10 min read

The Myth of the “High-Functioning” Autistic

The Myth of the “High-Functioning” Autistic
Photo by Suzan Kiršić / Unsplash

Introduction: A Label That Doesn’t Fit

They called me “high-functioning,”
or liked to say things like, “Well, you turned it into a superpower”—
as if that were a compliment.
As if that were supposed to ease the struggle I live with every single day.
As if it explained anything at all.

Maybe they say it to soothe their own discomfort.
But to me, it lands like dismissal—
a neat way to erase the cost of existing in a world not built for me.

What does it really mean—
to function?

To smile while drowning?
To meet expectations that were never meant for you,
and wear them anyway like a second skin?

People see my achievements. My composure.
My steady dependability.
My ability to make a joke—even if not everyone loves a good pun.
The way I show up on time, every time.

What they don’t see—what they never ask to see—
is the toll.

The exhaustion.
The scripts.
The shutdowns behind closed doors.
The desolation that lingers in my body like a fog.
The way sensory overload unravels my ability to function—
not gradually, but all at once.

And when you hear that label enough—
high-functioning—you start to believe it too.
That you should be okay.
That the pain must not be real.
That support isn’t for you.
That if you just keep pushing, you’ll earn belonging.

But the truth?

This label doesn’t capture my experience.
It doesn’t capture anyone’s experience.

It erases it.

And if you’re not careful, it will erase you.

2. Where the Term Comes From (and Why It’s a Problem)

The label “high-functioning” wasn’t created to understand us.
It was invented to categorize us—
to draw a line between “manageable” and “inconvenient,”
between those who can be made to appear neurotypical
and those society deems “too much.”

To separate the so-called “useful” from the “useless.”
Send the useless to institutions to be forgotten—
and work the useful ones until they eventually burn out.

Clinically, it came from outdated autism classifications—
dividing people into “high-functioning” and “low-functioning”—
based not on internal experience,
but on how comfortable we made the people around us.
On how well we could fit into a neurotypical world without causing too many waves.

It was never about how much pain we were in.
It was about whether our pain made others uncomfortable.
Whether we could contribute taxes. Whether we made the system feel justified in keeping us in it.

If you could mask well—hold a job, make eye contact (or nose contact 😊),
fake your way through social situations—
you were “high-functioning.”

Even if you went home and collapsed for hours, unable to speak.
Even if you had meltdowns behind closed doors,
because your family was the only place you could safely let the pressure out.
Even if you never felt safe enough to be yourself.
So much so that you never really got to be yourself—
your sense of self eroded like sand through an hourglass.

Even if you lived in a constant state of burnout.
As long as you showed up, smiled and nodded,
and did what was “expected” of you—
nobody cared about the rest.

That’s the danger of the term.
It’s not just inaccurate.
It’s dehumanizing.
And it breeds self-ableism—
as if we needed any more of that.

It prioritizes performance over personhood.
The stage over the truth.

It tells the world:
You don’t need support.
You don’t deserve understanding.
You’re fine.
You’re functional.

But survival is not the same as thriving.
And appearances are not the same as reality—
even though most people still treat them like they are.

 

3. The Mask Behind the Label

They saw the punctuality.
The politeness.
The dry wit, the dependability, the way I smiled when I was supposed to.
Or, if I’m being honest, sometimes when I wasn’t supposed to as well.
That just got brushed off as, “Well, he’s just a little odd.”

But overall, they assumed I was fine.
Because I seemed fine.
My armor was high-quality made.

Being seen as “high-functioning” is often a sentence disguised as a compliment.
It means your struggles are invisible—so they’re ignored.
Even you start to ignore them.
Or at least, try your hardest.
But pain never stays quiet forever.

Your suffering becomes silent—so it’s dismissed.
Left to wear you down, slowly—death by a thousand cuts.

What they didn’t see was the cost.

The hours spent rehearsing every social interaction.
The shutdowns behind closed doors.
The way noise, light, and even small talk could feel like sandpaper against your nervous system.

They didn’t see the effort it took to look “normal”—
to wear a mask sealed on with the strongest bonding material on earth.
One that hurts to remove, but hurts worse to keep wearing.

And the better I wore it, the less anyone thought I needed help.
The less I thought I was worthy of help.

That’s the trap of the label.
If you perform well, you must be well.
If you’ve kept the job, paid the bills, made the eye contact, climbed the corporate ladder—
you must be thriving.

Even if you go home and collapse.
Even if you’re screaming inside, unsure how much longer you can keep going.

When you’re labeled “high-functioning,” support disappears.
Assumptions take its place.
You become the strong one. The capable one. The one who’s “got this.”

But inside, you’re often the one breaking the most.

It’s lonely in that place—
to be seen as someone who doesn’t need care
when you’re desperate for it.

To be praised for coping mechanisms that are quietly destroying you.

That’s the reality the label never shows.

4. Functioning for Whom?

“High-functioning,” they say,
like it’s a gold star—something to be proud of.
As if it means I’ve overcome autism,
when really it just means I’ve gotten good at pretending it’s not killing me.

But who exactly am I functioning for?
And what am I sacrificing to keep up the performance?

Is it functioning if I smile while unraveling?
If I swallow every scream just to seem “okay”?
If I contort myself into something presentable,
something small, something digestible?

Is it functioning if the cost is my authenticity—
my voice, my health, my sense of self?

Let’s call it what it is:
“Functioning” is code for convenient.
It means I make others comfortable.
I don’t ask for too much. I don’t rock the boat.
I show up on time, say the expected words,
mask the chaos beneath a polished grin.

But no one asks what happens after.
After the meeting. After the school day. After the party.
No one sees the silence that swallows me whole behind closed doors.
The shutdowns. The meltdowns.
The hours lost trying to piece myself back together from the inside out.

Because if I look fine, I must be fine, right?

That’s the lie.
That’s the cruelty of the label.
It tells the world: “You don’t need support. You don’t need grace. You’re managing.
But what they call managing is really a slow, grinding implosion.

“Functioning” becomes a cage lined with expectations—
not freedom, not peace, not joy.
Just survival.

And even that survival?
Only as long as I don’t slip.
Because the moment I stumble, the moment I break that illusion,
the praise turns to judgment.
The acceptance disappears.
Suddenly, I’m “too sensitive.”
“Overreacting.”
“Unprofessional.”

That’s the truth no one wants to hear:
When I’m seen as “high-functioning,”
I’m not given space to be human.
There is no room for messiness, for softness, for rest.
Only performance.
Only endurance.

So I’ll ask again:
Functioning for whom?
And why the hell does their comfort matter more than my survival?

 

5. A Better Way to Talk About Needs

“High-functioning.” “Low-functioning.”
As if those are fixed points on some universal scale.
As if human experience can be neatly measured by how well we perform for others, by how comfortable we make another feel.

I heard a quote recently that cut like the world’s finest Katana:
“High-functioning autism means your deficits are ignored. Low-functioning autism means your assets are ignored.”
It shattered something in me—and somehow also made me feel seen.

Because here’s the truth:
Functioning isn’t a constant. It’s fluid.
It’s not a diagnosis. It’s a snapshot—taken from the outside—
a glimpse that ignores the tidal waves underneath.

It’s like looking into the ocean without sonar and saying,
“There’s nothing down there.”
Of course there is.
Just because you can’t see it doesn’t mean it isn’t real.
It might just be too deep, too quiet, too different for your tools to detect.

Some days, I can manage the noise, the lights, the social demands.
Others, brushing my teeth feels like climbing mount Everest in the most wicked of Blizzards.

Yes—there are nights when I simply can’t.
My mind keeps whispering it needs to be done,
but my body has spent every spoon,
and payday isn’t until tomorrow.

That doesn’t mean I’ve regressed.
It doesn’t mean I’ve failed.
It doesn’t mean I’ve slid down some imaginary scale.

It just means I’m human.
And like every human, my needs shift.

Sometimes the world calls someone “low-functioning” based on a single snapshot.
But I know people who were once labeled that way—nonverbal, non-interactive, dismissed—
and now they’re graduating summa cum laude.
Because they had support.
Because they had space.
Because they were allowed to be themselves without shame.

That’s what the labels miss.
They don’t describe us.
They sort us.

They tell the world who gets empathy.
Who gets resources.
Who gets believed.
And who gets forgotten and left behind.

What if, instead of measuring people by “functioning,”
we talked about support?

What if we simply asked:

  • What do you need today?
  • What helps you feel safe, or calm, or connected?
  • How can we build systems that flex with people
    instead of forcing people to bend until they break?

Some of us need visible support—quiet spaces, sensory tools, time to recover.
Others need invisible support—softness, grace, permission to be real.
Most of us? We need both.

All of us deserve dignity.

Let’s leave the binary behind.
Let’s use language that holds complexity:

  • “Sensory-sensitive today.”
  • “Less visibly impacted this week.”
  • “Non-speaking—please use text.”

Or better yet—
let’s ask people what they need,
and believe them when they answer.

Because the labels don’t protect us.
They protect the systems that overlook us.

And it’s time we built something better.

6. Personal Truths: Beyond the Label

People see the outer shell—the one I crafted with care.
The steady presence. The quick wit. The crushing of deadlines. The nice smile.
They see someone who “handles it.” Who’s “got this.”
Who “doesn’t need our help.”
Who’s “high-functioning.”

But what they don’t see—what the label never shows—
is the cost of keeping up the appearance of fine.
They don’t see the grief. The hurt.
The kind that builds slowly over years of pretending—
of leaving yourself behind at your first place of residence
while your mind moves on without you.
That neglected little kid, left to fend for himself.

They don’t see the ache of never being able to just be.
Of having to earn rest that never actually gets earned.
Of questioning your own truth because others say, “You seem okay.”

No one sees what it takes to keep the mask in place—
the constant smelting and hammering, reshaping it for every new interaction.
To hold it through exhaustion, sensory overload, confusion.
To make it through the workday, only to collapse on the floor when you get home.
Or to go out with friends, then fall asleep curled up on the floor with the dog.

They don’t see the moments in the bathroom stall
just trying to breathe.
Oh, how I used to spend time there during my call center days—
a job that put me on the phone all day with angry humans.
A sensory and emotional hell.
No thank you.

They don’t see me rehearsing the same social script ten times
before I even leave the house.

They don’t see the shame that creeps in at night,
while the rest of the world sleeps
and I lie awake, tossing and turning in silence.
The voice that says:

You’re too sensitive. You’re just being dramatic.
If you were really autistic, people would know.
You wouldn’t pass for okay this well. You’d be in an institution.

They don’t see the fear that one day I’ll crack—
and no one will believe it.
Because I’ve been “fine” for too long.
They’ll just say, “He was such a good guy… just snapped, I guess.”

That’s the pain of the label.
It flattens your complexity—
and mine runs deep.
It steals your softness. Your love of self.
It praises your mask and calls it strength.

But there is a deeper truth underneath it all—
a truth I’m just beginning to claim:

I am not strong because I hide my needs.
Yes, sometimes it’s necessary for survival.
But most times? It’s not strength. It’s society’s failing.

I am strong because I carry those needs with me anyway.
Even if it takes me hours to get out of bed—
I still get up.
Because I keep showing up, even when it hurts.
And it does hurt, most days.

Because I’m learning, slowly, to take the mask off.
To rest without guilt.
To speak without shame.
To need—and ask for help—without apology.

I don’t want to be seen as “high-functioning.”
I want to be seen fully—as truly and uniquely me.
Not through snapshots or assumptions,
but through the wholeness of my experience.

The brilliance and the broken pieces.
The quiet resilience.
The days I soar and the days I crumble.

Because beneath the label, there is a human.
Messy. Tender. Loving. Curious. Real.
And worthy of care—not in spite of that,
but because of it.

7. Closing Reflection: You Are Not a Label

If you’ve ever been called “high-functioning”
and felt a strange emptiness settle in your chest—
like someone complimented your mask
but forgot there was a person underneath—
this is for you.

If you’ve ever been labeled “low-functioning,”
told you’d never live a full life,
never contribute to society—
even as you carried wisdom, care, and brilliance the world refused to recognize
just because you communicated differently—
I see you.
I love you.
This is for you.

You are not a category.
You are not someone else’s comfort.
You are not “almost neurotypical.”
You are not broken for needing rest, for craving softness,
for struggling with things others take for granted.

You are whole, even when you’re worn thin.
Even when you can’t explain why the world feels too loud,
why the lights sting,
why some days the smallest tasks feel like mountains.

There is nothing wrong with needing support.
There is nothing wrong with needing care.
There is nothing wrong with you.

The problem isn’t that we struggle.
The problem is a world that calls survival success
and invisibility a virtue.

So if you’ve been surviving in silence—
I hope you know:
You deserve more.
You deserve space to unravel and rest.
You deserve to be seen not for how well you perform,
but for the truth of who you are.

You were never too much.
You were never not enough.
You were never meant to be a shadow of someone else’s definition of okay.

You were meant to be real.
And that is more than enough.


If this spoke to you…

I’d love to hear what you’re letting go of.
What labels no longer serve you.
What truths you’re finally allowing to surface.

Because we weren’t meant to carry this alone.

Let’s build a space where masks can come off,
where we don’t measure worth in exhaustion,
and where being different is something we protect—
not something we fix.

We deserve better language.
We deserve better systems.
We deserve to belong.
Together.