Autism (or Autism Spectrum Disorder – ASD) is a neurodevelopment condition that impacts social interaction, communication, and behaviour. Whilst a lot of the research into ASD focuses on children, it’s important to remember that autism doesn’t just disappear with age – autistic children grow into autistic adults. Those with autism face unique challenges that can hugely affect mental health.

Adults with autism are at a higher risk of developing mental health conditions compared to the general population – it is estimated that between 70-80% of autistic individuals will experience mental health difficulties in their life. Common co-occuring conditions include anxiety disorders, depression, PTSD and OCD.
There are so many factors that can contribute towards mental health struggles:
Social isolation – many autistic adults struggle with building and maintaining relationships because they have difficulties in understanding social norms or managing in social situations due to becoming overstimulated. This can cause people to become isolated and increases feelings of loneliness, which is a huge risk factor for poor mental health.
Masking and burnout – masking is extremely common in autistic adults (with women being more likely to do this) as people try to suppress their autistic traits in order to fit in. This can help them to manage situations but in the long run it is exhausting and can lead to burnout with increased anxiety and depression.
Unemployment or underemployment – many adults face barriers to stable employment due to misunderstandings about their abilities or things like finding the work environment too overwhelming and overstimulating. This can lead to financial issues and impact self-esteem and feelings of worthlessness.
Sensory overload – when in an environment that is too loud, bright, or busy can overwhelm someone who is autistic, and this can cause long-term emotional and physical fatigue.
Lack of understanding and support – there is often a lack of empathy or accomodations and autism is still something that is very misunderstood. As well as this, when diagnosed in adulthood you are told that yes, you have autism, and may be offered a follow up session to discuss this, but then you’re on your own.
There are many ways that people can support the mental health of autistic adults – whether that’s support from other people, or support from yourself.
Build supportive networks – it can be helpful and beneficial to try and make connections with people who have similar experiences, and is definitely positive to try to form relationships with others who have a respect for neurodiversity and don’t see it as a negative thing.
Practice self-care and sensory regulation – you might need to spend time in quiet spaces, utilise things like weighted blankets, or sensory lighting as well as engaging in hobbies and activities that bring you joy. Making regular space for decompressing and relaxing can ultimately help you to avoid burnout and shutdowns.
Educate others – raising awareness of autism and mental health in both professional and personal capacities will help bring about more understanding and inclusion.
For far too long, autism and mental health have been stigmatised, leading many adults with ASD to feel invisible and misunderstood. By promoting neurodiversity barriers can be broken down and more and more people will come to understand that autism isn’t a problem to be cured or fixed, but a different way of experiencing the world.
Whilst mental health problems are not an inevitable part of living with autism, they are more likely as the world refuses to accommodate or understand neurodiverse needs. If you are an autistic adult, or someone who loves one, remember that seeking help is a positive thing – with the right support good mental health is more than achieveable!
All my love,
Anna x
