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Transcript

Who Are We Missing? Autistic Girls and Women

NDI Video | Autism Awareness Series

Hello there 👋

In case you haven’t heard, it’s Autism Everything Month. (Yep — not just Awareness, not just Acceptance … everything. I’m considering trademarking it: AE™ — Autism Everything. Has a nice ring to it, no?)

… Kidding. That would be a very weird thing to try to trademark.

To mark the month, I’m launching a special Field Notes Friday series where I’ll be unpacking some of the research on who we’re still missing in autism conversations.

Here’s what we’ll be exploring:

  • Autistic girls and women

  • BIPOC individuals (most of the data we have centers children — and we’ll dip into ADHD here too)

  • The Lost Generation of Autistic Adults

  • Genderqueer and Trans individuals

Field Notes Friday is usually for paid subscribers only because, well, video makes me anxious. My obsessive tendencies spiral around getting things just right — and I feel safer knowing fewer people are watching if I flub a stat, have a dyslexic moment, or use a phrase that isn’t aligned with my values.

But this month, I’m pushing through those fears because this work matters. It matters more than the voice in my head whispering, 💭 “What if you got that one study wrong?”

So I’m making this series free to all subscribers, paid or not. If you’re subscribed, I hope you’ll join me. I think these conversations are worth having — messiness, nuance, and all.

Warmly,
Megan Anna

Conversation Entry Points

(P.S. Conversation entry points are still reserved for paid subscribers — for now. I’m noticing I’m struggling to keep up even with that pace. I get a lot of PDA and overwhelm from the sheer volume of notifications across platforms. But I genuinely enjoy connecting in quieter spaces — like here and in the Nook — and I want to set myself up for success instead of overwhelm and avoidance. I really wish I had more bandwidth for broader digital conversation, and I’m sorry if this ever feels limiting.)

  • When did you first start to wonder if you might be Autistic? Was there a specific moment, a slow build, or something in between?

  • How did gender expectations shape your early masking or self-perception? Were there moments you sensed you were "different" but didn't have language for it?

  • Were there things you excelled at that masked your internal struggles? (e.g., high achievement, people-pleasing, emotional caretaking)

(P.S. All are welcome to respond—this conversation isn’t limited to girls and women.)

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Citations

Barnard-Brak, L., Richman, D., & Almekdash, M. H. (2019). How many girls are we missing in ASD? An examination from a clinic-and community-based sample. Advances in Autism, 5(3), 214-224.

Dworzynski, K., Ronald, A., Bolton, P., & Happé, F. (2012). How Different Are Girls and Boys Above and Below the Diagnostic Threshold for Autism Spectrum Disorders? Journal of the American Academy of Child and Adolescent Psychiatry, 51(8), 788–797. https://doi.org/10.1016/j.jaac.2012.05.018

Rivet, T.T. and Matson, J.L. (2011), “Review of gender differences in core symptomatology in autism spectrum disorders”, Research in Autism Spectrum Disorders, Vol. 5 No. 3, pp. 957-76.

McCrossin, R. (2022). Finding the True Number of Females with Autistic Spectrum Disorder by Estimating the Biases in Initial Recognition and Clinical Diagnosis. Children, 9(2), 272. MDPI AG. Retrieved from http://dx.doi.org/10.3390/children9020272

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