Autism and Transgender: Understanding the Overlap

There is an increasingly recognized overlap between autism and transgender identities. While being autistic does not necessarily mean a person will identify as transgender or vice versa, studies have shown that the two groups share some common experiences and challenges. In this article, we will explore the intersection of autism and transgender and how these two identities may influence and affect each other.

Autism and Gender Dysphoria

Gender dysphoria is a term used to describe the distress or discomfort a person feels because the gender they were assigned at birth does not align with their gender identity. Many people who identify as transgender experience gender dysphoria, which can manifest in different ways such as social discomfort, anxiety, or depression.

Recent studies have shown that there is a higher prevalence of gender dysphoria among autistic individuals than in the general population. Although the reasons for this link are not yet fully understood, some researchers suggest that the social and sensory issues that often accompany autism may contribute to the experience of gender dysphoria in autistic people.

For example, autistic individuals may struggle to understand and navigate social norms and expectations around gender, leading to feelings of isolation and confusion. Sensory sensitivities, such as discomfort with certain types of clothing or grooming habits, can also exacerbate gender dysphoria or make it more difficult to express one’s gender identity.

Challenges for Autistic Transgender Individuals

Being both autistic and transgender can present unique challenges for individuals who navigate these identities simultaneously. Some of the main difficulties faced by autistic transgender people include:

  • Intersecting stigma and discrimination: Autistic people and transgender people both face significant levels of societal stigma and discrimination. When these identities intersect, the discrimination can be compounded. For example, an autistic transgender person may face ableist assumptions that they are unable to make informed decisions about their gender identity, or that their autism somehow makes them less valid as a transgender person.
  • Difficulty accessing healthcare: Many transgender people face barriers to accessing healthcare due to issues such as cost, lack of insurance coverage, or discrimination from healthcare providers. Autistic people may also face challenges in accessing healthcare, such as difficulty communicating their needs or challenges with sensory sensitivities. These challenges can compound for autistic transgender individuals, making it even more difficult to access the care they need.
  • Discomfort with social interactions: Both autism and transgender identities can lead to discomfort with social interactions, albeit in different ways. For example, an autistic person may struggle with social cues or sensory overload in group settings, while a transgender person may experience anxiety or depression related to social stigma and discrimination. When these two identities intersect, the discomfort with social interactions can be compounded, leading to further isolation and distress.

Positive Aspects of Autism and Transgender

While there are certainly challenges associated with being autistic and transgender, there are also potentially positive aspects of these identities. Some of these include:

  • Non-binary thinking: Autistic individuals may be more likely to think outside of societal norms and expectations, which can lead to a greater openness to exploring non-binary gender identities.
  • Heightened self-awareness: Autistic individuals may have a heightened sense of self-awareness, which can aid in recognizing and exploring one’s gender identity.
  • Unique perspectives: Autistic and transgender individuals alike can provide unique and valuable perspectives on topics related to gender and identity.

Support for Autistic Transgender Individuals

For autistic transgender individuals, finding supportive resources and communities can be crucial in navigating the challenges that can arise from these intersecting identities. Some organizations and resources that may be helpful include:

  • The Autistic Women & Nonbinary Network: A community organization that provides resources and support specifically for autistic women and non-binary people.
  • The Trevor Project: A national organization that provides crisis intervention and suicide prevention services to LGBTQ+ youth, including those who are autistic and/or transgender.
  • The Autistic Self Advocacy Network: A national organization that advocates for the rights and inclusion of autistic individuals in society. While not specifically focused on transgender issues, the organization does aim to support all aspects of autistic identity.


The intersection of autism and transgender identities is becoming increasingly recognized in both research and activism. While there are certainly challenges associated with navigating these identities, there can also be unique perspectives and experiences that are valuable to the broader community. As awareness grows, it is important to continue advocating for the rights and inclusion of all individuals along the autism and transgender spectrums.


FAQs about Autism and Transgender

Q: Is there a higher prevalence rate of autism in the transgender community?

There is limited research on the co-occurrence of autism and transgender identity. However, some studies have suggested that there may be a higher prevalence rate of autism among individuals who identify as transgender. This may be due, in part, to the fact that both autism and gender dysphoria involve differences in brain development.

Q: Can autism influence an individual’s gender identity?

There is no direct evidence to suggest that autism influences an individual’s gender identity. However, some individuals with autism may struggle with social communication and other social interactions, which could make it more difficult for them to express their true gender identity. Additionally, some individuals with autism may have sensory sensitivities or atypical preferences that could impact how they express their gender.

Q: How can healthcare providers best support individuals who identify as both autistic and transgender?

Healthcare providers who work with individuals who identify as both autistic and transgender should take a holistic approach to care. This may involve providing referrals to trusted providers who are familiar with both autism and gender identity issues, as well as offering support for both mental health concerns and physical health needs. In addition, healthcare providers should be aware of the unique challenges that individuals with autism and transgender identities may face, such as difficulties with sensory processing or social communication, and strive to provide care that is both responsive and individualized.


1. Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. American Journal of Psychiatry, 169(10), 1056-1064.

2. Strang, J. F., Kenworthy, L., Dominska, A., Sokoloff, J., Kenealy, L. E., Berl, M., … & Wallace, G. L. (2018). Increased gender variance in autism spectrum disorders and attention deficit hyperactivity disorder. Archives of Sexual Behavior, 47(6), 1301-1311.

3. Warrier, V., Greenberg, D. M., Weir, E., Buckingham, C., Smith, P., Lai, M. C., … & Baron-Cohen, S. (2018). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals. Nature Communications, 9(1), 1-10.