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Books for the late-diagnosed (with honest caveats)

The short answer

What books should I read after a late autism diagnosis?

Start with a book written by an autistic adult about adult life, such as Unmasking Autism by Devon Price or Look Me in the Eye by John Elder Robison. Add NeuroTribes by Steve Silberman for the history, or Is This Autism? if you want a clinician's view. Skip books that treat autism as a tragedy or a puzzle to solve.

After my diagnosis I did what I always do with a new obsession. I went at it like a starving man at a buffet. Books, papers, forums, videos, all of it, at two in the morning, for weeks.

Some of it helped. Some of it made me angrier. A fair bit of it was written about autistic people for parents and clinicians, and reading yourself described as a list of deficits at fifty-something is a special kind of fun.

So, what should you read after a late autism diagnosis? My short answer: start with books by autistic adults about adult life. Then add history and the clinical stuff if you want it. Here's what I'd put on the pile, and the catch with each one, because every book has one.

Where should a late-diagnosed adult start?

Unmasking Autism, by Devon Price

If I could hand one book to someone who just found out at 45 or 55, it would be this one. Price is an autistic psychologist, and the whole book is about masking: the act most of us didn't even know we were performing until it collapsed. I've written about what masking is and how masking broke me. This book gave me a lot of the words.

Unmasking AutismDevon Price
Book

Unmasking Autism

Devon Price

My take. The book I wish someone had handed me decades ago. Written by an autistic psychologist, about the mask most of us didn't know we were wearing.

Good to know. Very identity-affirming. Some clinicians push back on its take on self-diagnosis.

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The catch: it's very identity-affirming, and some clinicians push back on its openness to self-diagnosis. I don't think that should stop you reading it. Know it has a point of view.

Look Me in the Eye, by John Elder Robison

A memoir by a guy who found out at 40, who builds things, who designed special-effects guitars for KISS and never fit any script anybody handed him. Reading it felt a bit like reading my own mail. It's also funny, which matters when the subject is fifty years of not knowing what's wrong with you.

Look Me in the EyeJohn Elder Robison
Book

Look Me in the Eye

John Elder Robison

My take. A guy who found out at 40, who builds things and never fit the script. Reading it felt a bit like reading my own mail.

Good to know. Uses the older 'Asperger's' label.

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The catch: it uses the old "Asperger's" label. That was the language at the time. If the word bothers you, skim past it.

Books that explain the bigger picture

NeuroTribes, by Steve Silberman

The history of how autism got defined, misdefined and fought over. It reframes the whole thing as a different kind of mind that's always been around, rather than something that showed up in the last few decades. For me the history did something useful: it made the "why did nobody see it?" question less personal. Lots of people weren't seen. The system wasn't built to see us.

The catch: it's long, and it's history. You won't come out of it with a plan for Monday.

Is This Autism?, by Donna Henderson, Sarah Wayland and Jamell White

Written by clinicians about how autism shows up in adults who got missed, especially women and people who mask well. Useful if you want to understand why your assessment went the way it did, or if you're trying to explain yourself to a doctor or a partner.

The catch: it's partly written for clinicians, so some sections feel like eavesdropping on a professional training. Still worth it.

For the shame that shows up afterward

Nobody warned me about this part. Diagnosis came with relief, sure. It also came with grief, and anger, and a long replay of every time I'd been called difficult or too much. I wrote about that in grief and relief after a late diagnosis.

Self-Compassion, by Kristin Neff

Neff is the researcher who built the Self-Compassion Scale, and the book is about treating yourself the way you'd treat a friend who'd been through what you have. For someone who's spent decades calling himself an idiot in his own head, that's a radical idea.

Self-CompassionKristin Neff
Book

Self-Compassion

Kristin Neff

My take. Shame fed my using and my blow-ups. This is the research-backed antidote. Sounds soft. It isn't.

Good to know. Some of it reads like a pep talk. Do the exercises anyway.

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The catch: some of it reads like a pep talk. Do the exercises anyway. They work better than the prose. There's a French edition, S'aimer, if that's your language.

Books I'd read with care

The Reason I Jump, by Naoki Higashida, is hugely popular and was made into a documentary. Two problems for our purposes. It's about childhood non-speaking autism, not adult late diagnosis. And there's a real dispute over how it was written, tied to a communication method that major professional bodies have criticised. Read it knowing that, or skip it.

Thinking in Pictures, by Temple Grandin, is a classic first-person account. Practical, engineering-minded, a big deal when it came out. Some of her views have aged badly. I'd read it as history.

Partner guides from the "Asperger's" era. Some books written for spouses of autistic people center the non-autistic partner and treat the autistic one as a problem to be managed. If your partner wants something to read, look for newer books, and read them together if you can.

How to read about yourself without drowning

A bit of advice from someone who did it wrong:

Don't read six books in a week. I know. I'm saying it anyway. Your brain needs time to sort what's true for you from what's true for the author.

Read reviews from autistic readers before you buy. They'll tell you fast whether a book respects us.

And mix the reading with real people if you can. The National Autistic Society's after-diagnosis page has good, plain advice on the weeks after, and the Autistic Self Advocacy Network is run by autistic people. In Québec, the Fédération québécoise de l'autisme has a section for autistic adults. If you're still at the start of all this, I wrote about being diagnosed autistic in your 50s.

Questions people ask

What's the best first book after a late autism diagnosis?

For most adults, Unmasking Autism by Devon Price. It's written by an autistic adult, it's about adult life, and it explains masking, which is the thing most late-diagnosed people recognise first.

Are there good books in French for autistic adults?

Fewer than in English. Kristin Neff's Self-Compassion exists in French as S'aimer, and Temple Grandin has French editions. The Fédération québécoise de l'autisme is a good French-language starting point beyond books.

Should I read books by autistic authors or by clinicians?

Both, in that order. Autistic authors tell you what it's like from the inside. Clinicians explain how diagnosis works and why you might have been missed. If a book treats autism only as a list of deficits, put it down.

Is The Reason I Jump good for adults?

It's written about a non-speaking autistic child, and its authorship is disputed. Many late-diagnosed adults find it doesn't speak to their experience. Start somewhere else.

Sources

  1. National Autistic Society, After diagnosis
  2. Autistic Self Advocacy Network, About autism
  3. Fédération québécoise de l'autisme, Je suis autiste
  4. Wikipedia, The Reason I Jump

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