More Adults Are Wondering: “Could I Be Autistic?” Here’s What You Need to Know 🧩🧠 Autism isn’t just a childhood diagnosis—more adults are now questioning whether they might be on the spectrum. Natasha Nelson, a 35-year-old entrepreneur from Georgia, is one of them. After years of feeling out of sync with social norms, she was diagnosed with autism shortly after her youngest daughter received the same diagnosis. “If your life has always felt chaotic and you’re just surviving, what do you have to lose?” Nelson says, encouraging others to seek answers.
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Autism spectrum disorder (ASD) is characterized by challenges with social communication, repetitive behaviors, and intense focus on specific interests. While it’s often diagnosed in childhood, many adults are now recognizing these traits in themselves, often after their children are diagnosed or through social media awareness. A 2023 study in *JAMA Network Open* revealed a staggering 452% increase in autism diagnoses among adults aged 26 to 34 over the past decade.
For some, autism symptoms go unnoticed until adulthood, when new social or professional demands highlight their struggles. Others may have learned to “mask” their behaviors, hiding traits like difficulty with eye contact or a need for rigid routines. Whitney Ence, a psychologist at UCSF, explains, “Adults have learned to compensate over time. They might think, ‘I can’t display that in public, so I do it in private.’”
But diagnosing autism in adults isn’t straightforward. Symptoms often overlap with conditions like ADHD or OCD, and there’s a shortage of specialists trained to work with adults. Dr. Arthur Westover, a psychiatrist specializing in autism, emphasizes that while many people enjoy routines or deep dives into niche topics, autism involves significant impairment in daily life. “It goes deeper than just liking structure,” he says.
Russell Lehmann, a 34-year-old motivational speaker, has lived with autism for over 20 years. For him, routines are both a comfort and a burden. “Every night, I go to bed knowing I have to do a routine I don’t like just to function,” he shares. His story highlights the complex reality of living with autism as an adult.
If you suspect you might be autistic, experts recommend starting with your primary care physician for a referral to a psychiatrist or psychologist. Diagnosis often involves interviews with family or friends who knew you as a child, as well as standardized tests. However, the process can be costly and time-consuming. Nelson’s diagnosis took three years and cost over $3,000 out-of-pocket.
The growing awareness of adult autism is a step forward, but there’s still much work to be done in providing accessible resources and support. If you’ve ever felt like you don’t quite fit in, it might be worth exploring—because understanding yourself is always worth it.
About the Author
Celia St. James @celiajamesse creates 🍋 Slice of life diary, neurodivergent advocacy, vlogs, and autism awareness + gaming content. Gaming & Life Vlog 🍋 | ASD | Digital Content Creator. My gaming channel feat. Wholesome Cozy Games, Adventure, Point & Click, Puzzle, Mystery & Detective, Story-Rich, Visual Novel, Role-Playing, Simulation, MMO, and Open World.