Autism, Gender, and Misdiagnosis: Unique Challenges in Diagnosis and Care Admin March 17, 2025

Autism, Gender, and Misdiagnosis: Unique Challenges in Diagnosis and Care

Autism has long been misunderstood, especially when it comes to women. When people think of autism, they often picture a young boy struggling with eye contact or social interactions. But what happens when the signs are hidden in plain sight?

Many autistic women spend years feeling different but never knowing why. They learn to mimic others, forcing smiles and small talk to blend in. This “masking” helps them navigate social situations, but it takes a toll. Chronic exhaustion, anxiety, and depression are common. Instead of receiving an autism diagnosis, many are misdiagnosed with anxiety or personality disorders.

At The American Wellness Center in Dubai Healthcare City, we recognize these challenges. As an Autism Certified Center, we provide expert assessments and neurodiversity-affirming care. More women and girls in Dubai are now getting the right diagnosis and supportβ€”but many are still slipping through the cracks. It’s time to change that.

Why Autism Presents Differently in Females

For decades, autism research focused primarily on male traits. This led to diagnostic criteria that often fail to capture how autism manifests in women.

Autistic females are more likely to develop strong social mimicry skills. They carefully observe and imitate peers, masking their struggles to fit in. While this helps them navigate social interactions, it often delays diagnosis.

Common signs of autism in females include:

  • Extreme social exhaustion from constant masking
  • Special interests that align with societal expectations, making them less noticeable
  • Heightened anxiety due to sensory overload and social pressures

Studies suggest that women are diagnosed with autism much later than men. Many are first misdiagnosed with anxiety, depression, or borderline personality disorder. Without the right diagnosis, they miss out on essential support.

At The American Wellness Center in Dubai Healthcare City, we specialize in recognizing these unique presentations. Our team ensures that autistic women receive an accurate diagnosis and tailored support strategies.

The Masking Phenomenon and Its Mental Health Impact

Masking is the process of suppressing autistic traits to fit into neurotypical expectations. Women are more likely to mask, making it harder for doctors, teachers, and even family members to notice their struggles.

While masking helps in social situations, it takes a significant mental toll. The constant effort to appear “normal” leads to:

  • Burnout and extreme fatigue
  • Heightened anxiety and depression
  • Difficulty understanding one’s true identity

Research links long-term masking to increased mental health issues. Many autistic women reach a breaking point in adulthood when they can no longer keep up the act.

Misdiagnosis is another major concern. Instead of receiving an autism diagnosis, many women are treated for anxiety, depression, or borderline personality disorder. This often leads to ineffective treatments and prolonged distress.

Breaking Stereotypes in Autism Diagnosis

For years, autism has been viewed through a narrow lens, leaving many women undiagnosed or misdiagnosed. The traditional diagnostic criteria, built around male-centric traits, fail to capture how autism presents in females.

There is an urgent need for gender-inclusive diagnostic tools. Without them, many autistic women continue to struggle without understanding why. The effects of late diagnosis are profoundβ€”emotional distress, difficulty in workplace settings, and a lack of proper support systems.

Neurodiversity-affirming care is essential in changing this landscape. Recognizing and supporting autistic women means moving beyond outdated stereotypes. It means valuing their unique experiences and providing the right accommodations to help them thrive.

In Dubai, awareness of autism is growing. More institutions, including The American Wellness Center in Dubai Healthcare City, are prioritizing autism-friendly services. As an Autism Certified Center, we are committed to ensuring that autistic individualsβ€”especially women receive accurate diagnoses and the personalized care they deserve.

A Future of Recognition and Support

For too long, autistic women have been overlooked, misunderstood, and misdiagnosed. But change is happening. As awareness grows, so does the opportunity to reshape the way we approach autism diagnosis and support.

Recognizing autism in women requires shifting perspectives. It means embracing a diagnostic framework that understands their unique experiences. It means acknowledging the mental health toll of masking and ensuring better support systems are in place.

Dubai is making strides in autism care, helping more individuals receive timely and accurate diagnoses. The journey towards better recognition is ongoing, but progress is being made.

Take the Next Step

If you or a loved one suspect autism, seeking the right support is crucial. At The American Wellness Center in Dubai Healthcare City, our Autism Certified Center provides expert assessments, personalized support, and a compassionate approach to neurodiversity-affirming care.

You don’t have to navigate this journey alone. Contact us today to schedule an assessment and take the first step toward clarity, understanding, and the support you deserve.