I’m a cis male, but my autistic traits correlate with those of cis female individuals.
The study of autism is plagued with sexism, even to this day. There is definitely more awareness of the problem nowadays, but the prevalent view of how autism presents in people is largely based on antiquated stereotypes. If you are white, male, and you annoy your parents, you are more likely to get diagnosed by the professionals, than if you are not white, not male, and manage to mask your autism.
(A quick note on my terminological choices. I have no idea how being trans or nonbinary may affect autistic presentation. I don’t mean to exclude, but I also don’t want to speak about things that I’m not familiar with. I’m sorry about this.)
I believe now that my own deceased mother was autistic too, but went undiagnosed because of this sexism. She was bipolar, and alcoholic. These are often the conditions that women who are not diagnosed experience. She was treated for both conditions, but no treatment took. These treatments did not take, because they were dealing with the symptoms of autism, without dealing with the autism itself.
Early on in my research about autism, I came upon this site:
I’ve taken many of the self-assessment tests there, and I always end up neurotypical or borderline autistic. The DSM-5 is not helpful either. Actually, I think it is a step back from the online self-assessment tests. No psychiatrist of mine has ever suggested autism as an explanation for my mental troubles. I’ll remind you that I’m self-diagnosed.
Fediverse user @ImmedicableME recently posted a link to this page:
It is not the first time I find that the female presentation of autism is more reflective of how I present, too. In the book Unmasking Autism by Devon Price, the author talks of a period of time during which doctors talked about male and female autism. When I was reading this book, I could easily see my traits listed among those that doctors assigned to females.
In fiction, too, I find myself closer to the female autistic characters than the male ones. I am nothing like Rain Man, or Sheldon Cooper. I’m not rude, nor do I have an obsession with trains. The character I compare myself readily to is Quinni from Heartbreak High, an autistic girl.
For the record, I do not think that it is scientifically valid, or useful to talk about “male” and “female” autism anymore. I do not have a problem with the page I linked to above, which gives a list of traits generally linked with being female. It is important to raise the awareness that autism in females may present differently than the stereotypes.
However, once the awareness has been raised, it is better to drop the labels male and female. I am a cis male who presents mostly like a female. I think, just like my mother was undiagnosed because she did not present the male stereotype, so am I have been undiagnosed by the professionals because I do not present as the male stereotype either. Still, again, once I’ve given this explanation, I no longer want to use the binary to explain autism.
Now, I don’t have a great explanation for why I present the way I do. I suspect the pressure of living with a narcissistic father are partially to blame. I sometimes say that I don’t experience meltdowns, but this is not correct. I do experience them, but very rarely. My father, however, is an expert at triggering meltdowns in me. He knows exactly what buttons to push. Therefore, to avoid presenting too big an opportunity to him to press my buttons, I’ve learned to camouflage my autism.
My mother’s and my case are direct examples of how sexism hinders our access to medical care. We’ve both been bitten in the ass because of our manifestation of symptoms did not conform to the stereotype.