Unmasking as a Late-Diagnosed Autistic Person

MHA Admin

Fri, 04/12/2024 – 16:15

by Kristen Abell, MHA Director of Website and Digital Projects

As someone who wasn’t diagnosed with autism until her mid-40s, I often struggle with what it means for me to unmask. What if people don’t like who I am without masking? How even am I masking? These are just a few of the questions that someone who is a late-diagnosed autistic person must battle with when determining whether or not to unmask.

What is masking?

Masking is when an autistic person alters or camouflages their behavior to better fit in with allistic (non-autistic) behavior expectations. Many autistic people do this because it allows them to feel safer in a world where there is still significant stigma surrounding autism and autistic behaviors. Masking is also one of the primary reasons that many girls – who often mask at higher rates than boysgo undiagnosed for so long, if they are ever diagnosed at all.

Masking is when an autistic person alters or camouflages their behavior to better fit in with allistic behavior expectations.

Masking looks different for every autistic person, depending on what particular autistic traits they have. Some masking behaviors can include, but are not limited to:

Avoiding stimming or the need to move 
Using facial expressions or making eye contact 
Wearing clothes that are uncomfortable to appear “professional” 
Engaging in social etiquette behaviors that don’t make sense to them because it makes others more comfortable (for example, small talk, which can be extremely tiring for autistic people) 
Rewriting (and rewriting again) emails to make them sound less blunt and more friendly 
Avoiding the urge to talk extensively about their special interests

For many years, parents and caregivers of autistic people have encouraged training and therapies like Applied Behavioral Analysis (ABA) that teach how to curb autistic behaviors and fit in better with allistic expectations. However, in more recent years, there has (very fortunately) been a strong movement in the autism community to recognize that autism isn’t something to be “cured” or “treated,” but that we should find ways to better support autistic people in a world built for allism.

Is it easy to mask?

There’s really no way to measure the energy required for an individual autistic person to mask. How easy it is to mask depends on a variety of factors, including what behaviors someone is trying to mask, how often they feel the need or are required to mask, and what level of masking they feel the need to use, among other things. Often, masking requires an extensive amount of energy for autistic individuals, and often leads to stress, fatigue, and other physical ailments.

So why mask if it’s so exhausting? There is still quite a bit of stigma attached to autism and the behaviors that are associated with it. It can make someone very uncomfortable to unmask with people who have either expressed negative bias towards autistic people or haven’t made it clear how they feel about autism. And for many of us who have been masking since we were children, it can be difficult to know how not to mask if we are not diagnosed until much later in life.

Many BIPOC individuals, women, non-binary, and queer people – who are often already coding their behavior based on their race, gender, or sexuality to stay safe – choose to mask when they feel unsafe in school, the workplace, or other situations.

It’s also extremely important to note that many people feel the need to mask for safety. Many BIPOC individuals, women, non-binary, and queer people – who are often already coding their behavior based on their race, gender, or sexuality to stay safe – choose to mask when they feel unsafe in school, the workplace, or other situations. This can cause additional fatigue and exhaustion on top of dealing with racism, sexism, and homophobia in these situations.

Unmasking

As the world continues to grow in its acceptance and even sometimes celebration of neurodiversity, hopefully more autistic people can unmask in any situation. Some autistic advocates have also argued that the only way to live fully as an autistic person is to unmask. For those of us who have been diagnosed late, there can be some extra challenges to unmasking, however.

As we work to unmask, it can mean lots of uncomfortable conversations with the people around us. It can be just as exhausting to constantly be the educator in these situations as it can be to mask.

For many of us, we have established work situations and relationships based on who we have been as a masked autistic person. As we work to unmask, it can mean lots of uncomfortable conversations with the people around us. It can be just as exhausting to constantly be the educator in these situations as it can be to mask.

It can also be challenging to know what is masking and what isn’t when we’ve been living most of our lives undiagnosed. For some of us, masking is second nature at this point, and unraveling what we are really feeling at any given time can be difficult. We may be using adaptive behaviors and masking and not even realize it!

And of course, it’s important to remember that unmasking just may not be a safe possibility for some autistic individuals and/or in some environments.

Ultimately, the choice to mask or unmask as an autistic person is very personal and can depend on many things. But there’s no doubt that masking during our daily lives can cause significant strain on our mental and physical energy, which means we may struggle more in other areas of our lives. If you’re looking to learn more about autistic masking and unmasking, the book “Unmasking Autism” by Devon Price has some excellent information and exercises to help you better understand what this might look like for you.

DID YOU KNOW?

The Capital City Emergency “Level II” Trauma & Wellness Center will house a “state of the art” Outreach Community Resource Center, that will provide case management, mental health community advocacy, and oversight from the M.I. Mother’s Keeper mental health advocates. 
 
The Capital City Emergency “Level II” Trauma & Wellness Center will offer patrons access to immediate coverage by general surgeons as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care.
 
Our goal is to help people in the best way possible in an effort to preserve and to save more lives in the Nation’s Capital and beyond.

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Emergency

Code Red
Gunshot Victim
Life Threatening Wounds
Physical Assault Victim
Severely Injured Auto Accident Victim
Burn Victim
Epilepsy/Seizures
Cardiovascular
Choking & Breathing Obstructions
and more…

trauma

Child Sex Assault Victim
Domestic Violence Victim
Drug Overdose
Rape/Sex Crime Victim
Suicide Watch
Trafficking Victim
Nervous Breakdown
and more…

Mental Health

At Capital City Emergency Trauma & Wellness Center patrons with mental health emergencies that include life threatening situations in which an individual is imminently threatening harm to self or others, severely disoriented or out of touch with reality, has a severe inability to function or is otherwise distraught and out of control, will have access to quality and psychiatric emergency services and referrals.

Physical Health

Whether your life threatening medical emergency involves excessive or uncontrollable bleeding, head injury. difficulty with breathing, severe pain, heart attack, vision impairments, stroke, physically collapsing, or seizure related, rest assured that our professionals will properly assess and evaluate the level of response that will be most needed to help provide stabilized care solutions and minimize complications as well as reduce early mortality.

Holistic Healthcare

We offer healthcare solutions that will support the whole person which includes their physical, psychological, emotional, social, & spiritual wellbeing. Research supports that because your mental state can affect your overall health we support and offer the inclusion of complimentary and alternative medicine(CAM) practitioners and naturopathic doctor recommendations and referrals as a part of our Outreach Community Resource Center’s care regimen and support.

Rehabilitative

Emergency care can typically result in traumatic injuries for which rehabilitation becomes an essential component of care in trying to achieve the best long-term outcomes for the patient. In addition to speeding up recovery times and helping to prevent further complications, rehabilitative care also helps to support a patient’s self-managed recovery once discharged from our facility. Our Outreach Community Resource Center works closely with our trauma center’s discharge department to assure that patrons requiring these services are linked with qualified professionals who will be accountable to the standard of care required to help the patron be successful in their recovery.

Social Services

Our “state of the art” Outreach Community Resource Center intends to promote “expansive” beneficial community enriching services, programs, case management, & linkage to “approved” partner resources and supports in all of the following intended areas and more:

Social Services

  • Clothing
  • Food Pantry
  • Housing/Shelter
  • I.D. Credentials
  • Senior Wellness Check
  • Toiletries
  • Transportation
  • Etc.

Extended Family Services

  • Child Care
  • Credit Counseling
  • Family Court Services
  • Legal Aide

Career Training

  • Apprenticeship programs
  • Computer/Graphics Training
  • Culinary Program  
  • GED Courses
  • Hospitality Training
  • Job Etiquette & Grooming
  • Resume’ Prep
  • Sales Training
  • Software/Technology workshops
  • Small Business Training

Return Citizen
Program Partner
(Bridging the Gap)

  • Case Management
  • Temporary Boarding/Housing
  • Transitional Program Registration

Prevention/Intervention Outreach,
Workshops, & Programs

  • After-school Behavioral Health Program
  • Civic Engagement / Volunteer Sign-up
  • Fatherhood Rites of Passage
  • Gun Violence Town Hall Forum
  • Life Coaching & Coping Strategies
  • Marriage Counseling Workshops
  • Medicare Informational Workshops
  • Mentorship Training
  • Parental Classes
  • Support Groups
  • Town Hall Discussions
  • Violence De-Escalation Training
  • Voter Registration

Nutritional Outreach

  • Cooking Demonstrations
  • Dietary Programs
  • Exercise Classes
  • Recipe Sharing Workshops
  • Meal Prep

Community Outreach

The Healthy DC & Me Leadership Coalition is partnering with the M.I. Mother’s Keeper Mental Health advocacy organization to provide outreach services on the community level as an aid in reducing the existent health inequities that many District citizens are facing as a direct result of the presence of debilitating social determinants and the lack of culturally appropriate care choices and realities for community members residing in marginalized and lower-income communities.

It is the vision and intentions of the M.I. Mother’s Keeper Mental Health Advocates organization to help improve the quality of living for citizens living in our Nation’s Capital and beyond by overseeing the delicate linkage to services and by maintaining higher standards of care accountability for deserving citizens of the Nation’s Capital.

For more information or to enroll as one of our service providers, please email us at:
info@healthydcandme.org