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As adults, how can we know if we have ASD if we have never been diagnosed?

Raquel Montllor Linares
Raquel Montllor Linares
Mental health activist

The symptoms can differ between women and men. I suspect there is some underdiagnosis in women . It's true that an adult who notices, for example, that they have difficulty socializing, or communication problems such as being very literal or not understanding double meanings, or excessively preferring routines, or having very intense and marked interests, among other things, might suspect that they could be a person with autism.

Boys, in childhood, I believe can be diagnosed more easily because they are like "little professors" on their subject of interest. Furthermore, if they are confused about their situation and express their frustration openly, that makes them more easily detectable.

Girls, on the other hand, tend to face their problems by imitating their friends, remaining more inconspicuous. Beware! This makes us especially vulnerable to abuse because our desire to belong and our difficulties in social situations and understanding contexts lead us to interpret, for example, sexual advances as a sign of acceptance from others.

Clearly, every person is different, and although autism often appears in the early stages of development, it may not fully manifest until social demands become overwhelming. And this can be a different moment for each individual.

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Dra. Elena Huerta Ramos
Dr. Elena Huerta Ramos
Clinical neuropsychologist and postdoctoral researcher
Parc Sanitari Sant Joan de Déu
Raquel Montllor Linares
Raquel Montllor Linares
Mental health activist