Older Adults with Autism: Facing Obstacles, Therapies, and Resources
In the vast landscape of adult healthcare, a significant yet often overlooked group faces unique hurdles: older adults with autism. Despite the absence of standard diagnostic criteria for autism in adults, this community grapples with a myriad of physical and mental health challenges.
Common physical health issues include osteoporosis, cancer, heart disease, arthritis, cognitive disorders like Alzheimer's disease, and various cognitive disorders. Older autistic adults are less likely to have coexisting mental health conditions, aggressive behaviours, or diabetes compared to those diagnosed in childhood or young adulthood.
However, the lack of formal diagnosis often leaves them without access to essential support services. Without a diagnostic label, older adults can miss out on resources that could help them secure housing, medical care, therapy, and other mental health services. This gap in care can lead to undetected or untreated symptoms, resulting in misunderstandings and additional burdens.
Social isolation is a common consequence of the diagnostic void. Many undiagnosed older adults lack higher education and continue to live with relatives, often feeling feelings of social alienation. Loneliness and social isolation are prevalent among this group, with many spending little or no time with friends (CDC data).
The healthcare system itself presents challenges. Symptoms in older adults with autism may be both more pronounced and better camouflaged than in children, making diagnosis difficult using the screening tools designed for youngsters. Healthcare professionals may screen for autism when treating adults for anxiety rooted in changes to their routine, the anticipation of change, or sensory issues.
Psychotherapy, or talk therapy, is a common treatment option for adults diagnosed with autism. Adherence to particular routines, becoming upset if routines are disrupted, and obsessive interests are common symptoms in this group. Some older adults with autism learn to mask their symptoms to appear neurotypical and fit in better socially, a strategy that can be intensely stressful and lead to other mental and physical health problems over time.
The Organization for Autism Research (OAR) offers resources for navigating autism as an adult, providing assistance with employment, education, and physical, mental, and sexual health. These resources can be invaluable for older adults with autism, helping them to overcome the challenges they face and lead more fulfilling lives.
Despite these challenges, it's essential to remember that older adults with autism are not defined by their diagnoses. They are individuals with unique strengths, interests, and aspirations, deserving of the same opportunities and support as everyone else. By raising awareness and providing resources, we can help to create a more inclusive world for this often-overlooked community.
