Unseen and Undiagnosed: Bridging
the Autism Diagnostic Gap for Females
Coleen Vanderbeek, PsyD
Licensed
Professional Counselor
Autism
Spectrum Disorder Certified Specialist
As autism rates continue to rise, early identification in females remains a serious challenge in the field of intellectual and developmental disabilities (IDD). Despite advancements in understanding autism spectrum disorder, current diagnostic tools still
reflect predominantly male-centered criteria. As a result, females with the condition are under-diagnosed, misdiagnosed, or diagnosed later in life, thus missing a critical window for intervention that could greatly enhance their communication, learning,
and social development outcomes.
Females on the spectrum often exhibit symptoms in subtler ways, including focused interests that align with social norms, or masking behaviors to make their challenges less visible. Such presentations are frequently misunderstood or dismissed by clinicians.
To close this diagnostic gap, educators, pediatricians, and mental health professionals must be equipped to recognize the nuanced ways autism may present in females and consider gender differences during evaluation.
Raising awareness and utilizing appropriate screening practices are essential steps toward more equitable care. Early identification isn’t just about timely diagnosis, it’s about ensuring that all individuals, regardless of gender,receive the support they need to thrive.