How does Autism look different between Boys and Girls?

Autism Assessments: How does Autism look different between Boys and Girls?

Autism, a neurodevelopmental condition that psychologists diagnose through testing, can manifest differently in boys and girls. Although it’s crucial to remember that every individual with autism is unique and may not fit these generalizations, some differences have been observed.

One key difference is in diagnosis. Autism is often diagnosed later in girls compared to boys. This is partly because the diagnostic criteria were historically based on male presentations of the condition. Girls tend to display social camouflage, mimicking neurotypical behaviour, which can make it harder for professionals to identify their challenges. This delayed diagnosis can hinder early intervention.

Boys with autism often exhibit more noticeable social difficulties. They might struggle with eye contact, understanding social cues, and forming peer relationships. Girls, on the other hand, can be better at imitating social behaviour’s, making it harder to spot their social challenges. They may have a strong desire for social interaction but lack the skills to navigate it effectively.

Boys might have more rigid and focused interests, often in subjects like trains, mathematics, or technology. In contrast, girls with autism might develop intense interests in people or animals. Their imaginative play might revolve around social scenarios, but they might struggle with imaginative and cooperative play.

Girls might develop more advanced language skills earlier, which can mask their autism. However, they may use language differently, such as being excessively literal, talking at length about their interests, or repeating certain phrases. Boys may exhibit delayed language development and echolalia (repeating words or phrases), which can be an early indicator of autism.

Sensory sensitivities are common in both boys and girls with autism, but the way they express them can differ. Boys might be more likely to exhibit obvious sensory-seeking or sensory-avoidant behaviour’s, such as hand-flapping or covering their ears. Girls might internalize their discomfort, making it less noticeable.

Girls with autism often face social isolation and bullying, despite their attempts to fit in. They might struggle with understanding the unwritten rules of social engagement and find it hard to maintain friendships. Boys may experience similar challenges but might receive more support due to the visibility of their symptoms.

Boys and girls may differ in how they regulate emotions. Boys might be more prone to meltdowns or outbursts, while girls may internalize their emotions, leading to anxiety and depression. This internalization can go unnoticed if not actively addressed. 

As you can see, due to various factors, autism can present very differently between the sexes. Understanding these differences is essential for early diagnosis and appropriate support. It’s important to remember that these are general tendencies, and that each individual has a unique combination of strengths and challenges, regardless of their gender.

Our highly trained team at Mindwell Psychology in Geelong can provide comprehensive psychological testing for both children and adults for a range of conditions including Autism, ADHD, Learning difficulties, Intellectual and Personality Disorders. Get in touch with reception or see our website for more information about the process of undertaking an assessment.