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Girls are commonly underdiagnosed and they experience symptoms in ways that boys do not. Girls who have overt symptoms such as obvious self-stimulating behaviors (stims), extreme difficulties with speech and language, severe difficulties with social communication, or significant cognitive challenges, are usually referred for evaluation and diagnosed at a young age. But girls whose symptoms are subtle, or whose intelligence level allows them to mask symptoms, may only be diagnosed as pre-teens or teens.

Our culture may be to blame for some missed diagnoses in girls. In general, girls are expected to be quieter and less assertive than boys. A girl who appears shy and withdrawn may be seen as acceptably “feminine,” while a boy with the same behaviors is considered to have autism. Similarly, a girl who seems “spacey” and unengaged is often described as “dreamy,” while a boy with similar behaviors may attract negative attention.

Differences between Boys and Girls with Autism


 Possible signs that may suggest autism in girls; no single symptom is enough to suggest autism.  While some symptoms may become increasingly obvious to you as your daughter gets older, you should be able to look back and realize that they have been present since her toddler years. Symptoms of autism should be severe enough to limit daily function. In other words, if your daughter has one or two of the symptoms of autism but is well-adjusted and successful in other ways it’s unlikely that she has autism.

If you see several of these issues, they seem to be prevalent over time, and they interfere with your daughter’s ability to function successfully, you might consider having your daughter see a doctor or evaluated by a professional team of autism experts.

Signs of autism in girls:

  1. Your daughter relies on other children (usually girls) to guide them and speak for them throughout the school day.
  2. Your daughter has “passionate” and limited interests that are very specific and restricted. For example, while many girls may be fans of a particular TV show, a girl with autism may collect information and talk endlessly about the characters, locations, props, or actors, but know little or nothing about the plot or genre of the show.
  3. Your daughter is unusually sensitive to sensory challenges such as loud noise, bright lights, or strong smells. These sensory issues are common in boys
  4. Your daughter’s conversation is restricted to her topics of interest. She may share her areas of specific and restricted fascination, but have no interest in hearing another person’s response. This may interfere with her ability to join groups or make friends.
  5. Your daughter has a low frustration level and finds it difficult to moderate her feelings when she is frustrated. She may have age-inappropriate “meltdowns.” This may interfere with her relationships with teachers, or lead to behavioral interventions such as detentions or even suspension from school.
  6. Your daughter experiences an unusual degree of depression, anxiety, or moodiness. Again, these symptoms are by no means unique to autism, but autism is associated with both mood disorders and obsessive-compulsive disorder.
  7. Your daughter has a difficult time making or keeping friends; she may seem “clueless” when it comes to non-verbal social cues, She may also have a difficult time imitating other girls’ behaviors, fashion choices, or hairstyles even though she may want to “fit in.
  8. Your daughter is usually described as “quiet” or “shy” in school and other challenging social situations. Being quiet or shy isn’t in itself a symptom of autism, but often difficulty with receptive and/or expressive language can make it difficult to jump into conversations, raise your hand, or respond quickly to social situations.
  9. Your daughter is unusually passive. While some people with autism are quite assertive, passive behaviors can be a sign that your daughter isn’t quite sure what to do or say, and has chosen the safe route of doing or saying as little as possible.
  10. Your daughter appeared to be developing fairly typically as a young girl but finds social communication to be increasingly difficult as she enters her teen years. (Studies suggest that girls with high functioning autism may find ways to cope with and mask difficulties with social interaction, often by allowing others to speak for them. This strategy works well until social expectations become more complex and demanding in the early teenage years.)
  11. Your daughter has epileptic seizures (this has been found, in one study, to be more common among girls with autism than among boys).

Sources: healthline and verywell health




  1. geraldine says:


    1. Ochanya says:

      Not exactly, but because girls are rarely diagnosed, and girls are known to be more social/ have social skills than boys, its very important to pay attention to the tiniest detail, especially when the girl exhibits behaviors that are unlikely to her. we advice that once you notice any unusual behavior see a doctor or a professional do not ”wait and see”. you can only ascertain what the challenge is when you seek help; it may not be autism but maybe some other behavioral challenges.

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