Autism in Women and Girls

Why autism is often missed in girls — and what to look out for.

Autism in girls and women is still widely misunderstood, with many being missed or misdiagnosed due to the different ways traits present. This post explores some of the common characteristics seen in autistic girls and highlights the importance of early identification and support. Whether you’re a parent, carer, professional, or someone seeking answers for yourself — you’re not alone.

Girls are often undiagnosed or diagnosed much later than boys because autism can manifest differently — in both timing and behaviours. Many girls don’t display the ‘typical’ traits often associated with autism, meaning their needs can be overlooked. Autism in girls can look very different, and there’s still a real need for greater awareness and understanding across society.

Early diagnosis and intervention are crucial for supporting a girl’s development and improving long-term outcomes. With the right support in place, girls can access therapies, develop social skills, understand and manage their sensory needs, and reduce the impact of behaviours that may otherwise become overwhelming. With early support, she can grow into a confident, capable, and successful young woman in all areas of life.

Common Signs and Traits of Autism in Girls:

  • Masking behaviours or emotions in public to avoid drawing attention
  • Imitating or copying the behaviours of others
  • Struggling with social situations
  • Forcing themselves to make eye contact
  • Appearing to daydream frequently
  • Preparing expressions or phrases in advance for conversations
  • Being extremely shy or avoiding interaction
  • Managing emotions in public, but melting down at home
  • Sensory sensitivities (e.g. chewing, clothing discomfort, lighting, noise, touch)
  • Having a small number of friends or becoming overly attached to one person
  • Difficulty with social interaction, non-verbal communication, or maintaining friendships
  • Being ‘mothered’ by peers or overly controlling with them
  • Strong reactions to change, transitions, or anything unexpected
  • Repetitive behaviours such as hair twirling or stimming (or suppressing them)
  • One-sided play or being too intense when trying to join others
  • Highly focused interests — which may seem random or unexpectedly intense
  • Challenges with time management and organisation
  • Advanced or delayed language skills (e.g. speaking in an unusually adult way)
  • Extremely fussy eating or refusal to eat foods that look or feel “wrong”
  • Signs of burnout — constant exhaustion, frequent illness, loss of motivation
  • High anxiety and obsessional thinking due to perfectionism
  • Low self-esteem and self-worth

Understanding how autism presents in girls is the first step toward better support, earlier diagnosis, and more positive outcomes. At Includes Us Too, we’re committed to raising awareness, sharing real experiences, and helping families feel seen and supported.

Disclaimer:
This post is for general information and awareness purposes only. It is not intended to replace professional advice, diagnosis, or support. If you are concerned that you or your child may be autistic, we recommend speaking with your GP, health visitor, or your child’s school SENCO for guidance and referral.

By Lucy Ellis

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