Asperger‘s Syndrome In Girls

„Asperger‘s is not a disease. It is a syndrome.“ [A syndrom is a collection of symptoms that occur together with a condition].

There are many females who do not receive a diagnosis, possibly because, compared to males, (a) they have fairly good social skills, (b) their special interests are different, and (c) their clinical presentation is different.

Social Symptoms

  • Appears excessively shy or avoids interacting with others or making the first move socially.
  • Seems uncomfortable during conversation and may struggle with eye contact.
  • Usually only has one close friend
  • May play appropriately with toys and engage in pretend play or may focus on organizing objects.
  • Often shows empathy and compassion but may be confused by non-verbal social signals.
  • May have difficulty fitting in with peers due to clothing and hairstyle choices.

Communication Symptoms

  • Communicated differently from her peers.
  • May have an exceptional vocabulary.
  • Tends to mimic rather than providing natural responses
  • May converse in predictable „scripted“ ways.
  • Seems to struggle with non-verbal aspects of communication, such as body language and tone of voice.
  • May use odd inflection.
  • Appears to have difficulty dealing with unexpected verbal responses.

Behavioral Symptoms

  • Less prone to act out physically or aggressively.
  • Intense focus on a particular subject.
  • Appears anxious when there are changes in routine.
  • Practices rituals that appear to have no function.
  • May play with toys well beyond the typical age.
  • Appears to have attractions or aversions to sensory stimuli, such as textures, foods, sounds or visual patterns.
  • May engage in limited self-stimulating behavior, such as hand flapping, rocking, spinning or shifting from foot to foot.

Physical Symptoms

  • May have difficulty with fine or gross motor coordination.
  • May become easily lost, even in familiar surroundings.
  • Has an odd posture.
  • Resists physical games or sports

First Signs Of Asperger Syndrom in Females

  • As an infant may have been described as „colicky“; fussy; crying too much; not a good sleeper; sensory sensitives.
  • May be very shy, quiet or mute; withdrawn/ introverted and/ or on her own in play; much less likely to receive a diagnosis.
  • Facial expressions may not match the situation; may have flat or exxagerated affect.
  • Despite social and emotional immaturity, intellectually bright and curious and/ or have more mature interests
  • Passive or avoidance behaviors, also known as „demand avoidance“ (PDA)
  • May suffer from anxiety, social anxiety, generalized anxiety
  • May have hyperlexia; appear to be more curious, bright or gifted than her peers and have an advanced vocubalary.
  • May be very talkative extraverted and controlling with others.
  • Difficulties understanding the social hierarchy.
  • May be describd as a „daydreamer“, „in her own world“, a „little philosopher“.
  • Often rule bound, well behaved in school; may follow, cling to or be the „teachers pet“.
  • Highly sensitive child; intense emotions and inability to self-regulate

Signs Of Asperger Syndrom In Adult Females

  • High Average to genius intelligence; twice-exceptionally; learning disabilities; spikey cognitive profile; weak short-term memory and superior long-term memory; slower processing speed
  • Most women are undiagnosed and/ or misdiagnosed; presenting differently than the male profile. There is no one „type“, but rather there are „subtypes“; traits vary from mild to severe.
  • Facial expressions may not match the situation; may have flat, exxagerated or innappropriate affect or body language.
  • May be very shy, introverted, passive, avoidant or talkative, extraverted, controlling with others; socially and emotionally immature for her age.
  • Can have good eye contact and conversation skills; can make friends but challenging keeping them; difficulties understanding the social hierarchy; reading body language and social skills.
  • Are often nurses, artists, singers, models, actresses, professors, dancers, teachers, lawyers, photographers, writers, musicians, work with animals or medical professionals.
  • Common strengths: Performing art skills; writing; reading; animal empaths; one-on-one with people; expert level in area of interest; out of the box thinking; attention to detail, teaching
  • Often high achievers, competitive, perfectionists, pedantic and rule-bound; rigid thinking; theory of mind issues; difficulty getting along with other people.
  • Sensory sensitives, may have stomach issues, fibromyalgia, CFS
  • Highly sensitive; intense emotions and inability to self-regulate; may have anxiety, OCD, Social amxiety, generalized anxiety, borderline personality disorder or traits, and/ or depression.

„Having Aspergers can make communication excrutiating, when you struggle to verbalize in a way that makes sense and end up with this almost permanent sensation of feeling misunderstood.“

Characteristics Of Females With Aspergers And High-Functioning Autism

Sometime during childhood, a female with AS or HFA characteristics will begin to know she is different compared to her peers.

  • Due to adopting a alternative persona, she may begin to have problems of self-identity and low self-esteem
  • Due to observing and analyzing social behavior and trying not to make a social error, she may become emotionally exhausted
  • During the stress of adolescence, she may develop routines and rituals around food and a special interest in calories and nutrition that develops into the signs of an eating disorder
  • Her interests may be different to her peers in terms of intensity and quality of play
  • She may be an avid observer of human behavior and try to decipher what she is supposed to do or say
  • She may be extremely sensitive to the emotional atmosphere at a social gathering
  • She may be like a chameleon, changing persona according to the situation
  • She may be more likely to apologize and appease when making a social error
  • She may be overly well-behaved and compliant at school so as not to be noticed or recognized as different
  • She may be vulnerable to “peer predators” who take advantage of her social immaturity
  • She may become increasingly aware of her social confusion and frequent faux-pas, and thus prefer to be on the periphery of social situations
  • She may enjoy living in a fantasy world and creating a new persona
  • She may escape into the world of nature, having an intuitive understanding of animals, but not people
  • She may fear that her “true self” must remain secret because she is defective, thus she is almost always acting like someone else
  • She may have a pet that she views as a loyal friend
  • She may have a single – but intense – friendship with another female who may provide guidance for her in social situations
  • She may have a strong desire to collect and organize her toys rather than to share her toys with friends
  • She may have an aversion to the traditional concept of femininity
  • She may have an encyclopedic knowledge of specific topics
  • She may have an intense interest in reading and escaping into fiction
  • She may have an interest in ancient civilizations to find an old world in which she would feel at home
  • She may have an interest in other countries where she would be accepted
  • She may identify with a fictional character, who faces adversity but has special powers and friends
  • She may not be interested in the latest craze among her peers to be “cool” and popular
  • She may not identify with her peers
  • She may not play with her toys in conventional ways
  • She may not want to play cooperatively with her peers
  • She may prefer non-gender specific toys
  • She may prefer to play alone so that she can play her way
  • She may prefer to play with males, whose play is more constructive and adventurous than emotional and conversational
  • She may suffer social confusion in silence and isolation in the classroom, but she may be a different character at home
  • She may talk to imaginary friends, or write fiction at an early age
  • She may think that the way her peers play is stupid and boring
  • She may use imaginary friends that can provide companionship, support and comfort when she feels lonely
  • She may use passive-aggressive behaviors in order to control her family and/ or social experiences

Young Girls, Many (but not all) Females With AS And HFA

  • Apologize frequently and want to please others
  • Are an expert on certain topics
  • Are determined
  • Are honest
  • Are involved in social play, but are led by their pers rather than initiating social contact
  • Are kind
  • Are misunderstood by peers
  • Are more able to follow social actions by delayed imitation because they observe other kids and copy them, perhaps masking the symptoms of AS and HFA
  • Are more aware of – and feel a need to – interact socially
  • Are perfectionists
  • Are so successful at “faking it” that they only come to the attention of a therapist when a secondary mood disorder emerges
  • Are specially gifted in the areas of mathematics and engineering
  • Are very good at art
  • Are visual thinkers
  • Are well-liked by adults
  • Do not do “social chit chat” or make “meaningless” comments in order to facilitate social communication
  • Enjoy solitude
  • Have a faster rate of learning social skills than males
  • Have a special interest that is more likely to be unusual in terms of intensity rather than focus
  • Have difficulty knowing what someone else may be thinking or feeling
  • Have difficulty making friends
  • Have difficulty managing feelings
  • Have difficulty showing as much affection as others expect
  • Have difficulty taking advice
  • Have difficulty with writing skills
  • Have extremely detailed imaginary worlds
  • Have imaginary friends
  • Have interests that are very similar to those of neurotypical girls, and therefore are not seen as unusual
  • Have what is classified as a “male brain”
  • Make reliable and trustworthy friends
  • Mimic or even try to take on all the characteristics of someone they are trying to emulate
  • Notice sounds that others do not hear
  • Read fiction to help them learn about inner thoughts, feelings and motivations
  • Show little interest in fashion and trends
  • Speak their minds (sometimes to the point of being rude)
  • Still need to be directly taught certain social skills
  • Try to understand a situation before they make the first step
  • Use doll play to replay and understand social situations

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