Recognizing the Signs of Autism Later in Life

For many adults, discovering they are autistic comes as a surprise, often after years of feeling different but not knowing why. Autism has long been misunderstood, and because early diagnostic criteria were based on how it presents in boys, many adults, especially women, went undiagnosed. Instead of receiving support, they learned to mask their traits, mimicking social behaviors, suppressing natural responses, and pushing themselves to meet neurotypical expectations. While this helped them blend in, it often led to chronic exhaustion, anxiety, depression, and a sense of never quite fitting in.   

Recognizing autism later in life can bring relief, but it can also bring grief. Many adults reflect on past struggles and wonder how different things might have been if they had understood themselves sooner. Autism can show up in ways that aren’t always obvious, such as extreme sensitivity to noise or textures, difficulty with social cues, intense focus on specific interests, or struggles with interpersonal relationships. Many adults with autism also experience burnout, feeling emotionally and physically drained from years of masking and pushing through environments that weren’t built for them. Understanding these signs can be life changing, offering clarity and an opportunity to approach life with more self compassion.   

At Brightside Behavioral Health, we work with neurodivergent adults who are exploring what an autism diagnosis means for them. Whether through psychoeducation, skill building, or processing past experiences, we provide a space for self discovery and support. Our team offers in person sessions in Johnston, Cranston, and Warwick, as well as telehealth services throughout Rhode Island and Massachusetts. If you’ve ever questioned whether autism might be part of your experience, therapy can help you unpack those feelings, build strategies that work for your brain, and move forward with a greater sense of understanding and self acceptance.