Differences Between Social Anxiety and Autism

Social Anxiety Disorder (SAD) and Autism are two distinct conditions that can both affect how a person navigates social situations.

At first glance, they might seem similar. For example, both an autistic person and someone with social anxiety might appear uncomfortable in a crowded room or avoid eye contact. However, the reasons why they behave this way are very different.

This article compares SAD and ASD. It covers the key differences in causes and experiences, shares personal insights from people who live with these conditions, and offers practical coping strategies.

Understanding Social Anxiety Disorder (SAD)

Social anxiety disorder is a mental health condition characterized by an intense, persistent fear of social situations. People with SAD aren’t merely “shy”.

They experience extreme worry about being judged, humiliated, or rejected in social interactions. This worry is a chain of repetitive thoughts about what might go wrong, and it feels hard to control.

Common symptoms include a racing heart, sweating, trembling and stomach upset. Some people have panic attacks when anticipating a social event.

Internally, the person might be replaying worries like “What if I say something stupid and everyone laughs at me?” or “Everyone must think I’m awkward.”

They often crave social connection but feel trapped by their anxiety. Over time, someone with SAD may isolate themselves or need a long recovery period after any social event due to exhaustion from stress.

Understanding Autism Spectrum Disorder (ASD)

Autism spectrum disorder is a neurodevelopmental condition and primarily affects how a person communicates and experiences the world around them.

Autistic people often have differences in social communication. For instance, they may not intuitively pick up on body language or sarcasm.

Many also engage in repetitive behaviors or have intense special interests. Autistic people can also have unique sensory sensitivities, such as being extremely sensitive to loud sounds or bright lights.

Autism runs a broad spectrum. Some autistic people are very talkative, perhaps about their favorite topics, while others are non-speaking. Some might avoid eye contact, and others may learn to simulate it. Every autistic person is unique in their mix of traits and support needs.

Key Differences Between SAD and ASD

While both social anxiety and autism can lead to avoiding social situations or feeling uneasy around people, the underlying causes and experiences differ greatly.

Here’s a comparative look at SAD vs. ASD:

• Root Cause: Social anxiety is driven by fear of negative evaluation. Autism is neurological and present from early life.
• Social Understanding: Someone with SAD understands social cues but is held back by fear. An autistic person may not intuitively grasp them, whatever their anxiety.
• Communication Style: Autistic communication differences are present when relaxed. In social anxiety, communication changes only when anxiety hits.
• Sensory Experience: An autistic person may be overwhelmed by sensory input. A socially anxious person is overwhelmed by fear of judgment.
• Routine and Change: Changes can distress an autistic person even when no social contact is involved. Social anxiety is tied to social situations.
• Interests and Focus: Intense interests can be an autistic strength. For someone with SAD, even loved topics can feel hard to share.

Root Cause

Social anxiety is driven by fear of negative evaluation: a person is afraid of being judged or embarrassed in social settings. Autism, on the other hand, is neurologically based.

An autistic person’s social difficulties come from differences in social understanding and sensory processing, not from fear of judgment.

The diagnostic manual builds this contrast into its criteria:

• Social anxiety disorder: Social relationships and communication ability are typically adequate, though they may seem lacking with unfamiliar people (American Psychiatric Association, 2022).
• Autism: Persistent differences in social communication across contexts, plus restricted or repetitive patterns of behavior, present from early development (American Psychiatric Association, 2022).

Social anxiety disorder usually begins in the early to mid teens (American Psychiatric Association, 2022). Autism can go unrecognized for years. In one Italian clinical series of 161 adults, the median age at diagnosis was 23 (Fusar-Poli et al., 2022).

In short, SAD is an anxiety disorder, whereas ASD is a neurodevelopmental condition present from early life.

Social Understanding vs. Social Fear

Someone with SAD typically understands social rules and cues. They know how to engage in conversation and the norms of eye contact, but their intense fear makes it hard to engage.

By contrast, an autistic person might not intuitively grasp certain social cues or may have a different communication style, regardless of anxiety.

For example, both an autistic individual and a socially anxious individual might avoid making eye contact in a conversation.

The difference is why. In autism, the eyes may exert less pull. Looking at them may also feel uncomfortable. In social anxiety, people tend to look away from the eyes after seeing them, out of nervousness.

One eye-tracking study tested this in 25 adolescents with social anxiety disorder (Kleberg et al., 2017). Higher autistic traits went with slower first looks to the eyes. Higher social anxiety went with looking away sooner.

The sample was small, mostly girls, and has not been directly replicated. Treat reduced eye contact as a reason to ask why, not as a test for either condition.

Communication Style

In conversations, autistic people might use different body language or speech patterns. They may use fewer typical gestures or take things literally. Some talk at length about a favorite topic without noticing that the listener wants to speak.

These aren’t done out of anxiety. They are part of natural communication differences.

Misunderstanding goes both ways. The double empathy account (Milton, 2012) frames it as a two-way mismatch, not a deficit in autistic people. Autistic and non-autistic people each find the other’s communication style hard to read.

An autistic person who is repeatedly misread may come to expect judgment (Spain et al., 2018). That expectation can be realistic. It can also grow into social anxiety.

On the other hand, someone with social anxiety usually has no inherent communication differences.

• When comfortable: They can carry on a reciprocal conversation and use typical eye contact and tone.
• When anxiety hits: They might stumble over words, speak very softly, or freeze up.

Sensory Experience

Many autistic individuals have sensory sensitivities. These profoundly affect their social experiences.

For example, a busy restaurant can overwhelm an autistic person with loud noises, bright lights, and many simultaneous conversations. They may withdraw or have a meltdown. This can be mistaken for social anxiety.

A person with SAD might also feel uncomfortable in a busy restaurant, but for a different reason: they might think “Everyone is watching me and noticing my nervousness”.

The autistic person is overwhelmed by sensory input and complexity; the anxious person is overwhelmed by fear of judgment.

The picture is not clear-cut. Sensory hypersensitivity was linked to social anxiety in both autistic and non-autistic adolescents with similar anxiety levels (Pickard et al., 2020). Sensory overload can therefore be one route by which an autistic person becomes socially anxious.

Need for Routine vs. Adaptability

Sudden changes can be very distressing for an autistic person. Say a social event venue changes at the last minute. Their anxiety rises. It is about the uncertainty itself, not social judgment.

Someone with social anxiety may also dislike surprises in plans, but mainly because it could thrust them into an unprepared social scenario.

Generally, though, a person with SAD can handle schedule changes if they don’t involve feared social situations; their anxiety is tied specifically to social performance.

In contrast, an autistic individual might become anxious or upset by changes even when no social interaction is involved. The cause is a need for sameness.

Intolerance of uncertainty is the tendency to find unknown situations upsetting. It bridges the two conditions rather than separating them. A systematic review and meta-analysis of 12 studies found it associated with anxiety in autistic people (Jenkinson et al., 2020).

In a pooled sample, 287 caregivers wrote in what else their autistic child feared. Nearly half the responses were autism-related anxieties, such as sensory fears and worries about change (Lau et al., 2020). The useful question is what the uncertainty is about.

Interests and Focus

Autistic people often have deep, intense interests (sometimes called “special interests”) and can talk at length about them.

Interests can be social strengths if shared with others. For instance, two autistic friends who love the same video game might socialize by discussing it in detail.

For a person with SAD, however, even loved topics can cause anxiety when they must talk about them in front of others.

These differences show that autism is more than being “socially awkward” or anxious. As one autistic forum member put it:

“Autism is more than being anxious around people. While social anxiety is part of the condition for some autistics, it’s not required for an autism diagnosis – there are autistics who don’t have social anxiety at all.”

In other words, you can be outgoing and autistic, or extremely anxious in social situations without being autistic. The two conditions can overlap in behaviors, but the underlying mechanisms of fear versus neurotype are distinct.

Social Anxiety Disorder	Autism
An anxiety disorder characterized by excessive fear of social situations and fear of being judged or evaluated by others	A neurodevelopmental disorder characterized by difficulty in social communication and interaction, and restrictive and repetitive patterns of behavior
Typically begins in the early to mid teens (median age 13)	Present from early development, but may be recognized in childhood or not until adulthood
Fear and avoidance (steering clear of feared situations) in social settings, but a desire to connect with others	Differences in social communication and understanding social cues; many want connection, and some prefer solitude
May have typical emotional expression, but may experience heightened anxiety in social situations	May have difficulty with emotional expression, including difficulty identifying and understanding emotions in others
May have a variety of interests and hobbies	May have intense, narrow interests
May be hypersensitive to criticism or negative evaluation from others	May have sensory processing issues, including hypersensitivity or hyposensitivity to sensory stimuli

Overlap and Co-Occurrence of ASD and SAD

Despite their differences, autism and social anxiety can occur together. Social anxiety disorder is considerably more common in autistic people than in the general population (about 7% in any one year in the United States).

The best pooled figure comes from a meta-analysis of 31 studies and 2,121 autistic children and adolescents. It found social anxiety disorder in about 17% (van Steensel et al., 2011).

The diagnostic manual agrees. It gives “as many as 17%” (American Psychiatric Association, 2022).

The often-quoted “up to half” traces to small adult samples and screening questionnaires. In one preliminary study, half of 28 autistic adults met criteria (Maddox & White, 2015).

Treat that as an upper bound.

Overlapping questionnaire items may inflate measured co-occurrence (Kreiser & White, 2014). An adult meta-analysis found that 27% of autistic adults currently had an anxiety disorder of any kind (Hollocks et al., 2019).

It’s easy to see why. An autistic person who has repeatedly had painful or confusing social experiences might begin to fear social situations. Social anxiety then develops as a secondary condition.

“I have both. The social anxiety was way more prominent in middle school and high school – it became easier to say nothing than say something and offend someone. My social anxiety mostly comes from having to perform in front of others (a fear of judgment). The autism, for me, is not knowing how to respond in certain social situations or missing subtle social cues.”

Lacking understanding and support, autistic children may face bullying, constant correction, or sensory overwhelm, which can lead to chronic anxiety.

On the flip side, having social anxiety does not cause someone to become autistic. These are separate conditions.

However, a person with long-term severe social anxiety might relate to some experiences common in autism. Examples include feeling socially out of sync or needing to retreat. The root, in that case, is still anxiety.

Why Do Autism and Social Anxiety Co-Occur?

Researchers describe three routes:

• Developmental: Repeated bullying, constant correction or exclusion can teach an autistic child that social situations are risky (Spain et al., 2018).
• Shared correlates: Similar factors go with social anxiety in autistic and non-autistic young people.
• Measurement: Overlapping questionnaire items can inflate the apparent overlap (Kreiser & White, 2014).

A study of 194 children aged 8 to 13 tested the developmental route, using parents, teachers and children as separate informants (Stark et al., 2023). Reduced social competence explained about a fifth of the link between autism characteristics and social anxiety. Most of the link runs through other routes.

Autistic and non-autistic adolescents with similar social anxiety showed similar correlates (Pickard et al., 2020). These included intolerance of uncertainty, alexithymia (difficulty identifying feelings) and sensory hypersensitivity.

Fear versus neurotype describes where a person starts. It does not explain how anxiety is maintained once it is present.

Measurement matters because items such as “avoids social situations” or “has few friends” are endorsed for different reasons.

Autistic adults also describe social anxiety in their own terms. In a 2026 interview study of 62 autistic adults, many reported social imagery seen through their own eyes, not an observer’s view (Lei et al., 2026).

The authors suggest it may reflect bodily and sensory responses, not only worry about judgment. That is a proposal for future research.

Can autism or social anxiety be misdiagnosed?

Misdiagnosis can happen in both directions. An autistic teen who is very quiet, or who masks their traits, might be labeled with social anxiety because they seem withdrawn.

Later, a fuller evaluation might reveal autism was the underlying reason for their social challenges all along.

The error can also run the other way. A person with intense social anxiety might be evaluated for autism because they avoid socializing. If there is no early developmental history of autistic characteristics, and communication is typical when the person feels at ease, autism isn’t the right diagnosis.

“It’s frustrating to be told you’re just socially anxious when you sincerely believe you’re just being ‘yourself’. There are socially anxious individuals that come across as just shy, quiet, maybe even timid – but not ‘weird’ or ‘odd’.”

How Masking Affects Diagnosis

Masking (also called camouflaging) means hiding, compensating for or suppressing autistic characteristics to appear less different. It affects diagnosis in three ways:

• Hiding the evidence: Scripted conversations and forced eye contact can look like adequate communication in a short assessment, so a clinician may see only withdrawal and fear.
• Generating anxiety: Masking is tiring and carries a fear of being found out. A survey of 342 autistic adults linked more masking to more anxiety (Evans et al., 2024).
• Looking like anxiety: Self-monitoring appears in both. The question is whether it aims to avoid being judged or to appear non-autistic. People can often say which.

Late-diagnosed women describe this vividly. In an interview study of 14 women, 12 described being labeled with non-autistic diagnoses (Bargiela et al., 2016). Anxiety, depression and eating disorders were the difficulties reported most.

One participant described years of treatment for depression and anxiety. As she put it, “not once did anyone suggest I had anything other than depression.”

Autism is often missed in people who reach services. In an Italian clinical series of 161 adults, the median gap between a first mental-health evaluation and the autism diagnosis was 11 years (Fusar-Poli et al., 2022). These studies cannot say how often autism is mistaken for social anxiety specifically.

Carly Jones MBE, an Autistic woman who is a British Autism Advocate, describes her experience of misdiagnosis:

“They thought I had a social anxiety disorder. I was medicated, which made me feel like a zombie. I don’t have a social anxiety disorder. I’m just socially anxious because I’m Autistic… the root cause of my social anxiety, previous eating disorders… was Autism.”

Questions That Help Tell Them Apart

No single test separates social anxiety from autism, and screening questionnaires overlap (Kreiser & White, 2014). What works is a structured conversation backed by a developmental history. These are the kinds of questions a clinician asks. They are not a self-diagnostic checklist.

• When did it start? Were there differences in play, communication, sensory reactions or routines before school age, or did the fear begin after a particular experience?
• What happens when nobody is watching? Does the difficulty persist with a trusted person, or when nobody is evaluating?
• What are you afraid will happen? Fear of being judged points to social anxiety. Unpredictability, sensory overload or exhaustion point to autism.
• Does a change of plan matter with no social element? If it still causes distress, think of autism.
• Who can describe your childhood? Parents, school reports and early records are among the best evidence.
• Why do you prepare or monitor yourself? To avoid being judged, to avoid being seen as autistic, or both?

Anyone who sees themselves in these questions should seek an assessment from a clinician experienced with both conditions. One first-person account describes seeking an autism diagnosis after years of treatment for social anxiety.

Evidence Check: How Well Does the Research Hold Up?

Verdict: Supported with qualifications.

The core rule holds. The reason for avoidance separates these conditions better than the behavior itself. Pooled studies support a large but smaller-than-quoted overlap between autism and social anxiety.

The strongest evidence is a meta-analysis of 31 studies and 2,121 young people (van Steensel et al., 2011). It found social anxiety disorder in 16.6% of autistic under-18s.

The widely quoted “half” comes from a preliminary study of 28 autistic adults (Maddox & White, 2015).

On gaze, one eye-tracking study of 25 adolescents linked autistic traits to slower first looks at the eyes, and social anxiety to looking away sooner (Kleberg et al., 2017).

That is a hypothesis, not a test. It rests on a small correlational sample and needs replication. None of it can diagnose an individual.

Coping Strategies and Support Approaches

Whether someone is dealing with social anxiety, autism, or both, there are many strategies and supports that can help them lead a fulfilling social life on their own terms.

Any approach needs to be empathetic and to respect an autistic person’s neurotype. The goal is not to “fix” autism. It is to help with specific challenges, such as anxiety or skill-building.

Here, we break down coping and management strategies for each condition and the overlap:

• Therapy and Counseling: CBT for social anxiety, and neurodiversity-affirming support for autism.
• Gradual Exposure: Small steps that build confidence, with skill-building for autistic people.
• Structured Planning: Knowing what to expect, without over-planning.
• Relaxation Techniques: Breathing, grounding, mindfulness and stimming.
• Peer Support: Groups where people feel understood.
• Self-Advocacy: Telling trusted people what helps, and asking for accommodations.
• Self-Compassion: Embracing neurodiversity and treating setbacks kindly.

Therapy and Counseling

For social anxiety, one of the most effective treatments is cognitive-behavioral therapy (CBT).

CBT helps individuals challenge negative thoughts about social judgment and gradually face feared situations with coping skills.

In adults without autism, individual CBT had the largest effect in a network meta-analysis of 101 trials (Mayo-Wilson et al., 2014). For autistic adults the evidence is thinner.

A systematic review found only four single-case studies (Spain et al., 2017). An uncontrolled eight-week group programme for 78 autistic adolescents and young adults found small self-reported reductions in social anxiety (Bemmer et al., 2021).

A survey adds the patient’s view. Of 74 autistic adults who had received CBT for social anxiety, 65% found it unhelpful (Wilson & Gullon-Scott, 2024).

They said therapists treated fears as irrational when they rested on real experiences of bullying and exclusion. One participant wrote that after fifty years of bullying and exclusion, “this fear is not irrational or unfounded.”

The survey was retrospective and self-selected. It is not a trial. It warns about how therapy is delivered in practice, not that CBT cannot work for autistic adults.

For autism itself, therapy isn’t about eliminating autism. It is about supporting development and well-being.

It’s important that any therapy is neurodiversity-affirming. This means the therapist respects autism and doesn’t try to force the person to act “neurotypical” in harmful ways.

For instance, teaching an autistic person how to make eye contact for short periods, if they want to, is fine. Forcing eye contact at all times is not. It can cause extreme discomfort.

The focus should be on practical skills and self-advocacy, not changing the person’s authentic self.

Autistic adults describe what helps:

• Autism-informed aims: The goal is less distress and wider access to the life the person wants, not acting “neurotypical” in ways that harm.
• Fear taken seriously: If fear rests on real experience, work on the environment, boundaries and skills alongside beliefs (Wilson & Gullon-Scott, 2024).
• Coping tools kept: Stimming and comfort items can be essential. One participant was told they relied on them too much (Wilson & Gullon-Scott, 2024).
• Sensory and recovery needs: Quiet spaces, breaks and noise-cancelling headphones are accommodations, not avoidance.

Gradual Exposure

If social anxiety is the issue, gently pushing comfort zones over time is a proven method.

Start with small steps. For example, say hello to a neighbor, then work up to joining a small meetup of people with a shared hobby.

Each successful interaction helps build confidence and proves that feared outcomes (like “everyone will mock me”) are unlikely.

For autistic people, exposure works best alongside skill-building. Practicing small talk in advance, or using a focused interest as a conversational bridge, can ease worry.

Structured Planning and Routines

Having a plan can greatly reduce anxiety for both autism and social anxiety. If you have autism, knowing the details of a social event (when, where, what to expect) can alleviate the stress of unpredictability.

You might script out some conversation starters or rehearse how to handle certain scenarios.

People with social anxiety also benefit from preparation. For instance, think of a few topics to chat about beforehand, or arrive early to get used to the setting.

One resource notes that engaging in structured planning for social situations and establishing routines can aid in managing anxiety while navigating daily life.

Just be careful not to over-plan to the point of increasing anxiety; the goal is to feel equipped, not to obsess over every detail.

Relaxation Techniques

Techniques like deep breathing, mindfulness, or grounding exercises can help calm the nervous system in anxious moments.

Here is how they look in practice:

• Slow belly breaths: If panic rises before a presentation (a classic SAD scenario), step aside and take a few slow breaths.
• Grounding: Name five things you can see and four things you can hear. Both techniques can reduce the intensity of the anxiety.
• Stimming: Self-soothing movements or sounds can help autistic people regulate their feelings. Examples include squeezing a stress ball, pacing, or calming music on headphones.
• A safe space: At a large event, identify a quiet corner or step outside for a few minutes to reset.

Some autistic individuals also use these techniques to manage sensory overwhelm or general anxiety. Stimming that helps should not be discouraged.

Peer Support and Community

Connecting with others who get it is incredibly validating. For social anxiety, group therapy or support groups (even online forums) allow individuals to share experiences and coping tips.

For autistic people, finding fellow autistic peers can provide a sense of belonging and understanding, whether locally or in neurodiversity online communities.

Autistic individuals often report feeling significantly less anxious around other autistic people. They can be themselves without fear.

Many autistic people feel more relaxed around others on the spectrum due to shared communication styles.

Consider joining communities like autism social groups or forums (ensuring they are respectful and moderated).

Self-Advocacy and Accommodations

It’s important for individuals, especially autistic individuals or those with severe anxiety, to communicate their needs to trusted people in their life.

This might mean telling a professor or employer, “I’m much more comfortable presenting via video than in front of a big crowd.”

It might also mean asking for small accommodations, like a quiet workspace or advance notice for meetings.

Schools and workplaces increasingly understand neurodiversity and mental health. For someone with SAD, letting close friends know that you prefer smaller hangouts rather than big parties can help them support you.

For an autistic person, noise-canceling headphones in a busy environment can reduce the pressure to “perform” neurotypically. So can a small badge saying “I’m autistic, please be patient”, if they choose to disclose.

Embracing Neurodiversity and Self-Compassion

Being autistic is not a flaw. Embracing neurodiversity means recognizing it as a different way of experiencing the world, with its own strengths (such as honesty, focus, creativity) and challenges.

Surround yourself with people who respect and appreciate you as you are, whether friends, family, or online communities. That is key to mental health.

When challenges arise (say, a social interaction that went awkwardly), practice self-compassion: remind yourself, I’m not alone, and I’m doing my best.

Similarly, for someone with social anxiety, it’s important not to beat yourself up for feeling anxious. SAD is a common and treatable condition. You are not “broken” or weak for having this anxiety.

Challenge that inner critic that says “Everyone thought I was weird” with more realistic and kind thoughts: “I felt anxious, but I showed up, and that’s brave. Maybe others didn’t even notice I was nervous, and even if they did, it’s okay.”

Celebrating small wins (staying ten minutes at the party, making one comment in the meeting) instead of focusing on perceived failures builds confidence over time.

References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Bargiela, S., Steward, R., & Mandy, W. (2016). The experiences of late-diagnosed women with autism spectrum conditions: An investigation of the female autism phenotype. Journal of Autism and Developmental Disorders, 46(10), 3281–3294. https://doi.org/10.1007/s10803-016-2872-8

Bemmer, E. R., Boulton, K. A., Thomas, E. E., Larke, B., Lah, S., Hickie, I. B., & Guastella, A. J. (2021). Modified CBT for social anxiety and social functioning in young adults with autism spectrum disorder. Molecular Autism, 12, Article 11. https://doi.org/10.1186/s13229-021-00418-w

Chen, J., van den Bos, E., & Westenberg, P. M. (2020). A systematic review of visual avoidance of faces in socially anxious individuals: Influence of severity, type of social situation, and development. Journal of Anxiety Disorders, 70, Article 102193. https://doi.org/10.1016/j.janxdis.2020.102193

Evans, J. A., Krumrei-Mancuso, E. J., & Rouse, S. V. (2024). What you are hiding could be hurting you: Autistic masking in relation to mental health, interpersonal trauma, authenticity, and self-esteem. Autism in Adulthood, 6(2), 229–240. https://doi.org/10.1089/aut.2022.0115

Fusar-Poli, L., Brondino, N., Politi, P., & Aguglia, E. (2022). Missed diagnoses and misdiagnoses of adults with autism spectrum disorder. European Archives of Psychiatry and Clinical Neuroscience, 272(2), 187–198. https://doi.org/10.1007/s00406-020-01189-w

Grant, C. (Host). (2023, March 8). Autism and Female Diagnosis [Audio Podcast Episode]. Autism: In conversation with auticon. Auticon UK.

Head, A. M., McGillivray, J. A., & Stokes, M. A. (2014). Gender differences in emotionality and sociability in children with autism spectrum disorders. Molecular autism, 5(1), 1-9.

Hiller, R. M., Young, R. L., & Weber, N. (2016). Sex differences in pre-diagnosis concerns for children later diagnosed with autism spectrum disorder. Autism, 20(1), 75-84.

Hollocks, M. J., Lerh, J. W., Magiati, I., Meiser-Stedman, R., & Brugha, T. S. (2019). Anxiety and depression in adults with autism spectrum disorder: A systematic review and meta-analysis. Psychological Medicine, 49(4), 559–572. https://doi.org/10.1017/S0033291718002283

Jefferson, J. W. (2001). Social anxiety disorder: More than just a little shyness. Primary care companion to the Journal of clinical psychiatry, 3(1), 4.

Jenkinson, R., Milne, E., & Thompson, A. (2020). The relationship between intolerance of uncertainty and anxiety in autism: A systematic literature review and meta-analysis. Autism, 24(8), 1933-1944. https://doi.org/10.1177/1362361320932437

Kleberg, J. L., Högström, J., Nord, M., Bölte, S., Serlachius, E., & Falck-Ytter, T. (2017). Autistic traits and symptoms of social anxiety are differentially related to attention to others’ eyes in social anxiety disorder. Journal of autism and developmental disorders, 47, 3814-3821. https://doi.org/10.1007/s10803-016-2978-z

Kreiser, N. L., & White, S. W. (2014). Assessment of social anxiety in children and adolescents with autism spectrum disorder. Clinical Psychology: Science and Practice, 21(1), 18–31. https://doi.org/10.1111/cpsp.12057

Lau, B. Y., Leong, R., Uljarevic, M., Lerh, J. W., Rodgers, J., Hollocks, M. J., … & Magiati, I. (2020). Anxiety in young people with autism spectrum disorder: Common and autism-related anxiety experiences and their associations with individual characteristics. Autism, 24(5), 1111-1126. https://doi.org/10.1177/1362361319886246

Lei, J., Attwood, J., & Russell, A. (2026). Exploring the suitability of the Clark and Wells (1995) model of social anxiety in autistic adults: The role of mental imagery and fear of negative evaluation. Autism, 30(1), 228–244. https://doi.org/10.1177/13623613251379945

Maddox, B. B., & White, S. W. (2015). Comorbid social anxiety disorder in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(12), 3949–3960. https://doi.org/10.1007/s10803-015-2531-5

Mayo-Wilson, E., Dias, S., Mavranezouli, I., Kew, K., Clark, D. M., Ades, A. E., & Pilling, S. (2014). Psychological and pharmacological interventions for social anxiety disorder in adults: A systematic review and network meta-analysis. The Lancet Psychiatry, 1(5), 368–376. https://doi.org/10.1016/S2215-0366(14)70329-3

Milton, D. E. M. (2012). On the ontological status of autism: The ‘double empathy problem’. Disability & Society, 27(6), 883–887. https://doi.org/10.1080/09687599.2012.710008

Pickard, H., Hirsch, C., Simonoff, E., & Happé, F. (2020). Exploring the cognitive, emotional and sensory correlates of social anxiety in autistic and neurotypical adolescents. Journal of Child Psychology and Psychiatry, 61(12), 1317–1327. https://doi.org/10.1111/jcpp.13214

Spain, D., Sin, J., Harwood, L., Mendez, M. A., & Happé, F. (2017). Cognitive behaviour therapy for social anxiety in autism spectrum disorder: A systematic review. Advances in Autism, 3(1), 34–46. https://doi.org/10.1108/AIA-07-2016-0020

Spain, D., Sin, J., Linder, K. B., McMahon, J., & Happé, F. (2018). Social anxiety in autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 52, 51–68. https://doi.org/10.1016/j.rasd.2018.04.007

Stark, C., Groves, N. B., & Kofler, M. J. (2023). Is reduced social competence a mechanism linking elevated autism spectrum symptoms with increased risk for social anxiety?. British Journal of Clinical Psychology, 62(1), 129-145. https://doi.org/10.1111/bjc.12398

van Steensel, F. J. A., Bögels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review, 14(3), 302–317. https://doi.org/10.1007/s10567-011-0097-0

Wilson, A. C., & Gullon-Scott, F. (2024). ‘It’s not always textbook social anxiety’: A survey-based study investigating the nature of social anxiety and experiences of therapy in autistic people. Autism, 28(11), 2923–2936. https://doi.org/10.1177/13623613241251513