The Hidden Impact of Masking ADHD and Autism

Image of a smiling group of adults at working talking and sitting at a table. If your ADHD causes you to mask, learn how a neurodivergent affirming therapist in Middlesex, NJ can help you embrace your true self.
Image of a smiling young girl sitting outside talking to another girl. By working with a neurodivergent affirming therapist in Middlesex, NJ your child can begin to embrace their differences and no longer mask.

In a world where fitting in often feels like the ultimate goal, many individuals with ADHD (Attention-Deficit/Hyperactivity Disorder) and Autism find themselves masking their true selves to navigate societal expectations. This practice of masking involves suppressing or hiding traits associated with neurodivergence in order to appear more "normal" or socially acceptable. While masking may help children, teens, and adults blend in temporarily, it comes at a significant cost, often leading to mental exhaustion, identity crises, and missed opportunities for support and understanding. 

Masking ADHD and Autism in Children, Teens, and Adults

Masking involves adopting behaviors, mannerisms, and coping mechanisms to camouflage neurodivergent traits. Such as hyperactivity, sensory sensitivities, social difficulties, and repetitive behaviors. From suppressing stimming (self-stimulatory behaviors like rocking or tapping) to forcing eye contact and mimicking social cues, individuals may expend immense energy attempting to conform to neurotypical standards.

While masking may initially provide a sense of security and acceptance, it often comes at a high emotional cost. Constantly suppressing one's authentic self can lead to anxiety, depression, and burnout. Moreover, the pressure to maintain the mask can increase feelings of inadequacy and imposter syndrome. Perpetuating a cycle of self-doubt and internalized stigma.

Image of a stressed professional woman sitting at her desk covering her face with her hands. If you suffer from masking ADHD and Autism in Middlesex, NJ, learn how a neurodivergent affirming therapist can help you embrace your differences!
Image of a stressed man covering his ears while working from home and two children playing behind him. If you are dealing with anxiety or depression because of masking learn how a skilled neurodivergent affirming therapist in Middlesex, NJ can help.

The Hidden Toll of Masking for Autistics and ADHDers

The consequences of masking ADHD and Autism extend far beyond the immediate challenges of navigating social situations. It infiltrates every aspect of an individual's life. Leaving a lasting impact on their mental health, relationships, and overall well-being.

Effects of Masking on Self-Esteem and Self-Identity

One of the most significant hidden tolls of masking is the erosion of self-esteem and self-identity. When children, teens, and adults are constantly suppress their true selves to fit in, they begin to question their worth and authenticity. They may internalize the message that their neurodivergent traits are undesirable or inferior. Leading to a profound sense of shame and self-doubt. This can manifest as an identity crisis. Where individuals struggle to reconcile their outward persona with their inner reality.

Masking and Interpersonal Relationships

Moreover, the toll of masking extends to interpersonal relationships. When individuals present a facade to the world, they risk forming shallow connections based on false pretenses. They may fear rejection if their true selves are revealed. Thus, leading to a sense of loneliness and isolation. This isolation can further exacerbate mental health issues, such as depression and anxiety, as individuals grapple with feelings of alienation and disconnection from others.

Physical Toll of Masking

Additionally, the constant effort required to maintain the mask can take a physical toll on individuals' health. The stress of constantly monitoring and adjusting one's behavior can contribute to chronic fatigue, muscle tension, and other physical symptoms. Over time, this chronic stress can weaken the immune system and increase the risk of developing stress-related illnesses. Such as hypertension and cardiovascular disease.

Masking in Educational and Professional Settings

In educational and professional settings, the impact of masking can be particularly pronounced. Students with ADHD may struggle to concentrate and retain information. Thus, leading to academic underachievement and a sense of inadequacy. Similarly, Autistic individuals may find it challenging to navigate social dynamics and communication norms. Hindering their ability to excel in group settings or advance in their careers.

Masking Beyond the Individual

Furthermore, the toll of masking extends beyond the individual to their support networks and communities. When children, teens, and adults hide their neurodivergent traits, they miss out on opportunities for understanding and support from friends, family, and colleagues. This lack of support can further isolate individuals and perpetuate feelings of shame and stigma surrounding their neurodiversity.

Image of a teen girl leaning against a wall looking at her cell phone. Uncover the ways you can begin embracing your differences with an ADHD and Autism assessment in Middlesex, NJ.
Image of a stressed woman sitting at a table holding a baby and helping a child. ADHD and Autism assessments in Middlesex, NJ can help your child learn the importance of embracing themselves and keep from masking.

The Importance of an ADHD & Autism Assessment for Children, Teens, and Adults

Amidst the pressure to mask, seeking an ADHD or Autism assessment can be a transformative act of self-compassion and empowerment. A comprehensive evaluation conducted by qualified professionals can provide clarity, validation, and access to resources and support networks tailored to individual needs.

By embracing their neurodivergent identity, children, teens, and adults can begin to dismantle the mask and cultivate a sense of self-acceptance and belonging. Rather than viewing ADHD and Autism as deficits to be masked or overcome, they can celebrate their unique strengths, perspectives, and contributions to society.

Furthermore, an evaluation opens the door to accommodations and adjustments in various settings, including education, employment, and healthcare. From extended time on exams to sensory-friendly work environments, accommodations can level the playing field and empower individuals to thrive in their own way.

Embracing Neurodiversity

At its core, the neurodiversity paradigm recognizes and celebrates the diversity of human cognition and behavior. Instead of pathologizing differences, it acknowledges the inherent value and richness of neurodivergent experiences.

Image of a sad young girl sitting on a bench in a park holding her knees. Find help with your child's masking by getting them an ADHD and Autism assessment in Middlesex, NJ.

By promoting acceptance, understanding, and inclusion, we can create a world where individuals with ADHD and Autism feel empowered to be their authentic selves without fear of judgment or rejection. Through education, advocacy, and allyship at True Refelctions, we can dismantle the stigma surrounding neurodivergence and foster a more equitable and compassionate society for all.

In the journey to unmask the damaging effects of masking ADHD and Autism, the path to self-discovery and acceptance begins with embracing one's neurodivergent identity. By seeking an ADHD and Autism evaluation, individuals can reclaim their authenticity, access the support they need, and contribute their unique gifts to the world.

Celebrating Neurodiversity

Let us strive to create a world where neurodiversity is not only accepted but celebrated. Where differences are seen as strengths, and where every individual has the opportunity to thrive as their true selves. Together, we can unmask the mask and pave the way for a more inclusive and equitable future for all.

As we navigate the complexities of neurodiversity, it's essential to remember that each individual's journey is unique. By fostering a culture of empathy, acceptance, and understanding, we can create a world where everyone feels valued and empowered to embrace their authentic selves.

Find Support For Your Masking With a Neurodivergent Affirming Therapist in Middlesex, NJ

Are you tired of masking ADHD and Autism every day? It's time to embrace your neurodivergence and find support from a therapist who understands and affirms your unique experiences. Take the first step towards self-acceptance and empowerment by reaching out to a neurodivergent affirming therapist at True Reflections. You deserve to live authentically and thrive! Follow these three simple steps to get started:

  1. Request an appointment to get scheduled

  2. Begin meeting with a skilled neurodivergent affirming therapist

  3. Start feeling valued and empowered!

Other Services Offered at True Reflections

At True Reflections Mental Health Services, I’m here to help you find your true self and help you overcome anything with therapy. So in addition to providing ADHD and Autism Assessments, I also offer Autism and Anxiety Therapy, ADHD and Anxiety Therapy, Trauma Therapy for ADHD and Austim, Affirming Therapy for those with ADHD, Affirming Therapy for those with Autism, and Prenatal and Postpartum Therapy. I also offer different treatment modalities such as Play Therapy, Sandtray Therapy, EMDR Therapy, DBT Therapy, and more. My services are offered in both Middlesex, NJ as well as online in the state of New Jersey. Check out my blog for more topics!


Janine Kelly, MSW, LCSW, C-NDAAP, ADHD-CCSP, ASDCS, PMH-C, RPT-S™, C-DBT, CBT-C, CCATP-CA, CATP is a neurodivergent psychotherapist and the Founder of True Reflections Mental Health Services in Middlesex, NJ. She provides support and Neurodiversity Affirming Comprehensive ADHD & Autism Evaluations to children, teens, and adults in-person and virtually in the state of New Jersey. Janine specializes in the diagnosis of ADHD & Autism in girls and women.

To request an ADHD & Autism Evaluation, please click below:

Image of neurodivergent affirming therapist Janine Kelly sitting on a bench outside. Learn how a skilled neurodivergent affirming therapist in Middlesex, NJ can help you cope with masking.
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