33-05:00<\/span><span>November 8th, 2022<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/adults-on-the-spectrum\/\" rel=\"category tag\">Adults on the Spectrum<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/assessment\/\" rel=\"category tag\">Assessment<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/genetics\/\" rel=\"category tag\">Genetics<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/neurological\/\" rel=\"category tag\">Neurological<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/research-webinar\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>  Hannah Belcher, Ph.D., Autistic researcher, speaker, and author, discusses the often late and missed diagnosis of autistic females. She dives into the gender gap inherent in autism research, assessments, and clinical understanding, demonstrating<\/p><\/div><\/article><\/section><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":16184,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-16118","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Women in Autism - Autism Research Institute<\/title>\n<meta name=\"description\" content=\"An in-depth look at the history of autism and gender from female diagnostic statistics to present-day research models.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/autism.org\/women-in-autism\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Women in Autism\" \/>\n<meta property=\"og:description\" content=\"An in-depth look at the history of autism and gender from female diagnostic statistics to present-day research models.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/autism.org\/women-in-autism\/\" \/>\n<meta property=\"og:site_name\" content=\"Autism Research Institute\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/autismresearchinstitute\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-03-07T22:26:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-08-19T18:40:30+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1640\" \/>\n\t<meta property=\"og:image:height\" content=\"924\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Nicole\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ariConference\" \/>\n<meta name=\"twitter:site\" content=\"@ariConference\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nicole\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"38 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/autism.org\/women-in-autism\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/autism.org\/women-in-autism\/\"},\"author\":{\"name\":\"Nicole\",\"@id\":\"https:\/\/autism.org\/#\/schema\/person\/dcaaa82ba02ce66efe6b0458f79cef33\"},\"headline\":\"Women in Autism\",\"datePublished\":\"2023-03-07T22:26:54+00:00\",\"dateModified\":\"2024-08-19T18:40:30+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/autism.org\/women-in-autism\/\"},\"wordCount\":27335,\"publisher\":{\"@id\":\"https:\/\/autism.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/autism.org\/women-in-autism\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png\",\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/autism.org\/women-in-autism\/\",\"url\":\"https:\/\/autism.org\/women-in-autism\/\",\"name\":\"Women in Autism - Autism Research Institute\",\"isPartOf\":{\"@id\":\"https:\/\/autism.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/autism.org\/women-in-autism\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/autism.org\/women-in-autism\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png\",\"datePublished\":\"2023-03-07T22:26:54+00:00\",\"dateModified\":\"2024-08-19T18:40:30+00:00\",\"description\":\"An in-depth look at the history of autism and gender from female diagnostic statistics to present-day research models.\",\"breadcrumb\":{\"@id\":\"https:\/\/autism.org\/women-in-autism\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/autism.org\/women-in-autism\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/autism.org\/women-in-autism\/#primaryimage\",\"url\":\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png\",\"contentUrl\":\"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png\",\"width\":1640,\"height\":924,\"caption\":\"Colorful silhouettes of women's heads\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/autism.org\/women-in-autism\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/autism.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Women in Autism\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/autism.org\/#website\",\"url\":\"https:\/\/autism.org\/\",\"name\":\"Autism Research Institute\",\"description\":\"Advancing Autism Research and Education\",\"publisher\":{\"@id\":\"https:\/\/autism.org\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/autism.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/autism.org\/#organization\",\"name\":\"Autism Research Institute\",\"url\":\"https:\/\/autism.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/autism.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/autism.org\/wp-content\/uploads\/2019\/03\/ARI_Final_CMYK_CROP.jpg\",\"contentUrl\":\"https:\/\/autism.org\/wp-content\/uploads\/2019\/03\/ARI_Final_CMYK_CROP.jpg\",\"width\":1516,\"height\":737,\"caption\":\"Autism Research Institute\"},\"image\":{\"@id\":\"https:\/\/autism.org\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/autismresearchinstitute\/\",\"https:\/\/x.com\/ariConference\",\"https:\/\/autismresearchinstitute\",\"https:\/\/www.linkedin.com\/company\/autism-research-institute\",\"https:\/\/www.pinterest.com\/melfromari\/\",\"https:\/\/www.youtube.com\/user\/arifulton\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/autism.org\/#\/schema\/person\/dcaaa82ba02ce66efe6b0458f79cef33\",\"name\":\"Nicole\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/autism.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/51d5809cd9c79e7ead06e0760bf8176b21227371bbdc2b5e1760ff2813a2f35d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/51d5809cd9c79e7ead06e0760bf8176b21227371bbdc2b5e1760ff2813a2f35d?s=96&d=mm&r=g\",\"caption\":\"Nicole\"},\"url\":\"https:\/\/autism.org\/author\/nicoleautism-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Women in Autism - Autism Research Institute","description":"An in-depth look at the history of autism and gender from female diagnostic statistics to present-day research models.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/autism.org\/women-in-autism\/","og_locale":"en_US","og_type":"article","og_title":"Women in Autism","og_description":"An in-depth look at the history of autism and gender from female diagnostic statistics to present-day research models.","og_url":"https:\/\/autism.org\/women-in-autism\/","og_site_name":"Autism Research Institute","article_publisher":"https:\/\/www.facebook.com\/autismresearchinstitute\/","article_published_time":"2023-03-07T22:26:54+00:00","article_modified_time":"2024-08-19T18:40:30+00:00","og_image":[{"width":1640,"height":924,"url":"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png","type":"image\/png"}],"author":"Nicole","twitter_card":"summary_large_image","twitter_creator":"@ariConference","twitter_site":"@ariConference","twitter_misc":{"Written by":"Nicole","Est. reading time":"38 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/autism.org\/women-in-autism\/#article","isPartOf":{"@id":"https:\/\/autism.org\/women-in-autism\/"},"author":{"name":"Nicole","@id":"https:\/\/autism.org\/#\/schema\/person\/dcaaa82ba02ce66efe6b0458f79cef33"},"headline":"Women in Autism","datePublished":"2023-03-07T22:26:54+00:00","dateModified":"2024-08-19T18:40:30+00:00","mainEntityOfPage":{"@id":"https:\/\/autism.org\/women-in-autism\/"},"wordCount":27335,"publisher":{"@id":"https:\/\/autism.org\/#organization"},"image":{"@id":"https:\/\/autism.org\/women-in-autism\/#primaryimage"},"thumbnailUrl":"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png","articleSection":["News"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/autism.org\/women-in-autism\/","url":"https:\/\/autism.org\/women-in-autism\/","name":"Women in Autism - Autism Research Institute","isPartOf":{"@id":"https:\/\/autism.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/autism.org\/women-in-autism\/#primaryimage"},"image":{"@id":"https:\/\/autism.org\/women-in-autism\/#primaryimage"},"thumbnailUrl":"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png","datePublished":"2023-03-07T22:26:54+00:00","dateModified":"2024-08-19T18:40:30+00:00","description":"An in-depth look at the history of autism and gender from female diagnostic statistics to present-day research models.","breadcrumb":{"@id":"https:\/\/autism.org\/women-in-autism\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/autism.org\/women-in-autism\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/autism.org\/women-in-autism\/#primaryimage","url":"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png","contentUrl":"https:\/\/autism.org\/wp-content\/uploads\/2023\/03\/Womens-Day-Article.png","width":1640,"height":924,"caption":"Colorful silhouettes of women's heads"},{"@type":"BreadcrumbList","@id":"https:\/\/autism.org\/women-in-autism\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/autism.org\/"},{"@type":"ListItem","position":2,"name":"Women in Autism"}]},{"@type":"WebSite","@id":"https:\/\/autism.org\/#website","url":"https:\/\/autism.org\/","name":"Autism Research Institute","description":"Advancing Autism Research and Education","publisher":{"@id":"https:\/\/autism.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/autism.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/autism.org\/#organization","name":"Autism Research Institute","url":"https:\/\/autism.org\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/autism.org\/#\/schema\/logo\/image\/","url":"https:\/\/autism.org\/wp-content\/uploads\/2019\/03\/ARI_Final_CMYK_CROP.jpg","contentUrl":"https:\/\/autism.org\/wp-content\/uploads\/2019\/03\/ARI_Final_CMYK_CROP.jpg","width":1516,"height":737,"caption":"Autism Research Institute"},"image":{"@id":"https:\/\/autism.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/autismresearchinstitute\/","https:\/\/x.com\/ariConference","https:\/\/autismresearchinstitute","https:\/\/www.linkedin.com\/company\/autism-research-institute","https:\/\/www.pinterest.com\/melfromari\/","https:\/\/www.youtube.com\/user\/arifulton"]},{"@type":"Person","@id":"https:\/\/autism.org\/#\/schema\/person\/dcaaa82ba02ce66efe6b0458f79cef33","name":"Nicole","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/autism.org\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/51d5809cd9c79e7ead06e0760bf8176b21227371bbdc2b5e1760ff2813a2f35d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/51d5809cd9c79e7ead06e0760bf8176b21227371bbdc2b5e1760ff2813a2f35d?s=96&d=mm&r=g","caption":"Nicole"},"url":"https:\/\/autism.org\/author\/nicoleautism-com\/"}]}},"_links":{"self":[{"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/posts\/16118","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/comments?post=16118"}],"version-history":[{"count":9,"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/posts\/16118\/revisions"}],"predecessor-version":[{"id":19081,"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/posts\/16118\/revisions\/19081"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/media\/16184"}],"wp:attachment":[{"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/media?parent=16118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/categories?post=16118"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/autism.org\/wp-json\/wp\/v2\/tags?post=16118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}