Many adults are unaware they are on the autism spectrum, expert says.
Although autism is most commonly identified in children, many adults live with undiagnosed autism and miss out on support that could improve their lives.
Autism is not something to be “fixed”, it’s a different way of experiencing the world. A diagnosis in adulthood can be empowering and life-changing, says Jeanri Combrinck, a psychiatrist at Netcare Akeso Kenilworth.
Studies estimate that around one percent of adults may be on the autism spectrum, often without realising it. Without a diagnosis, they may silently struggle with social interactions, sensory sensitivities, or rigid thinking patterns, challenges often masked through years of learned behaviour.
Many adults on the spectrum have spent their lives feeling different without knowing why. A diagnosis offers clarity and access to support.
Autism in adults can present in many ways. While neurotypical people often understand social cues intuitively, those on the spectrum may find body language, tone, or facial expressions difficult to interpret. Sensory overload, triggered by light, sound, or certain textures—is also common.
Unexpected changes in plans or routines can cause stress or anxiety, and individuals often have deep interests that may be misunderstood or overlooked. Up to half of autistic adults experience anxiety disorders, including social anxiety and specific phobias. Depression is also common, linked to chronic social difficulties and emotional struggles.
Some show overlapping symptoms with ADHD or OCD, further complicating accurate diagnosis.
Identifying autism helps target treatment more effectively, from therapy and coaching to workplace accommodations. It can reduce anxiety, boost confidence, and improve relationships.Understanding their unique way of thinking allows neurodiverse individuals to navigate life more effectively. With support, they can thrive socially and professionally.
Moments of being overwhelmed are common among those with the spectrum. Strategies like deep breathing, focusing on one task at a time, creating calm routines, and setting boundaries can help.
For those not on the spectrum, it’s important to be mindful and inclusive. Respecting sensory needs, being patient in conversation, speaking clearly, and offering empathy instead of pity can make a big difference.
Autism doesn’t limit potential, it simply means a person experiences the world differently. With greater awareness and support, adults with autism can live fuller lives.
