Autistic individuals sometimes use camouflaging, a strategy to mask autistic traits, to feel comfortable in social situations.
“There were quite a few people that talked about using substances to try and focus,” Elizabeth Weir, co-author of the study and PhD student at Cambridge University’s Autism Research Centre, tells Verywell. “Several people specifically said I use it to manage my autism. I use it to connect with other people. I use it to get comfortable.”
For the study, researchers surveyed 1,183 autistic and 1,203 non-autistic people aged between 16-90 and asked about the frequency of their substance use as well as their experiences.
Although autistic people were three times more likely to use recreational substances for medicating mental health, they were less prone to substance misuse, researchers found. For example, autistic individuals were less likely to drink alcohol regularly or engage in binge drinking. Respondents also reported factors that would make them susceptible to misuse of substances, such as being tricked or forced into using drugs in childhood.
Weir says the new study also highlights multiple issues with how autistic adults are not receiving proper care from their doctors. Some autistic individuals, for example, may have been taught by their doctors and psychiatrists to mask their symptoms.
Finding ways to cope with a disability or a health condition can be useful. For example, an autistic individual may engage in stimming, like hand-flapping and repeating words, to cope with sensory overload. However, camouflaging can lead to worsening mental health and increased risk of suicide.
Members of the autism community may feel pressured to hide their autistic traits in order to blend in with neurotypical individuals in social situations and at work, a 2017 study found.
“A more pragmatic aspect of this motivation was the desire to obtain jobs and qualifications, which respondents felt were less accessible when they were more visibly ‘autistic,’” the researchers wrote.
Leela R. Magavi, MD, a psychiatrist and a regional medical director for Community Psychiatry + MindPath Care Centers, tells Verywell that her patients who camouflage “feel more more burned out and depressed.” She adds that individuals who engage in masking early on may not always get adequate help and resources.
“They may struggle with identifying and embracing their authentic self, which could significantly impact self-esteem and even lead to suicidal thoughts,” she says.
While autistic people should not feel forced to take medication to seem less neurodivergent, some may benefit from supportive psychiatric care. Magavi says medications that treat “irritability, aggression, anxiety, ADHD, and various other comorbid disorders” can be helpful in some cases.
