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ADHD Chatter PodcastADHD Chatter Podcast

13 Physical Signs You're Masking Autism & ADHD (That Other People Notice!)

Dr Martin Brunet has 25 years experience as a NHS GP. He has a special interest in Autism and ADHD and is the author of the best selling book entitled ‘Make Your Worry Make Sense’.

Dr. Martin BrunetguestAlex Partridgehost
Aug 17, 20261h 0mWatch on YouTube

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At a glance

WHAT IT’S REALLY ABOUT

Inside autistic masking: survival, exhaustion, identity loss, and unmasking safely

  1. Masking is presented as more than “pretending”—it also involves continuously interpreting social signals, translating meaning, and adjusting behavior in real time.
  2. Masking often begins in childhood when repeated awkwardness, ridicule, disappointment, or rejection teaches a child that being themselves is unsafe or socially costly.
  3. Sustained masking can become a survival strategy in environments shaped by chronic low-level trauma, leading to autistic burnout, emotional collapse after social demands, and profound loneliness even when socially “successful.”
  4. Late diagnosis can bring relief, clarity, grief, or anger—especially for women who were historically missed due to male-stereotyped autism models and the social pressures that drive higher masking.
  5. Unmasking is framed as optional and contextual: the goal is not to erase one’s past as “inauthentic,” but to build safe spaces and relationships that allow recovery, self-acceptance, and sustainable functioning.

IDEAS WORTH REMEMBERING

5 ideas

Masking is a two-way cognitive load: acting plus decoding.

The discussion emphasizes that autistic masking isn’t just “putting on a persona”; it also includes effortful interpretation of social cues—like manually translating “air traffic control” while also flying the plane.

Masking often starts early when difference becomes socially punished.

Many people begin masking in primary or secondary school after cues of not fitting in—teasing, being told off, or sensing parental disappointment—teach them that authenticity increases social risk.

One moment can crystallize a pattern, but it usually sits atop repeated signals.

A single cruel comment may shape decades of behavior because it becomes the moment multiple prior negative experiences “land,” though a single kind interaction can also be powerfully protective.

Masking becomes survival when trauma is constant and unmasking time disappears.

When environments carry chronic rejection or low-level trauma, masking shifts from helpful adaptation (e.g., interviews, work) to necessity—especially if there’s no safe place to decompress, leading to burnout.

Subtle masking can show up as “baton-passing” friction in conversation.

Rather than only eye contact, the clinician looks for awkward timing in turn-taking—long pauses, unexpected interruptions, or unclear acknowledgment—suggesting extra internal processing and rule-checking.

WORDS WORTH SAVING

5 quotes

Getting a diagnosis of autism can be releasing and freeing, but doesn't necessarily mean, "Oh, now all my challenges are over."

— Dr. Martin Brunet

For people who are exhausted by masking, sometimes it's worth thinking, "What would be the consequences if I never masked?" Because actually, that might be problematic in another way.

— Dr. Martin Brunet

I think it becomes survival when there's constant low-level trauma and rejection that is eating away at you, or when you're having to do it so much, the space in your life to unmask is too limited. You are then left burning out.

— Dr. Martin Brunet

No one knows who I really am.

— Dr. Martin Brunet

When you've met one autistic person, you've met one autistic person.

— Chris Packham

Read the available transcript
Masking as interpretation plus performanceChildhood learning, rejection, and shame triggersAutomatic vs conscious maskingBurnout, recovery time, and safe spacesIdentity confusion and lonelinessWomen missed in diagnosis; “high functioning” vs “high masking”Code-switching and selective unmasking strategies

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SPEAKERS

  • Dr. Martin Brunet

    guest

    Autism expert and GP (general practitioner) who discusses autistic masking from a clinical, neurotypical perspective.

  • Alex Partridge

    host

    Host of the ADHD Chatter podcast who interviews guests about neurodiversity and mental health.

High quality AI-generated summary created from speaker-labeled transcript.

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