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Ashley Brady

Professor Sandy-Smith

English Composition II

November 5, 2020

Misdiagnosis of Autism in Girls

For years pop culture has been displaying male characters with autism, such as

Sheldon Cooper from The Big Bang Theory and Spencer Reid from Criminal Minds.

These characters make it seem as though autism is a male-only problem. What if autism

is not singularly a male problem? It was previously thought that autism mostly

manifests in men. However, recently, scientists worldwide are now finding that girls

have been misdiagnosed or completely forgone an autism diagnosis. Why are girls

significantly less likely than boys to be diagnosed with autism?

Studies have found that girls with autism are more likely to go undiagnosed due

to the nature of how autism presents itself. In Beth Arky's article, "Why Many Autistic

Girls Are Overlooked," she writes of how gender serotypes can prevent an autism

diagnosis. For example, one symptom of autism is hyper fixation. While "boys are

looking at train schedules, girls might have an excessive interest in horses or unicorns,

which is not unexpected for girls" (Arky). Similarly, Peter Hess writes, "At every age,

autistic girls score higher on measures of emotional reactivity than autistic boys do."

However, girls are stereotyped to be more naturally emotional than their male

counterparts (Hess). In addition, girls are more likely to be misdiagnosed with other

mental illnesses, "girls struggling with undiagnosed autism often develop depression,

anxiety or poor self-esteem, and clinicians may not really dig underneath to see the

social dysfunction caused by autism" (Arky).


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While Becky Arky and Peter Hess focus on gender stereotypes and misdiagnosis

of girls with autism; Erin Digitale argues in "Girls and Boys with Autism Differ in

Behavior, Brain Structure" that autism is missed in girls due to the differences in brain

structure in males and females with autism and Lauren Agoratus, along with Jessica

Firger, agree. Digitale wrote her article for a Stanford research article. Agoratus wrote

her article for Autism Spectrum News. In contrast, Becky Arky wrote her article for the

child mind institute. They both studied different age groups and focused on different

aspects of autism, leading to different findings in their arguments.

All the articles mentioned are catering to an audience of any age, especially

females who might have autism. All these articles seem to be credible and are written

from a scholarly standpoint. Figer and Digitale's articles are both peer-reviewed. Also,

Beth Arky and Peter Hess both cite peer review articles to back their claims.

Nevertheless, keep in mind each author other than Digitale and Figer were paid by

autism organizations to write about differences in boys and girls with autism. All articles

conclude that girls are often misdiagnosed with other mental illnesses that result from

them struggling with undiagnosed autism. They all agree that girls do not display

symptoms in a forward way like males do.

In addition to these sources, I also deiced to used five others to help support my

research paper. “The Child and Adolescent Twin Study in Sweden (CATSS).” by Henrik

Anckarsäter is a study based on twins in Sweeden discussing the influence of autism on

these twins. This is a very reliable source as it is peer reviewed and has support from

multiple other scientists and has been cited in many other scholarly research papers.

Another peer reviewed scholarly is “Sex differences in pre-diagnosis concerns for

children later diagnosed with autism spectrum disorder.” by Rachel Miller. This study
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focuses on the differences of symptoms in males and females who have yet to be

diagnosed autism. The last three articles are from news websites. The first is from

spectrum news, “Why Autism Diagnoses Are Often Delayed” by Caroline Miller. The

second article is “The Costs of Camouflaging Autism” by Francine Russo from Spectrum

news. The third article is “Autism-It's Different in Girls.” by Maia Szalavitz is from the

Scientific American. All of these articles are written by writers well versed in the subject

and were peer reviewed by other journalists and doctors who also work with those on

the autism spectrum. These articles all bring up similar points including dangers for

girls who have undiagnosed and misdiagnosed autism and symptoms of girls versus

boys with autism.

In conclusion, many authors, researchers, and scientists have found that girls are

less likely to be misdiagnosed or not receive an autism diagnosis at all. Girls with an

autism spectrum disorder are put at a higher risk of many dangers in society. It can also

make it very difficult for girls with an autism spectrum disorder to have access to the

resources they need, like therapy, to become a functioning member of society. This is an

issue that had become more prevalent in a modern-day world where science is

advancing every day. Moreover, although scientists and doctors alike have taken the

first steps to treat girls with potential autism as equals to males with autism, there is still

much work to be done before girls with autism spectrum disorder can fully be equal with

their male counterparts.


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Works Cited

Agoratus, Lauren. “How Autism Manifests Differently in Girls: What Families Need to

Know.” Autism Spectrum News, 1 Oct. 2016, autismspectrumnews.org/how-

autism-manifests-differently-in-girls-what-families-need-to-know/.

Anckarsäter, Henrik, et al. “The Child and Adolescent Twin Study in Sweden (CATSS).”

Twin Research and Human Genetics, vol. 14, no. 6, 2011, pp. 495–508.,

doi:10.1375/twin.14.6.495.

Arky , Beth. “Why Many Autistic Girls Are Overlooked.” Child Mind Institute, 23 Oct.

2019, childmind.org/article/autistic-girls-overlooked-undiagnosed-autism/.

Digitale, Erin. “Girls and Boys with Autism Differ in Behavior, Brain Structure.” News

Center, 3 Sept. 2015, med.stanford.edu/news/all-news/2015/09/girls-and-boys-

with-autism-differ-in-behavior-brain-structure.html.

Firger, Jessica. "Autism Risk: Why Are Girls More Protected From Diagnosis? The

Autism Sisters Project seeks to understand why boys are four times more likely to

develop autism than girls." Newsweek, vol. 169, no. 2, 14 July 2017. Gale In

Context: Opposing Viewpoints, https://link.gale.com/apps/do

c/A497840722/OVIC?u=dayt30401&sid=OVIC&xid=228f6fb7. Accessed 19 Nov.

2020.

Hess, Peter. “Autistic Girls May Experience More Emotional Challenges than Autistic

Boys Do: Spectrum: Autism Research News.” Spectrum, 7 May 2020,

www.spectrumnews.org/news/autistic-girls-may-experience-more-emotional-

challenges-than-autistic-boys-do/.
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Hiller, Rachel M et al. “Sex differences in pre-diagnosis concerns for children later

diagnosed with autism spectrum disorder.” Autism : the international journal of

research and practice vol. 20,1 (2016): 75-84. doi:10.1177/1362361314568899

Miller, Caroline. “Why Autism Diagnoses Are Often Delayed.” Child Mind Institute, 26

June 2019, childmind.org/article/why-autism-diagnoses-are-often-delayed/.

Russo, Francine. “The Costs of Camouflaging Autism.” Spectrum, 16 Nov. 2020,

www.spectrumnews.org/features/deep-dive/costs-camouflaging-autism/.

Szalavitz, Maia. “Autism-It's Different in Girls.” Scientific American, Scientific

American, 1 Mar. 2016, www.scientificamerican.com/article/autism-it-s-different-

in-girls/.

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