Reclaiming selfhood: towards a conceptualisation of the autistic unmasking process

Abstract

Introduction Many autistic people adapt to a neurotypical world through masking, which can lead to exhaustion and harm to mental and physical health. As a result, there is increasingly interest in ‘unmasking’ in ways that improve quality of life and reduce stress. This study analyses qualitative data to explore unmasking among autistic adults. Methods This was a neurodivergent-led study. Twenty-nine autistic adults (17 with co-occurring ADHD) were interviewed one to four times as part of a larger project on autistic flourishing. Data related to unmasking were analysed using qualitative content analysis. Results Unmasking occurred through a circular process consisting of four categories (1): Identify the need to unmask (2), Gain a deeper understanding of one’s masking (3), Using unmasking strategies, and (4) Managing the consequences of unmasking. Conclusion Unmasking can be both challenging and freeing for autistic adults and may be best approached gradually. Supportive environments and professionals who understand masking and its long-term impact and do not encourage masking are important.