When most people think of autism spectrum disorder (ASD), they picture children—perhaps a toddler struggling with social interactions or a school-aged child receiving early intervention. Autism is widely regarded as a childhood diagnosis, with screening and support systems heavily focused on the early years of life. But what happens when autism goes unrecognized? What about the individuals who grew up without a diagnosis, navigating the world with challenges they couldn’t explain?
The reality is that autism does not disappear with age. Many autistic individuals reach adulthood without ever receiving a diagnosis, often because their traits were misunderstood or masked throughout their lives. Recent studies estimate that in the U.S. alone, about 5.4 million adults (or 2.21% of the population) are on the spectrum, yet many remain undiagnosed. This “lost generation” of autistic adults has spent years—if not decades—struggling with work, relationships, and mental health, often without understanding why.
Thankfully, awareness is growing. More adults are recognizing themselves in the descriptions of autism, and more professionals are learning how to assess and support autistic individuals across all life stages. Late diagnosis, while complex, can be life-changing—bringing relief, self-understanding, and access to resources that were previously out of reach.
At The American Wellness Center in Dubai Healthcare City, we understand the unique challenges faced by both children and adults with autism. As an Autism-certified Center, we take pride in offering comprehensive diagnostic and therapeutic services tailored to each individual’s needs. Our dedicated team of specialists, including child and adult psychiatrists, psychologists, and occupational therapists, provide compassionate and evidence-based care to support individuals at every stage of life. Whether someone is seeking an initial diagnosis or looking for ways to better manage their daily experiences, our center offers the expertise and guidance needed to help autistic individuals thrive.
Why Many Adults Remain Undiagnosed
Autism spectrum disorder (ASD) has long been perceived primarily as a childhood condition, leading to significant underdiagnosis among adults. Several factors contribute to this oversight:
Historical Biases in Diagnosis
Traditionally, autism was identified based on behaviors observed in young children, such as delayed speech and difficulties in social interactions. This early focus meant that many believed autism was exclusive to childhood, overlooking the possibility that these children would grow into autistic adults. Consequently, generations of individuals were left without proper recognition or support for their condition.
Masking and Gender Differences
Many autistic adults, especially women, have developed coping mechanisms to “mask” their traits, consciously or unconsciously mimicking neurotypical behaviors to fit in. This adaptation often leads to misdiagnoses, or their challenges being dismissed entirely. Research indicates that females may present autism differently than males, contributing to underdiagnosis in women.
The Dubai Context and Expatriate Challenges
In the United Arab Emirates, autism affects about 1 in 146 births. A significant portion of the UAE’s population comprises expatriates, who often face unique challenges in accessing appropriate care for their autistic children or themselves. Factors such as limited resources, lack of information, and cultural stigmas can hinder timely diagnosis and intervention. Additionally, the financial burden is considerable; families in the UAE can spend upwards of AED 1 million over four years on care and education for a child with autism.
We are committed to bridging the gap in autism care by providing accessible, high-quality support for individuals and families. Through early diagnosis, tailored therapy plans, and a holistic approach to well-being, we strive to empower autistic individuals to lead fulfilling lives. At the American Wellness Center in Dubai Healthcare City, you are not alone—our team is here to help you navigate this journey with confidence and care.
The Impact of Late Diagnosis on Mental Health
Growing up without an autism diagnosis can take a serious toll on mental health. Many adults spend years feeling different, struggling with social interactions, sensory sensitivities, and workplace challenges without understanding why. This lack of clarity often leads to frustration, low self-esteem, and chronic stress.
Research shows that adults diagnosed at age 21 or later are 2.7 times more likely to experience mood, anxiety, or personality disorders compared to those diagnosed in childhood. The constant effort to “fit in” and suppress autistic traits—known as masking—can lead to autistic burnout, a state of extreme mental, physical, and emotional exhaustion.
Socially, late-diagnosed individuals often struggle to build relationships or maintain employment, leading to isolation, depression, and heightened anxiety. Without the right support, these challenges can become overwhelming. Recognizing autism in adulthood allows individuals to access therapies, accommodations, and communities that help them thrive.
Supporting Adults with Autism at AWC
At The American Wellness Center in Dubai Healthcare City, we are committed to providing the highest level of autism care. As an Autism-certified Center, our team specializes in personalized diagnostic assessments, tailored therapy programs, and holistic support for autistic individuals at every stage of life. Whether it’s mental health counseling, occupational therapy, or social skills training, we ensure that every adult receives the compassionate and expert care they deserve. Our goal is to help individuals lead fulfilling, independent lives with the right support and understanding.
The Path Forward: Recognition, Support, and Acceptance
Awareness and early diagnosis are crucial but so is creating environments where autistic adults can thrive. More adult-focused diagnostic tools are needed to ensure that those who have been overlooked receive the support they deserve. Workplaces, communities, and healthcare systems must also adapt to become more autism-friendly, fostering inclusivity and understanding.
At The American Wellness Center in Dubai Healthcare City, we are leading this change by offering comprehensive assessments, therapy, and support for autistic adults, ensuring they receive the care and recognition they need.
Recognizing autism in adulthood is not just about diagnosis, it is about understanding oneself, gaining access to the right resources, and finding a supportive community. If you or someone you know resonates with the experiences described in this article, seeking a professional evaluation could be a life-changing step.
At The American Wellness Center in Dubai Healthcare City, we are here to help. Our team of specialists is ready to provide expert guidance, compassionate care, and a personalized approach to supporting autistic adults. Take the first step today, Reach Out to us and discover how we can help you or your loved one thrive.