Masking debt & autistic burnout

By Embrace Autism

Very often, when I am over stimulated I get very tired mentally and have to go to a quiet spot. As a volunteer I only work 4 hours a day in order to keep from burning out. In social settings with lots of people I am over stimulated and I become very quiet or I leave the event early.  When I was working, at the end of my shift, I was so tired mentally that I would sit in my car before driving home.  Once home I would not come out of my apartment till the next day in order to recover and be ready for the next shift.  – Greg 

What is autistic ‘masking debt’?

Masking debt refers to the long-term cost of repeatedly hiding or overriding natural autistic responses (called masking/camouflaging) in order to meet expectations that were not designed for autistic people. This results in autistic burnout.

It is never a single act of masking that causes harm, but the cumulative effect of doing it over many years. When it hits, many autistic adults describe the same moment: Why can’t I do what I used to be able to do?

Tasks that once felt manageable suddenly aren’t. Working, socializing, keeping up with daily life, or tolerating sensory demands can start to feel overwhelming or impossible. This loss of capacity can feel shocking, especially when those abilities felt stable for years. read more

AANE Statement: The Real Autism Crisis: Lack of Services, Not Tylenol

By Brenda Dater, MSW, MPH

About the Author

Brenda Dater, MSW, MPH, is the executive director at AANE and the author of “Parenting Without Panic.” Brenda is a mom of three, and her eldest is an Autistic woman. Brenda has facilitated parent support groups for over 20 years and thoroughly enjoys creating an environment where parents can find the support, information, and the community they need.

We at the Association for Autism and Neurodiversity (AANE), along with the larger autism advocacy movement, have worked for decades to advance understanding of autism, create inclusive and supportive communities, and dispel disinformation. As Autistic individuals, families, and clinicians, we recognize and honor the inherent worth and diverse experiences of Autistic people and their families. We also know the real barriers our community faces as they navigate the world. 

In their most recent press conference, the President and his administration continued to spread disinformation that highlights questionable research and misinforms the public about autism. The HHS Secretary and the President repeatedly frame autism as an “epidemic” despite well-established research showing that rising prevalence rates reflect broader diagnostic criteria, greater awareness, and improved screening. In particular, claims about acetaminophen use in pregnancy as a cause of autism are deeply misleading. A massive Swedish study found no evidence that acetaminophen causes autism, directly contradicting the administration’s statements. Medical experts at the Coalition of Autism Scientists have issued a statement pushing back on each one of the claims made, saying the assertions, “only stoke fear.” 

The real crisis occurs when Autistic individuals and their families are left without the understanding, services, and support they need. Among many examples, recent cuts to Medicaid funding and weakening the Department of Educationhave removed supports and protections that will have a dramatically negative effect on the autism community. Our collective focus must be on ensuring robust funding, resources, and inclusive supports that the Autistic community relies on to live meaningful and connected lives. We know the autism community is strongest when the experiences of both Autistic individuals and their families are recognized. Autistic individuals bring essential insight into shaping policies and practices, while parents and caregivers play a vital role in support and advocacy alongside them. We urge leaders and the media to elevate these experiences and move away from divisive rhetoric, so that together we can focus on what truly matters: understanding, respect, and meaningful support for every Autistic person and their family