Imagine walking into a room and feeling like you have to put on a mask just to be accepted. For many adults with ADHD or autism, this is not a metaphor but a daily exhausting reality.
A new large-scale study of over 1,000 young adults has pulled back the curtain on this experience. It explores how neurodivergent people view their own brains and how these views shape their happiness.
Key Points
- While 95% of adults agree with their ADHD or autism diagnosis, only 29% say they actually like having it.
- Masking, or hiding traits to fit in, is a heavy burden that is most common at work and with family.
- Focusing on personal benefits, like creative problem solving, is the strongest predictor of a high quality of life.
- Clinical care should move beyond just fixing deficits and start highlighting an individual’s unique strengths.
The Gap Between Knowing and Liking
In this investigation, researchers used a massive online survey to reach out to the neurodivergent community. They wanted to understand the difference between cognitive and emotional acceptance.
Most people in the study agreed that their diagnosis was accurate. However, far fewer people felt a positive emotional connection to that label.
This distinction is like the difference between knowing you have a specific map and actually liking the terrain it describes.
Many participants felt the “map” of ADHD or autism fit their lives. Yet, they still struggled with the emotional weight of living in a world not built for them.
The High Cost of Social Camouflage
One of the most striking findings involves “masking,” which is a form of social camouflaging. This happens when a person hides their natural traits or adopts an alternate persona to fit into social situations.
The study found that masking is not a permanent personality trait. Instead, it is a survival strategy that changes depending on the room.
Participants reported the highest levels of masking at school or in the workplace. Family gatherings also saw high levels of this behavior.
In contrast, people felt much safer being their authentic selves around neurodivergent peers. This suggests that the pressure to conform comes from a lack of acceptance in broader society.
Discovering the “Silver Linings”
While challenges like mental exhaustion were reported by almost everyone, many also found hidden benefits.
Two of the most common positive traits were “seeing things my own way” and a “drive to find things out.” These cognitive strengths are often the engines behind creativity and deep expertise.
Interestingly, the study found that perceiving these benefits was the most important factor for quality of life.
It mattered more than whether someone was taking medication or had other health conditions. When individuals could see the value in their unique perspective, their overall satisfaction with life improved.
Why a Strength-Based View Matters
The implications of this research are a call to action for both doctors and the general public.
Traditionally, mental health care has focused almost entirely on what is “wrong” or what needs fixing. This is known as a deficit-focused approach. This study suggests that such a narrow focus might be missing the most important part of the puzzle.
Clinicians are now encouraged to adopt “strength-based” perspectives. This does not mean ignoring the very real challenges of ADHD or autism.
Instead, it means helping people identify their unique talents and values. By doing so, we can help neurodivergent adults build lives that feel meaningful and authentic.
Impact on Everyday Life
For the general public, the message is one of empathy and environment. If masking is caused by a fear of being misunderstood, we can reduce that burden by being more accepting.
Creating workplaces and families where people do not feel the need to hide their traits can directly improve their quality of life.
Ultimately, this research tells a story of resilience. It shows that while the neurodivergent path is often tiring, it is also filled with unique insights.
Moving toward a world that celebrates these differences, rather than just labeling them, is a win for everyone.
Reference
Wurth, P., Fuermaier, A. B., Strand, A. H., & Thorell, L. B. (2025). Diagnosis acceptance, masking, and perceived benefits and challenges in adults with ADHD and ASD: associations with quality of life. Frontiers in Psychiatry, 16, 1668780. https://doi.org/10.3389/fpsyt.2025.1668780