Autism in girls: ‘Camouflaging,’ social functioning, and diagnostic dilemmas

The subject of autism spectrum disorder (ASD) diagnosis in girls has become an important area of clinical and research focus. For years, the male:female ratio of ASD has been estimated as approximately 4:1, with affected girls historically presenting with a higher likelihood of significant intellectual impairments. Clinicians and researchers have increasingly questioned this ratio, with findings indicating that girls with average or higher intellectual and/or verbal functioning have a different phenotype than males affected with ASD.