Understanding the Effects of Masking in Autism

by | Apr 11, 2025 | Autism Mental Health

Key Points:

  • Autism masking involves suppressing natural behaviors to fit social expectations, often leading to emotional and mental strain.
  • The effects of masking autism may include anxiety, identity confusion, delayed diagnosis, and long-term burnout.
  • Parents can support their children by recognizing masking behaviors early and seeking individualized interventions such as ABA therapy.

According to studies, approximately 40% of children with autism also suffer from disorders like anxiety. Because of this, some individuals resort to certain behaviors that help them cope during times of need.

Masking in autism is a coping mechanism that many children develop to “blend in” with their peers, especially in social or academic settings. This behavior, though often mistaken as a sign of improvement or adaptation, can carry hidden consequences. The effects of masking autism can be deeply harmful over time, contributing to mental fatigue, burnout, and difficulty forming a healthy sense of self.

While masking may offer temporary social acceptance, it often demands the suppression of a child’s natural ways of thinking, moving, or communicating. Understanding this complex behavior is essential for caregivers and educators aiming to offer genuine support.

In this article, we’ll discuss what masking in autism is, how it affects your child, and offer some tips to help.

What Are the Effects of Masking Autism?

The effects of masking autism can include increased anxiety, emotional exhaustion, identity confusion, social difficulties, and even delayed autism diagnosis. This behavior is often subconscious and can start at a very young age, particularly in children who are highly observant and aware of social norms.

When children constantly monitor and adjust their behavior to fit in, they use significant mental energy to suppress stimming, copy speech patterns, or fake eye contact. Over time, this emotional labor can lead to exhaustion and mental health challenges.

Why Do Autistic Children Mask?

Autistic children mask because they notice that certain behaviors make them stand out—and not always in a good way. They may receive negative feedback, teasing, or social exclusion when they behave naturally. As a result, many begin to copy the behaviors, speech, and body language of their peers to fit societal expectations.

This is often more common in girls and high-masking individuals, who may go undiagnosed because they appear socially competent, even though the effort it takes is enormous.

Some motivations behind masking include:

  • Avoiding bullying or exclusion
  • Gaining praise for “appropriate” behavior
  • Trying to meet adult or peer expectations
  • Desire for friendship or social belonging
  • Fear of punishment or disapproval

While these motivations are understandable, the emotional cost of suppressing natural traits can be high—especially without the child having the tools to decompress or express themselves authentically elsewhere.

How Can You Tell if a Child Is Masking?

Identifying masking in children with autism can be difficult because, by definition, it means they are not showing their usual traits in public. However, there are some key indicators parents and educators can watch for, especially when there’s a dramatic difference between how a child acts in school versus at home.

The most telling signs often emerge after the child returns to a safe environment, like home, where they no longer feel the need to mask.

Some common signs of masking include:

effects of masking autism

These patterns indicate a child may be spending significant energy trying to fit in, often without truly being understood or supported.

6 Mental Health Impacts of Autism Masking

Long-term masking can have a severe impact on mental health. The constant effort to monitor and adapt behavior, especially without appropriate coping strategies, can result in chronic stress and emotional burnout.

For many autistic individuals, masking contributes to internalized feelings of shame or “being broken.” Over time, this can affect self-worth and contribute to depression, anxiety, and even suicidal ideation, especially in adolescents and adults who never had the chance to be accepted as their authentic selves.

Some potential long-term effects of masking in autism include:

1. Anxiety Disorders

Chronic masking increases social anxiety due to fear of being “found out.” Over time, this fear can generalize to many settings, making everyday social interactions overwhelming.

2. Depression

Constantly hiding true feelings and thoughts can lead to deep emotional isolation. This internal disconnect can fuel feelings of hopelessness and low self-worth.

3. Autistic Burnout

A state of extreme exhaustion caused by prolonged masking and social pressure. It often results in a significant loss of functioning, both emotionally and physically.

4. Delayed or Missed Diagnosis

Masking often leads professionals to overlook signs of autism, particularly in girls. This can delay access to supports and interventions that are most effective when started early.

5. Loss of Identity

Children may struggle to understand who they truly are after years of camouflaging. This confusion can impact self-esteem and hinder personal growth.

6. Difficulty Forming Authentic Relationships

Masking prevents children from interacting as their genuine selves, leading to superficial connections. Without authenticity, it becomes hard to build trust and deep emotional bonds.

effects of masking autism

How Can Parents Support a Child Who Masks?

Support begins with awareness. Once parents recognize the signs of masking, they can begin creating a home environment where the child feels safe being themselves. This often means rethinking what “success” looks like, shifting from behavioral compliance to emotional well-being.

Instead of correcting behaviors that look “different,” try observing what purpose those behaviors serve for the child. Do they stimulate self-regulation? Do they avoid eye contact because it’s uncomfortable, not disrespectful?

Here are some ways you can support an autistic child who masks:

1. Validate Their Feelings and Behaviors

Reinforce that they don’t have to change who they are to be accepted. Acknowledging their experiences builds trust and supports emotional well-being.

2. Encourage Downtime After Social Events

Create a predictable decompression routine to help them regulate. This time allows them to recover from sensory and emotional overload.

3. Avoid Over-Scheduling

Social exhaustion is real. Space out social or academic demands. Giving them room to rest prevents burnout and supports sustained engagement.

4. Promote Safe Stimming

Offer acceptable alternatives if needed, but never punish natural self-regulation behaviors. Respecting stimming as a coping tool affirms their autonomy and comfort.

5. Use Affirming Language

Avoid phrasing like “you don’t look autistic” or “you hide it well.” Choose words that celebrate neurodiversity and avoid reinforcing harmful stereotypes.

6. Partner with Therapists Familiar with Masking

Work with professionals who understand that good behavior doesn’t always mean the child is okay emotionally. A nuanced approach ensures support addresses both external behavior and internal experience.

This shift in mindset allows the child to build trust and, over time, develop self-awareness and self-advocacy skills—key areas explored further in our article, Cognitive Dissonance in Autism Explained, which delves into how conflicting thoughts and emotions can impact personal growth and communication for autistic individuals.

How Can ABA Therapy Address Masking in Autism?

ABA therapy, when practiced ethically and individually tailored, can play a supportive role in helping children understand and navigate social environments without relying on masking. The goal isn’t to eliminate differences but to equip children with tools that honor their individuality while helping them thrive.

Well-designed ABA programs focus on building communication, self-advocacy, and emotional regulation, not enforcing neurotypical behavior patterns at the expense of the child’s identity.

Some ABA Therapy strategies for reducing masking include: 

1. Functional Assessments

Identify triggers that lead to masking and behaviors tied to emotional suppression. Understanding these triggers helps in creating targeted strategies for reducing stress and promoting authentic expression.

2. Skill-Building for Authentic Communication

Help children express themselves clearly and ask for support when overwhelmed. This empowers children to navigate difficult situations and advocate for their needs effectively.

3. Flexible Social Teaching

Teach children why certain behaviors are expected, not just what to do, allowing them to make informed choices. This understanding helps them feel more in control of social situations and fosters independence in decision-making.

4. Sensory Regulation Strategies

Incorporating sensory visual therapy can help reduce the need to suppress stimming. Providing alternatives ensures that children can manage sensory input without resorting to masking or feeling restricted.

5. Self-Advocacy Development

Encourage children to recognize and communicate their boundaries and preferences. This builds confidence and allows them to navigate social environments with a stronger sense of autonomy.

6. Parent Training

Equip caregivers with parenting tips to reinforce affirming strategies at home. Consistent support at home strengthens the child’s ability to apply these strategies in other areas of their life.

ABA therapy should never aim to make a child appear neurotypical. Instead, it should help them function in a way that aligns with their own values, comfort, and well-being.

Help Your Child Be Their Authentic Self with ABA Therapy 

If your child is struggling with the effects of masking autism, you’re not alone—and support is available. At Amaze ABA, we provide personalized ABA therapy in Georgia, Nebraska, Maryland, and Virginia that teaches them skills for self-expression and emotional resilience.

Our team works to uncover the reasons behind masking, reduce the pressure to conform, and build authentic confidence through evidence-based strategies that empower both children and parents.

Reach out to us today to learn how we can support your child in building a life that feels safe, genuine, and supported every step of the way.

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