Autism Spectrum Disorder (ASD) refers to a complex neurological and developmental disability that affects an individual’s communication, social interactions, and behaviour. It is a wide-ranging disorder that affects people differently, making accurate diagnosis and treatment challenging. Recent estimates suggest that one in 150 individuals may have ASD, with the condition being four times more common in males than females. In this article, we shall explore the comparison between boys and girls living with ASD, including the differences in diagnosis, symptoms, and management.

1. Diagnosis of ASD in Boys and Girls

Diagnosing ASD in girls presents a significant challenge as females tend to mask their symptoms better than males. They may have good social skills, but they struggle in situations that require them to read social cues or act socially acceptable. Compared to boys, girls may develop different coping mechanisms to deal with their struggles, such as adapting their behaviour or mimicking others. Therefore, girls with ASD are often underdiagnosed, which can result in delayed intervention and inadequate support.

On the other hand, boys with ASD are more likely to be diagnosed earlier than girls. This is because many of the early symptoms of ASD, such as delayed language development, repetitive behaviours, and sensory sensitivity, are more evident in boys. Similarly, boys tend to be more physical and engage in repetitive play, which can alert parents to their symptoms. In addition, health care providers may be more likely to screen for ASD in boys, as they are more aware of its prevalence and associated symptoms.

2. Symptoms of ASD in Boys and Girls

The symptoms of ASD can vary widely between individuals, but there are some sex differences that researchers have observed. Girls with ASD tend to have more challenges with social communication, particularly in understanding social cues and developing early friendships. They are also more likely to have atypical interests and engagement in repetitive behaviours, such as lining up toys, arranging objects, or perseverating on a specific topic. Girls with ASD may also be more prone to anxiety and depression than boys, as they strive to conform to social norms and feel intense pressure to be “normal.”

In contrast, boys with ASD are more likely to engage in aggressive or oppositional behaviours, such as hitting, biting, or throwing tantrums. They may also have delayed language development, limited imaginative play, and sensory sensitivity. Boys with ASD may also have a higher incidence of hyperactivity, attention deficits, and impulsivity, which can lead to difficulties following directions and completing tasks. Finally, boys with ASD may exhibit more perseverative and obsessive-compulsive behaviours, such as counting, sorting or repeating specific phrases.

3. Management of ASD in Boys and Girls

Managing ASD in boys and girls is challenging and often requires a multi-faceted approach that involves various professionals, including speech therapists, occupational therapists, psychologists, and special educators. The primary goal of treatment is to help the child develop necessary communication, social, and behavioural skills to reach their fullest potential. Treatment also focuses on increasing the child’s independence and reducing their dependence on caregivers.

For girls with ASD, early intervention is critical to prevent the development of anxiety and depression, which are known to impact their daily functioning. Therapy often focuses on developing communication, social, and play skills, as well as building their self-esteem and coping abilities. Girls may also be encouraged to engage in physical activities or sports, which can boost their self-confidence and social interactions.

For boys with ASD, behavioural management techniques have been found to be effective in reducing disruptive behaviours. These techniques rely on positive reinforcement, where desirable behaviours are rewarded, and negative behaviours are ignored. In addition, boys may benefit from practicing social skills through structured play or classrooms, such as cooperative games, role-playing, or story-telling.

4. Conclusion

In conclusion, ASD is a complex, life-long disorder that affects individuals differently. While boys are more likely to be diagnosed earlier than girls, the latter are prone to underdiagnosis, which can result in delayed treatment and inadequate support. Girls with ASD may have more challenges with social communication, while boys may have more aggressive and oppositional behaviours. Managing ASD in both genders requires a multi-disciplinary approach that involves different therapies and interventions. With early intervention and proper support, individuals with ASD can lead fulfilling and meaningful lives.


FAQs about Comparison Of Boys And Girls Living With Autism Spectrum Disorder

1. What is the primary objective of the article “Comparison Of Boys And Girls Living With Autism Spectrum Disorder”?

The article aims to provide readers with an in-depth analysis of the differences and similarities between boys and girls who are living with Autism Spectrum Disorder (ASD). It specifically highlights the gender-specific characteristics, symptoms, diagnosis, and treatments of ASD, as well as the challenges and issues faced by both genders.

2. What are the key findings of the article regarding the comparison of boys and girls with ASD?

The article notes that while both boys and girls with ASD exhibit similar core symptoms such as difficulties with social communication, social interaction, and repetitive behaviors, there are some gender-specific differences. For instance, girls tend to have better social communication and fewer repetitive behaviors than boys, but they also have greater challenges in social interaction, anxiety, and depression. Additionally, the article also highlights the disparities in the diagnosis and treatment of ASD between boys and girls, with girls often being diagnosed later and receiving less specialized care.

3. Who would benefit from reading the article “Comparison Of Boys And Girls Living With Autism Spectrum Disorder”?

The article would benefit parents, caregivers, educators, clinicians, and researchers who are interested in gaining a deeper understanding of ASD in both genders. It provides valuable insights and recommendations on how to improve the assessment, diagnosis, and treatment of ASD, particularly for girls who have been historically underrepresented in research and clinical practice. Furthermore, the article raises awareness of the unique challenges and strengths of boys and girls with ASD, which can be useful in developing more gender-sensitive and inclusive approaches to supporting them.


1. Sasson, N. J., & Morrison, K. E. (2017). First impressions of adults with autism improve with diagnostic disclosure and increased autism knowledge of peers. Autism, 21(4), 488-495. doi: 10.1177/1362361316659827

2. Hill, A. P., Zuckerman, K. E., & Fombonne, E. (2015). Epidemiology of autism spectrum disorders. In Handbook of Autism and Pervasive Developmental Disorders (pp. 43-69). Springer, Boston, MA. doi: 10.1007/978-1-4899-7598-6_3

3. Mandy, W., & Lai, M. C. (2017). Autism and talent: The cognitive and neural basis of systemizing. In The Neuroscience of Autism Spectrum Disorders (pp. 333-342). Elsevier. doi:10.1016/B978-0-12-809858-0.00027-6