autistic women: 16 *unrecognized* signs

DR. KIM SAGE, LICENSED PSYCHOLOGIST
2 followers
2 Video Views·Jan 25, 2024
This video describes 16 signs of often unrecognized, unexplained, minimized or dismissed signs of autistic traits in women. Taken individually, most signs can be assumed to be related to differences, trauma, etc, but taken together, many of these signs point directly to neurodiversity.
This is one part of my focus this year on unmasking trauma and neurodiversity, alongside my regular content:)
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[Music]
welcome to my new studio just kidding
actually I used to do a radio show this
mic situation uh this mic situation
setup reminds me of that but as many of
you know I've been trying to evolve with
my content over the years to slow down
has been my biggest challenge to learn
the technology and that includes trying
to provide a better sound quality for
you all so I'm not sure how I feel about
this I'm in a new room with my son back
at college but I felt like if I could
create a setup where I could just sit
down and talk that perhaps I could
create more content that was just even
more authentic and maybe even more
frequent so not going to hold myself to
that I don't give myself a schedule
because I just don't do well I'm going
to try to shoot for two videos a week
probably Wednesdays and the weekend but
I would like to if I can increase that I
will also do that okay so today's video
we're going to talk about the often what
I believe are unseen hidden
unexplained maybe overexplained or
minimized internally in terms of like
who we are traits of
autism specifically in women because
what I did was I watched every top video
you could find on people who have lived
experiences and research talking about
traits of autism in women and but I want
to say really quickly that no matter who
you are these things can all apply to
you it's just that I think that because
of the way the research has gone and how
we've been socialized as women that I'll
post a video with very specific traits
for example of autism and people will
say well aren't all women like that and
so no they're not although I do think
that each of us has a you know autism is
an expression of a naturalness in terms
of human development and so sure a lot
of these things can be present in
someone who doesn't have autism what I
really want want to focus on this year
and incorporate more in my channel is
understanding
neurodiversity as it includes unmasking
trauma unmasking complex PTSD and things
like ADHD and neurodiversity in general
including
autism because as I've been doing these
you know deep Dives I'm learning so much
about how many things that we dismiss
that really weren't just adaptations and
responses to trauma but were part of who
we were since birth and yet because so
many of us have complex trauma and PTSD
both and and we have neurodiversity
potentially it's really hard to sort of
nitpick apart but I think these things
are important if they help you deep dive
into more understanding who you are and
number two to remove the shame and often
isolation we feel like well I'm just
different and lastly to help you create
potentially things like um more
transition time between events more
recovery time after socializing more
real Grace for yourself when you're not
doing the things you're supposed to be
doing and trying to find ways to
understand and embrace who you are
really quickly I just want to share this
that it's so funny that I've shared that
I've struggled with being social and I
really am someone who seeks Refuge alone
and yet I spent my entire childhood
alone and
was that because of the physical neglect
because of the time I don't know but I
would also choose aone time even when
you know my house had people in it was
that because they weren't always safe
yes but it wasn't like it was a disaster
every moment and then would I choose
isolation now after raising and still
raising four children and I haven't
really been alone like I don't really
know I'll check with you in a few more
years when I truly am completely alone
but I find that every time I have to
consider doing anything social even
making a phone call to my best friend I
have an initial like I don't want to do
this an anxiety a stress like it's going
to overwhelm me and sure some
conversations some new experiences can
be overwhelming but something like that
you know has really helped me understand
more and more about myself no matter
where it comes from that it's okay it
has nothing to do with the person or
myself it's just part of how my brain
works all right so let's get into it
number one is related to about it is
social overthinking anxiety confusion
self-blame oversharing and unders
sharing so it's it's all about the way
your mind thinks about how you have to
be when you are social am I doing it the
right way am I saying the right things
often I found that this idea and this
can go to trauma too but in general this
neurodiversity piece of a fear of
oversharing or unders sharing so I found
found that there were years where I just
blurted everything out and maybe that
was a trauma response which I think it
was and then there were times when I
have been for many years in fact more in
the last I would say seven or eight
years very guarded very um not
intentionally wanting to share and does
that relate to my job possibly sure but
also just being very walled up but that
also whether you're oversharing or
unders sharing and then you have a
feeling about it not only can those
Dynamics affect how that social event
experience goes but it can really affect
your desire to continue but the core of
this one is just like your brain over
analyzes before during as I've said
hovering over yourself and after the
event what did I say why did I say that
what will they think things like that
number two exhaustion and fatigue from
the overstimulation of being in social
dynamics it could just be phone calls
but having to be on which is a big part
of masking for many of us I think all of
us do this to a certain extent most of
us have our atome self and our outside
self but there's a depletion from having
to really manage the sensory issues the
triggers the stimulation the
conversation the maybe not being able to
stem for example during a conversation
and really what you do is you chalk this
up to just being tired and fatigued but
really it is about the fact that your
brain and body are exhausted from social
dynamics number three raging sensory
issues
as I've said before everything has
bothered me you know sights and smells
and sounds smell is a huge one for me
and apparently a very huge one for many
of those with autism and that one's a
really hard one to control say that
again that one is a really hard one to
manage and control because for example
you can turn down the lights you can
which I'm you know huge in the morning
no bright light no bright light at night
you can work on your fabric exposure
like your sheets your clothes the
light's getting weird here but you
really can't stop the smell of happening
you know like my kids are making some
food and it happens to be at night and
it's very triggering um or it's you
you're out somewhere and there's a smell
and it can be very disregulated so the
core is though like you cannot often
hide this the disregulation it comes
across as as entitled as what is
the word high maintenance but you have
to deal with your sensory World in a way
that you just naturally over time try to
control and you don't really necessarily
know that that's what you're doing but
that's the core things like sleepovers
right as a kid I remember thinking well
if I can't sleep in a bed at your house
by myself I'm not going because it would
just be too uncomfortable for me things
like that the next one is masking and of
course as I'm saying that underlies all
of this it's a part of this whole
problem but becoming more and more aware
that people are really doing a a lot to
get through um how they want to be
perceived in the world in fact even
being perceived can be very
uncomfortable it's like I need to be
here but don't don't experience me don't
see me and or if I know that you're
going to I have to now manage what that
looks like and I will say that I have
become more and more and more myself
here if you watch earlier videos and my
kids would be like oh my God you're not
really being yourself like you're doing
great mom but and it was like I get that
I was trying to be professional and
present a certain version of myself and
I think that my clients now I mean I
think everyone everyone once they got in
the room with me I think I was very much
I'm very much myself while also trying
to hold this role which I also think is
changing as we dissect mental health and
and that kind of dynamic but the point
is that the masking version the version
that we present is very different so the
Kim that you're getting now even here
even if you look at my Tik toks which is
like so it's so cringy between the
filters and the things um I'm still
struggling with that I feel like I'm for
some reason more comfortable in front of
the camera than my phone um and so
anyway the point is you mask and you
don't even know it because you're so
used to putting on the makeup the face
the tone the presentation the clothes
and like I said we all do this but it
can be explained away and not really
understood number um I have a number
number five these are misnumbered dating
issues and so a lot of issues around
romance are often filled with limerance
so a lot of fantasy creation of the
person not the real person and it can
become an obsession it's like you attach
all of the meaning of yourself and value
and hopes and dreams and Fantasies to
the person I think this is very common
in those with both trauma and
neurodiversity and I will say I made a
video about this and I maybe I'm crazy
but I really feel like most people who
are neurodiverse have massive sensory
issues when they're engaging in Intimate
experiences from kissing holding hands
to everything more and that you know
you've learned to like Mind Over Matter
yourself but it can be very very
uncomfortable and triggering the
textures The Taste the smells the sounds
I think that's often really hidden and
not
discussed the next is chronic anxiety
and depression a lifetime of a range of
anxiety and depressive responses you
might be on the higher end of being able
to manage those things in other words
you can hold down a job but you're like
white knuckling it or there's a big
facade and Screen behind what you
present to the world and what it looks
like at home for example you get all
your tasks done at work but your house
is a mess your dishes are in the sink
you can't your laundry sits there for
weeks at a time time but the rest of the
world would never think that you can't
that you struggle so much to manage
those things the next one is number
seven you're you were always sensitive
and you you've cried a lot and you might
have learned to stuff those feelings and
repress them but many of us I think I
used to say years ago I've just always
been an over Feeler and an overthinker
and honestly what changed that a little
bit and it sucks in some ways was
menopause that the lack of hormones in
some ways it's what that whole thing
about um being 50 and not caring anymore
but it really sucks to be honest with
you menopause I personally think sucks
horrifically I know keep saying that but
we don't talk about it we're not
prepared for it and I've said um without
hormones I especially but even still it
feels like someone turned the lights out
on my energetic motivation to be in the
world and last year as I've shared a
little bit I had had a lot I'm still
dealing with Stu stuff in that around
that issue around hormones and surgeries
and I was off hormones for a while and
it was really bad I wasn't sleeping I
didn't feel well and so the point is
though that no matter what it is there's
a sensitivity to the world and maybe
things like menopause have have numbed
it a little bit but over feel overthink
and a lot of just intense emotions that
might have been misdiagnosed as BPD for
example the next one is a history of
female friendship issues I think that
friendship issues in general are hard
for all of us as we age they get more
difficult but when I looked back I was
like oh I've always had I always had up
until my divorce at in my 40s I always
had a number of close a couple of really
close girlfriends and yet when I look
back at kind of how those things happen
and what happened I can see this Trail
this pattern of intense closeness of me
becoming avoidant um as I said I do
believe that getting divorced if you
really want to understand not only who
you married if you want to know who you
married divorce them and look at what
happens to your friendships and divorce
it's really difficult especially if
you're in a high conflict situation and
your friends are still in marriages
whether they're happy or not just to be
there for you let alone if they're also
starting to question their happiness and
now you're talking about it all the time
it's hard for both of you but the
history of me trusting female
friendships I thought was only about my
history with my mom and maybe it is but
as I've looked at it more and more I
understand more and more about the way I
show up who I stay close to or not and
there's a broken trail of friendships
for many of us who have I believe neurod
Divergence in some way the next one is
being and deeply entrenched in fantasy
worlds right maybe but maybe you hide
these things like you don't tell
everyone that you watch all of the Harry
Potter movies or Lord of the Rings or
fantasy books that you read and you're
just a deep thinker with a preference
for the stories of human beings
and so I think that um we can get lost
in fantasy worlds there can be a
dissociation to that of course there can
be a sort of like a more connectedness
to magical worlds and things like that
from the brain the way the brain works I
think also in neurodiversity but just
being a deep thinker and really attached
to those kind of fantasy stories as I've
said therapy to me is a story it's a
story every every patient is a story
every day is a new story the next one is
a massive need for
repetition so doing things the same way
I need to get up every day and have my
my morning go and it always goes within
the within the a couple of things in the
exact same order and so whether it's um
repetition through the way that you live
your life and your day most of us need
that now if you have that flavor of ADHD
with autism you can also have the ADHD
part that needs stimulation and Novelty
which can really interfere with that and
create I think more impulsivity but at
the core poor if we're talking about
these things and obviously even trauma
too there's a safety and repetition but
especially with autism and things like
neurodiversity I think in general we
need to be able to predict what's coming
next from the sensory exposure to
relationships expectations of us
socially things like that the next one
is secret stemming so as I've talked
about the blankie the you know the
threat on the the satin on the blankie
picking skin picking a lot of things
that we don't really share that I think
that when you look at individually they
don't mean anything it's when you look
at stemming in context to how you manage
pleasure how you manage
disregulation and the way that you've
done it in context with all these other
things that I think starts to point the
lens more and more towards a more
neurodiverse brain the next one is
proprioception like really being clumsy
like I have always I drop things I break
things all of the time like I probably
break one glass a week if not every two
weeks or a bowl or a plate I used to
have it's not as bad now when my kids
are little I feel like you're doing more
but bruising and not knowing where it
came from from bumping into things I
have dropped things on my toes so many
times that my feet have like like
permanent damage from them because I
hate to wear shoes so I'll be like you
know moving into a place hammering
something on the wall I did this one
place I had this massive painting over
this fireplace and it was really heavy
and I'm such a like I'll just do it now
by myself person but it dropped on my
feet and that has happened more times
than I care to admit so we can have a
lot of clumsiness just like bumping into
things that's very common but by itself
you're just like Oh I'm a clumsy person
right the next one is really preferring
to be alone and seeking Refuge alone and
I think that many of us do this as I've
talked about for lots of reasons from
our tendency to feel overstimulated for
our hypervigilant issues having like
eggshell parents where we were only safe
alone but there really can be not that
you don't always want to be alone and
don't enjoy socializing but many people
on the Spectrum need to be alone to
regulate and I think you know like I'm
saying by itself it can just be like oh
you're kind of a loner but when you look
at it in a larger context a lot happens
when you're alone you're pursuing your
hobbies you're regulating yourself
you're finding the space and peace in
your own mind you're turning off that
social that mask right so that's a
common one the next one is as I said
kind of earlier faking and lying and
minimizing and masking how hard daily
life really is for you daily tasks and I
think when we look at this bill of goods
we've been sold about what we're
supposed to do and meditate and eat and
exercise and be this and socialize and
not isolate it's a lot um keeping our
homes clean especially if you don't have
help but even if you do just the daily
functioning so you you you just really
maybe you lie to yourself like I didn't
even realize to myself how once I got
divorced I haven't really had for the
most part it's been at least 12 years
any housekeeper um really any
babysitters and so just the and and you
know I have I'm still like doing better
than most and I I do have a good life
and a blessed life but my point is that
like I don't like cleaning I suck at it
I hate it I put it off and my house
might look picked up but then I'd have
to be like oh you need to clean that
right things like that living in near
the beach there's a lot of like mold
issues and things like that the windows
are open all the time so we get a lot
more dust in the house but just not
really like I'm saying on the outside
not really admitting that even to
yourself like God I'm not really good at
this thing so a lot of Faking and hiding
how hard daily tasks are the next one is
highly empathic to animals um being
really uh driven by the Miss Injustice
of the world feeling safer with animals
feeling safer where you're in control of
the Dynamics
of uh human expression and love I think
that that gets so she just loves horses
or whatever dogs um there she's a cat
lady or whatever but I think there's
something about that that we often feel
truly only understood and safe with
other people who are neurod Divergent
and and especially with animals and then
the last thing is that you last two
things are that you seem
intuitive about things and I think many
of us are but I think that oftentimes
it's a hidden skill of pattern
recognition and being really good at
anticipating things and reading people
especially if people were your special
interest which I actually think a lot of
therapists have this in addition to
trauma childhoods traumatic childhoods
and so you get really good at reading
nonverbals at making meaning and you
were doing that to also gauge how to
respond yourself but it can be
misperceived I think at times S as you
know whether it's empathic qualities
sensitivity qualities which I also think
we can have I also think they are
response to our trauma to our
environments to how our brains work
around expectations with the world and
others and I think that's it so I'm I'm
curious to hear what your thoughts are I
think that when you take any one of
these by itself it can easily be
explained as you know human Nuance human
differences um it could be explained as
trauma and and certainly you could say I
suppose that these things can be the
point is no matter what it is at the
core of a neurodiverse brain we had to
adapt and make changes and if you're
born which we know with certain
temperaments and sensitivities right
more sensitive children to things like
smell and sound and taste and noise like
sensory issues or human connection
whatever it is and then you have trauma
it's going to even it's going to make
these even more um complex and required
to get through life so those are what I
think are the often unexplained Dynamics
in childhood as I said I watched I
literally went through a lot of the top
autistic creators and like went through
their most popular videos from their
lived experiences and said which ones do
I notice which ones do I notice I have
this weird way of talking sometimes and
um that can also be autism um but it can
be other things too right just we are
but I think that I wanted to share what
I experience and what I think as I'm
opening my eyes and learning more and
more and watching and learning about um
are also true for others so that's it
for today I hope you found this helpful
like I said I'm not sure about this new
setup we'll see how it goes I'm going to
make another video and talk about really
this idea of seeking Refuge alone and
what it means for especially autistic
people neurodiverse people to need to
have alone time and so we're going to be
talking about that once again I am
talking about generally speaking higher
higher masking I I want to always make
the space and respect for those who have
different needs in terms of autism and
neurodiversity from ADHD all of them
trauma and not just say everyone is the
same because we really are and and many
of these things create real difficulty
in people's lives it's really difficult
and and so let's say for example if
you're higher on the on the line of
being triggered by sounds and people and
events you can have this need to be
alone to manage that but also for
example a lot of those on the Spectrum
report a high degree of loneliness and
so there are there are real real
consequences and dynamics of these
things happening and certainly with
trauma the same right if people are the
trigger for forgetting about anything
else but your childhood trauma or adult
trauma as I've also talked about it can
make wanting to to be around people
difficult but also we know that some
connection and I think we all have
different needs for it is part of the
human experience that so many of us are
are having a more difficult time with in
this world now where we are more and
more isolated so that's it thank you so
much for being here I will see you soon
take good care and have a good day
[Music]
bye
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