What High-Functioning Autism (Level 1 ASD) Really Looks Like
- Alaina Reichwald, MA LMFT
- Apr 7
- 3 min read
Updated: Apr 9

When you hear the word autism, what comes to mind?
For many people, it’s an image shaped by pop culture or outdated stereotypes—someone nonverbal, deeply withdrawn, or with significant support needs. But autism is a spectrum. And on that spectrum are countless individuals whose experiences are often invisible to the untrained eye.
One of the most misunderstood and under-recognized groups includes people diagnosed with Autism Spectrum Disorder Level 1—previously known as Asperger’s Syndrome before it was folded into the broader ASD diagnosis in 2013. This group is sometimes referred to as having “high-functioning autism,” though that term can be misleading.
Yes, these individuals may not need round-the-clock assistance. But their challenges are real, especially when it comes to social interaction, sensory processing, emotional regulation, and day-to-day functioning.
So, what does Level 1 autism really look like?
1. Communication That Doesn’t Follow the Script
People with Level 1 ASD often have strong verbal skills. They can talk—and talk well—but that doesn’t mean social communication comes easily.
Conversations may feel one-sided or hyper-detailed. Reading between the lines—like interpreting facial expressions, body language, or sarcasm—can be tricky. This can lead to misunderstandings, even when the intention is nothing but kind.
And when it comes to initiating or sustaining interactions? That can feel like trying to read a book in a language no one taught you.
2. A Love for Routine and a Deep Dive into Interests
Change can feel destabilizing. Many people on this part of the spectrum rely on structure and predictability to feel safe and centered. Unexpected changes? Not great.
Then there are the special interests—topics they’re deeply, passionately into. These interests aren’t casual hobbies; they’re deep dives into the things that light up their brain. While this can lead to incredible expertise and creativity, it can also make small talk feel... pointless.
3. Emotional and Cognitive Contradictions
Here’s where things get even more complex.
Many individuals with Level 1 autism are brilliant at logic, detail, and pattern recognition, but struggle with executive functioning—that means planning, organizing, and managing time can feel like climbing uphill.
Emotionally, the outside doesn’t always match the inside. Someone might seem calm, but be experiencing sensory overload or internal distress. These aren’t “overreactions”—they’re responses from a nervous system wired to process the world differently.
4. Masking, Burnout, and the Invisible Effort to Fit In
This might be the most hidden struggle: masking.
Masking is the effort (often unconscious) to hide autistic traits and act “normal.” It means forcing eye contact, rehearsing conversations, stifling stims, and pretending that fluorescent lights or scratchy clothes aren’t unbearable.
The toll? Burnout. Anxiety. Depression. All common among people who’ve spent years pretending to be someone they’re not—just to make others more comfortable.
Even when someone seems to be “doing fine,” they may be expending an enormous amount of energy to function in a world that wasn’t built for their brain.
5. Support Is Still Essential
Here’s the big takeaway: just because someone doesn’t look like they need help doesn’t mean they don’t need support.
Therapy, coaching, sensory accommodations, and most of all, understanding—these things matter.
If we want to create a more inclusive world, we need to let go of the idea that autism has to look a certain way. Because for many people on the spectrum, the hardest part isn’t being autistic—it’s navigating a world that doesn’t understand what that means.
Let’s get better at seeing what’s not always obvious. Let’s honor the spectrum in all its complexity—and make space for autistic people to thrive exactly as they are.
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