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Autism in Boys vs Girls: Understanding the Key Differences in Symptoms

 Autism in Boys vs Girls: Understanding the Key Differences in Symptoms


Usually, when we speak about Autism Spectrum Disorder (ASD), we generally assume that symptoms manifest the same way in every child. However, the different manifestations of autism in boys and girls serve as one strong reason that many girls are diagnosed late or sometimes are not diagnosed at all. 




Understanding the Key Differences in Symptoms


The research suggests boys are four times more likely to be diagnosed with autism than girls. This does not mean they are fewer; they are simply less visible. 


Common Symptoms of Autism in Boys:


  • Greater visibility of social difficulties (e.g., poor eye contact, not responding to their names)

  • Repetitive behavior, such as flapping hands, rocking, or lining up toys

  • Delayed speech and communication

  • Have behaviors that stand out and are, therefore, diagnosed at an earlier age


Common Symptoms of Autism in Girls: 


  • More socially aware, often copying peers or mimicking behavior to fit in. 

  • Less obvious repetitive behaviors or show them in more "acceptable" ways (such as playing the same pretend game over and over). 

  • Usually struggle internally with anxiety, sensory issues, or emotional overload.

  • Could be shy or overly well-behaved, making their problems more hidden. 

  • Usually diagnosed later in life, sometimes only in adolescence.


Early Detection


Early diagnosis is critical in addressing the needs of autistic children. Where we rely on only the "standard" signs seen in boys, there exists a risk of losing many girls who are secretly suffering.


What Can Parents and Educators Do? 


Observe: Look beyond just the surface behaviors.

Don't ignore your gut: If something seems not right, get a professional opinion.

Engage specialists: You can involve pediatricians, child psychologists, or developmental therapists for evaluation using tools such as the M-CHAT, CARS, ADOS, or Vineland. 

Raise awareness: Discuss how autism manifests differently in boys and girls.


Conclusion


"Autism doesn't appear the same in all children. Particularly in girls, the symptoms are subtle, but the need for assistance is no less genuine."

Let us cease comparing, begin to understand, and enable early intervention for all children.




Autism in girls and boys
Autism symptoms in girls
Why is autism missed in girls
Autism diagnosis in girls
Gender differences in autism


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