{"formatVersion":"1.1","id":"https://www.mentalhealth.com/library/high-functioning-autism","path":"/library/high-functioning-autism","url":"https://www.mentalhealth.com/library/high-functioning-autism","title":"High-Functioning Autism","family":"Library detail","description":"High-functioning autism refers to a type of autism spectrum disorder with mild symptoms, but some people with high-functioning autism may still require support.","language":"en-US","access":{"audience":"public","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/high-functioning-autism","wordpressId":"541","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://www.mentalhealth.com/people/sean-jackson#person","name":"Sean Jackson","url":"https://www.mentalhealth.com/people/sean-jackson"}],"reviewer":{"@type":"Person","@id":"https://www.mentalhealth.com/people/morgan-blair#person","name":"Morgan Blair","url":"https://www.mentalhealth.com/people/morgan-blair"},"dates":{"datePublished":"2023-07-27T10:07:43Z","dateModified":"2025-08-13T12:43:45Z","lastReviewed":"2023-07-27"},"content":{"html":"<nav aria-label=\"Breadcrumb\" class=\"breadcrumbs\"><ol><li><a href=\"https://www.mentalhealth.com/\">Home</a></li><li><a href=\"https://www.mentalhealth.com/library\">Library</a></li><li><a href=\"https://www.mentalhealth.com/library/autism-spectrum-disorder\">Autism Spectrum Disorder</a></li><li><span aria-current=\"page\">High-Functioning Autism</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard=\"\"><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>High-Functioning Autism</h1><p class=\"article-inline-credits\"><span>Written by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/sean-jackson\"><img alt=\"\" height=\"22\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/247332c17ad5442e70eb051e.jpg\" width=\"22\" decoding=\"async\">Sean Jackson</a></span><span>Medically reviewed by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/morgan-blair\"><img alt=\"\" height=\"22\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/9f1be5c5cc2b412cfab5f6cc.jpg\" width=\"22\" decoding=\"async\">Morgan Blair</a></span></p><div class=\"article-dates\"><span>Published on <time datetime=\"2023-07-27T10:07:43Z\">July 27, 2023</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2025-08-13T12:43:45Z\">August 13, 2025</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>High-functioning autism is a non-medical term for people with mild autism spectrum disorder (ASD) or ASD Level 1⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>. People with this form of ASD can live independently and generally handle daily activities of daily living. However, they still require some support and show some common symptoms of ASD, such as poor social and communication skills and sticking to highly specific routines⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-retrieved-june-16-2023-nhs\" data-reference-link=\"\" aria-label=\"Reference 2: National Health Service. (2022, September 7). What is autism? NHS. Accessed October 10 2026.\" data-reference-number=\"2\">[2]</a></sup>.</p></div><figure class=\"article-feature\"><img alt=\"A doctor speaks with a parent and child during a consultation.\" decoding=\"async\" height=\"800\" loading=\"eager\" src=\"https://www.mentalhealth.com/assets/optimized/19a213abcaf50713748b9721.webp\" width=\"1200\" srcset=\"/assets/responsive/1bc46c0fbeb63c88a34e1d6c.webp 800w, /assets/optimized/19a213abcaf50713748b9721.webp 1200w\" sizes=\"(max-width: 800px) 100vw, 1200px\"></figure><section aria-labelledby=\"key-takeaways\" class=\"article-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>High-functioning autism is an informal label rather than a separate medical diagnosis.</li><li>People described by this label may live independently while still needing support with communication, flexibility, or daily demands.</li><li>Individualized support can address autistic needs, while medication may be used for co-occurring conditions.</li></ul></section><span id=\"what-is-high-functioning-autism-high-functioning-autism-refers-to-individuals-whose-symptoms-fall-on-the-mild-end-of\" class=\"section-anchor-alias\" data-section-alias=\"what-is-high-functioning-autism\" aria-hidden=\"true\"></span><h2 id=\"what-is-high-functioning-autism\">What is high-functioning autism?</h2><p>\nHigh-functioning autism refers to individuals whose symptoms fall on the mild end of <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/autism-spectrum-disorder\">autism spectrum</a>. As noted above, high-functioning correlates with individuals given an ASD Level 1 diagnosis. </p><p>ASD Level 1, according to the <em>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition</em> (DSM-5), requires “support” (whereas ASD Level 2 requires “substantial support” and ASD Level 3 requires “very substantial support”)⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>.\nBefore the DSM-5 was released in 2013, people with high-functioning autism were likely to be diagnosed with Asperger’s syndrome. </p>\n<p>However, the DSM removed this diagnosis and incorporated it into the autism spectrum disorder category. Nevertheless, someone with this form of autism has classic symptoms of ASD, but unlike people with ASD Level 2 or ASD Level 3, there is an absence of <a href=\"https://www.mentalhealth.com/library/intellectual-disabilities\" class=\"article-inline-link\" data-context-link=\"358\">intellectual disability</a><sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#mental-health-services-individuals-high-functioning-autism-spectrum-disorder\" data-reference-link=\"\" aria-label=\"Reference 3: Lake, J.K., Perry, A., &amp; Lunsky, Y. (2014, September 3). Mental health services for individuals with high functioning autism spectrum disorder. Autism Research and Treatment, 2014. hindawi.com. Accessed June 16 2023.\" data-reference-number=\"3\">[3]</a></sup>.\n</p><span id=\"high-functioning-autism-symptoms-people-with-high-functioning-autism-exhibit-classic-symptoms-of-asd-these-symptoms-fall-into-two-categories-deficits-of-social-communication-and-interaction-and-restricted-or-repetitive-behavior-patterns\" class=\"section-anchor-alias\" data-section-alias=\"high-functioning-autism-symptoms\" aria-hidden=\"true\"></span><h2 id=\"high-functioning-autism-symptoms\">High-functioning autism symptoms</h2><p>\nPeople with high-functioning autism exhibit classic symptoms of ASD. These symptoms fall into two categories: deficits of social communication and interaction and restricted or repetitive behavior patterns⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>.\n</p><p>For example, one of the most common signs of high-functioning autism is social awkwardness. This can manifest in many ways, including an inability to read body language, not understanding when to let someone else speak, and a failure to manage the volume and tone of one’s voice⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-spectrum-disorder\" data-reference-link=\"\" aria-label=\"Reference 4: National Institute of Mental Health. (n.d.). Autism spectrum disorder. National Institute of Mental Health. Accessed October 10 2026.\" data-reference-number=\"4\">[4]</a></sup>.</p><p>In addition, it’s common for people with high-functioning autism to have difficulty adjusting to different social situations. Making friends can be anxiety-provoking and difficult. This may be due to a lack of emotional expression, a lack of eye contact when speaking with someone, and an incongruence in conversations with their facial expression or body movements⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#mental-health-services-individuals-high-functioning-autism-spectrum-disorder\" data-reference-link=\"\" aria-label=\"Reference 3: Lake, J.K., Perry, A., &amp; Lunsky, Y. (2014, September 3). Mental health services for individuals with high functioning autism spectrum disorder. Autism Research and Treatment, 2014. hindawi.com. Accessed June 16 2023.\" data-reference-number=\"3\">[3]</a></sup>.</p><p>Additional symptoms of high-functioning <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/autism-development-in-later-life\">autism in adults</a> include restrictive or repetitive behavioral patterns. For example, many people with ASD Level 1 are intensely interested in specific, complex topics (e.g., being fixated on learning about a certain topic).</p><p>It’s common for people with high-functioning autism to be highly sensitive to sensory information. For example, one might find certain lighting, sounds, temperatures, or textures of clothing to be highly uncomfortable to the point of agitation. On the flipside, some people with ASD may display have a less-than-normal level of sensory sensitivity, known as hyposensitivity)⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-spectrum-disorder\" data-reference-link=\"\" aria-label=\"Reference 4: National Institute of Mental Health. (n.d.). Autism spectrum disorder. National Institute of Mental Health. Accessed October 10 2026.\" data-reference-number=\"4\">[4]</a></sup>.</p><p>High-functioning autism symptoms also include highly structured routines. People with ASD often have difficulty transitioning from one activity to the next, and they can become upset by even the slightest changes in their typical routine.</p><p>\nIt is important to note, these are just examples of some symptoms seen in ASD. The list is not exhaustive. Additionally, not all people with ASD experience the same symptoms - one person with high-functioning autism might display a completely different set of symptoms than the next.\n</p><span id=\"how-does-high-functioning-autism-differ-from-other-autism-spectrum-disorders-the-difference-between-high-functioning-autism-and-other-levels-of-asd-is-the-severity-of-the-symptoms-in-other-words-the-same-diagnostic-criteria-apply-to-all-three-levels-of-asd-but-asd-level-1-includes-less-severe-symptoms-than-level-2-or-level-3\" class=\"section-anchor-alias\" data-section-alias=\"autism-differences-across-the-spectrum\" aria-hidden=\"true\"></span><h2 id=\"autism-differences-across-the-spectrum\">How does high-functioning autism differ from other autism spectrum disorders?</h2><p>\nThe difference between high-functioning autism and other levels of ASD is the severity of the symptoms. In other words, the same diagnostic criteria apply to all three levels of ASD, but ASD Level 1 includes less severe symptoms than Level 2 or Level 3⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#treatment-options-retrieved-june-16-2023-autismsciencefoundation-org\" data-reference-link=\"\" aria-label=\"Reference 5: Autism Science Foundation. (n.d.). Treatment options. autismsciencefoundation.org. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>.\n</p><h3 id=\"asd-level-1-the-dsm-5-notes-that-people-with-asd-level-1-display-difficulties-with-social-communication-these-difficulties-cause-noticeable-impairments-without-support\">ASD Level 1</h3><p>\nThe DSM-5 notes that people with ASD Level 1 display difficulties with social communication. These difficulties cause “noticeable impairments” without support⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>. For example, someone with ASD Level 1 might have a decreased interest in interaction with others, or when attempts are made to make friends, their friendly overtures are awkward and might not be successful.\n</p><p>Moreover, people with ASD Level 1 exhibit inflexible behaviors that impair daily functioning in at least one context⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>. Children with ASD, for example, might be unable to transition from one school activity to the next without their teacher's guidance.\n</p><section aria-label=\"Subject matter expert\" class=\"article-expert article-expert-inline\" data-expert-kind=\"related\" data-expert-layout=\"standard\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><a href=\"https://www.mentalhealth.com/people/holly-schiff\" class=\"card-identity-photo\" aria-label=\"Holly Schiff  Psy.D.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/af4ecdb78008ac81cd3aa271.jpg\" width=\"64\" decoding=\"async\"></a><h2><a href=\"https://www.mentalhealth.com/people/holly-schiff\">Holly Schiff <span class=\"expert-credentials\">Psy.D.</span></a></h2></div><p class=\"article-expert-focus\">Children, adolescents, and families</p></section><h3 id=\"asd-level-2-asd-level-2-is-characterized-by-marked-deficits-in-verbal-and-nonverbal-social-communication-skills\">ASD Level 2</h3><p>\nASD Level 2 is characterized by “marked deficits in verbal and nonverbal social communication skills.”<sup class=\"citation-group\"><a class=\"article-citation\" data-reference-number=\"1\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\">[1]</a></sup> These deficits are noticeable even when supportive interventions are in place. As a result, people with ASD Level 2 seldom initiate social interactions. </p>\n<p>For example, when engaging in a social situation, the responses to social cues from others are usually minimal or abnormal.\nThis level of autism is also marked by a rigidity of behaviors that causes difficulty functioning in multiple contexts. These rigid behaviors are severe and frequent enough that even a casual observer can notice them⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>. </p>\n<p>For example, some people with ASD have echolalia or repeatedly say the same thing over and over again. This behavior appears to others to have no apparent meaning, and may make social interactions difficult.\n</p><h3 id=\"asd-level-3-asd-level-3-is-the-most-severe-type-of-autism-characterized-by-a-near-lack-or-complete-lack-of-verbal-communication\">ASD Level 3</h3><p>\nASD Level 3 is the most severe type of autism characterized by a near lack or complete lack of verbal communication<sup class=\"citation-group\"><a class=\"article-citation\" data-reference-number=\"1\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\">[1]</a></sup>. In some cases, people with this level of autism might not react to their surrounding environment, or if they do, it is minimal. </p>\n<p>As a result, there are minimal social interactions with others.\nThe inflexibility of behavior for people with ASD Level 3 is extreme⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-diagnosis-criteria-dsm-5\" data-reference-link=\"\" aria-label=\"Reference 1: Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>. The ability to cope with change is nearly nonexistent, while other restrictive or repetitive behaviors are so severe that functioning in any context might be challenging. For example, even the slightest change to typical routines might trigger an angry outburst.\n</p><span id=\"high-functioning-autism-vs-asperger-s-syndrome-what-s-the-difference-as-detailed-earlier-before-the-revisions-made-to-the-dsm-5-asperger-s-syndrome-was-the-diagnosis-for-high-functioning-autism-now-that-asperger-s-has-been-absorbed-into-autism-spectrum-disorders-it-is-no-longer-used-as-a-clinical-term\" class=\"section-anchor-alias\" data-section-alias=\"high-functioning-autism-and-aspergers-syndrome\" aria-hidden=\"true\"></span><h2 id=\"high-functioning-autism-and-aspergers-syndrome\">High-functioning autism vs Asperger's syndrome: What's the difference?</h2><p>\nAs detailed earlier, before the revisions made to the DSM-5, <a href=\"https://www.mentalhealth.com/library/aspergers-disorder\" class=\"article-inline-link\" data-context-link=\"358\">Asperger’s syndrome</a> was the diagnosis for high-functioning autism. Now that Asperger’s has been absorbed into autism spectrum disorders, it is no longer used as a clinical term⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-retrieved-june-16-2023-nhs\" data-reference-link=\"\" aria-label=\"Reference 2: National Health Service. (2022, September 7). What is autism? NHS. Accessed October 10 2026.\" data-reference-number=\"2\">[2]</a></sup>. Instead, high-functioning autism and Asperger’s syndrome can be considered colloquial terms that describe ASD Level 1.\n</p><span id=\"high-functioning-autism-diagnosis-the-dsm-5-outlines-specific-criteria-to-diagnose-asd-these-criteria-are-summarized-as-follows\" class=\"section-anchor-alias\" data-section-alias=\"high-functioning-autism-diagnosis\" aria-hidden=\"true\"></span><h2 id=\"high-functioning-autism-diagnosis\">High-functioning autism diagnosis</h2><p>\nThe DSM-5 outlines specific criteria to diagnose ASD. These criteria are summarized as follows:⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#treatment-options-retrieved-june-16-2023-autismsciencefoundation-org\" data-reference-link=\"\" aria-label=\"Reference 5: Autism Science Foundation. (n.d.). Treatment options. autismsciencefoundation.org. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>\n</p><ul>\n<li>Deficits in social communication and interaction that persist in varying contexts, including:n\n<ul>\n<li>A lack of social-emotional reciprocity (e.g., failure to initiate social interactions, lack of sharing emotions)</li>\n<li>A lack of nonverbal communication (e.g., littleor no eye contact, lack of understanding of how to use nonverbal gestures)</li>\n<li>Inability to develop, maintain, or understand relationships (e.g., little or no interest in befriending peers, inability to adjust behavior to different social contexts)</li>\n</ul>\n</li>\n<li>Restricted or repetitive behavioral patterns, including two or more of the following:n\n<ul>\n<li>Repetitive or stereotyped motor movements, speech, or use of objects (e.g., echolalia)</li>\n<li>Inflexible routines or adherence to ritualized patterns of behavior (e.g., rigid thinking patterns, eating the same food each day)</li>\n<li>Fixated interests that are abnormal in focus or intensity (e.g., a strong attachment to a specific object)</li>\n<li>Sensory difficulties that can either be hyperreactive (extreme sensitivity to sensory input) or hyporeactive (extreme insensitivity to sensory input)(e.g., strong reaction to certain sounds or apparent indifference to changes in temperature)</li>\n</ul>\n</li>\n</ul><p>\nA diagnosis of ASD Type 1 requires the Type 1 specifier to indicate that “support” is needed for normal functioning in the areas discussed above.\nThe <a href=\"https://www.mentalhealth.com/library/dsm-5\" class=\"article-inline-link\" data-context-link=\"353\">DSM-5</a> further outlines the following diagnostic criteria for ASD:\n</p><ul>\n<li>Symptoms must begin in early development, though they might not fully manifest until later.</li>\n<li>Symptoms cause clinically significant impairment in multiple areas of functioning, including social and occupational contexts.</li>\n<li>A developmental delay or intellectual disability does not better explain the behaviors.</li>\n</ul><span id=\"how-to-manage-high-functioning-autism-even-though-people-with-high-functioning-autism-can-live-independently-and-live-relatively-normal-lives-they-might-require-assistance-when-managing-their-symptoms-this-assistance-can-come-in-various-forms-including-therapy-medication-and-self-help-strategies\" class=\"section-anchor-alias\" data-section-alias=\"how-to-manage-high-functioning-autism\" aria-hidden=\"true\"></span><h2 id=\"how-to-manage-high-functioning-autism\">How to manage high-functioning autism</h2><p>\nEven though people with high-functioning autism can live independently and live relatively normal lives, they might require assistance when managing their symptoms. This assistance can come in various forms, including therapy, medication, and self-help strategies.\n</p><h3 id=\"therapy-for-high-functioning-autism-the-most-commonly-known-type-of-therapy-for-autism-is\">Therapy for high-functioning autism</h3><p>\nThe most commonly known type of therapy for autism is <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/cognitive-behavioral-therapy\">cognitive-behavioral therapy</a> (CBT)⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#keeping-healthy\" data-reference-link=\"\" aria-label=\"Reference 6: National Autistic Society. (2020, August 20). Keeping healthy. autism.org.uk. Accessed October 10 2026.\" data-reference-number=\"6\">[6]</a></sup>. This approach can assist people with ASD Level 1 by exploring how thoughts, behaviors, and feelings are interconnected. CBT can result in an improved ability to cope with ASD symptoms, such as learning to accept changes in one’s routine with fewer feelings of anxiety. </p><p>Although, it is important to note that CBT also presents with drawbacks for neurodivergent individuals as the therapeutic intervention was originally created with neurotypical individuals in mind.\n</p><p><a href=\"https://www.mentalhealth.com/library/applied-behavioral-analysis-and-intellectual-disabilities\" class=\"article-inline-link\" data-context-link=\"358\">Applied behavioral analysis</a> (ABA) is another therapeutic option that reinforces positive and adaptive behaviors. ABA takes complex behaviors, like interacting with peers, and breaks them down into small, achievable steps. </p><p>Each step represents an opportunity to learn a new skill, put that skill into practice, and gain reinforcement for using newly acquired skills<sup class=\"citation-group\"><a class=\"article-citation\" data-reference-number=\"5\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#treatment-options-retrieved-june-16-2023-autismsciencefoundation-org\" data-reference-link=\"\" aria-label=\"Reference 5: Autism Science Foundation. (n.d.). Treatment options. autismsciencefoundation.org. Accessed October 10 2026.\">[5]</a></sup>.It is also important to note that many neurodivergent advocates have been discussing the downsides and harms of ABA therapeutic interventions. </p><p>Again, ABA is an intervention that promotes a neurotypical way of functioning rather than empowering neurodivergent individuals to find their unique way of interacting with the world.</p><p>Various other therapies can also target the development of improved social-relational functioning. For example, social skills groups provide a highly structured environment where children with ASD can practice interacting with others. Another approach, commonly called “floor time,” encourages parents and family members to show interest in and follow their child’s activities to improve communication and interaction⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#keeping-healthy\" data-reference-link=\"\" aria-label=\"Reference 6: National Autistic Society. (2020, August 20). Keeping healthy. autism.org.uk. Accessed October 10 2026.\" data-reference-number=\"6\">[6]</a></sup>.</p><p>\nMany people with ASD Level 1 can benefit from other types of therapies, as well. For example, sensory integration therapy can help people with ASD cope better with overwhelming sensory inputs. Likewise, physical therapy and speech-language therapy can address the motor and verbal issues common with ASD⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#keeping-healthy\" data-reference-link=\"\" aria-label=\"Reference 6: National Autistic Society. (2020, August 20). Keeping healthy. autism.org.uk. Accessed October 10 2026.\" data-reference-number=\"6\">[6]</a></sup>.\n</p><h3 id=\"medication-for-high-functioning-autism-at-present-there-are-no-pharmacologic-treatments-for-asd\">Medication for high-functioning autism</h3><p>\nNo medication treats all core features of autism⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-spectrum-disorder\" data-reference-link=\"\" aria-label=\"Reference 4: National Institute of Mental Health. (n.d.). Autism spectrum disorder. National Institute of Mental Health. Accessed October 10 2026.\" data-reference-number=\"4\">[4]</a></sup>. However, medications for comorbid conditions might be prescribed to help improve day-to-day functioning. For example, someone with ASD Level 1 might take an <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/antidepressants\">antidepressant</a> or <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/anxiolytics\">anxiolytic</a> to help manage associated depression or anxiety symptoms.\n</p><p>Some people with ASD Level 1 might also take medications to address sleep problems, inattentiveness, or seizures. Some autistic people may be prescribed medications  (e.g., antipsychotics like <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/risperidone-use-doses-side-effects\">risperidone</a> or aripiprazole⁠<sup class=\"citation-group\"><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#treatment-options-retrieved-june-16-2023-autismsciencefoundation-org\" class=\"article-citation\" data-reference-link=\"\" aria-label=\"Reference 5: Autism Science Foundation. (n.d.). Treatment options. autismsciencefoundation.org. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>) to address self-harming behaviors, such as biting or head banging.\n</p><h3 id=\"self-help-techniques-for-high-functioning-autism-since-people-with-high-functioning-autism-need-minimal-support-to-manage-their-symptoms-self-help-techniques-might-be-all-that-s-required-to-function-normally-from-one-day-to-the-next-common-self-help-techniques-include-the-following\">Self-help techniques for high-functioning autism</h3><p>\nSupport needs vary between autistic people and can change over time. Practical strategies and appropriate support can make daily activities easier. Options to consider include:⁠<sup class=\"citation-group\"><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#verified-source-370-8\" class=\"article-citation\" data-reference-link=\"\" aria-label=\"Reference 8: National Institute for Health and Care Excellence. (n.d.). Autism spectrum disorder in adults: diagnosis and management (CG142). Recommendations. nice.org.uk. Accessed October 10 2026.\" data-reference-number=\"8\">[8]</a></sup>\n</p><ul>\n<li>Break complex tasks into small steps to help avoid frustration and improve the ability to transition from one thing to the next.</li>\n<li>Keep a sensory record to help improve your understanding of what sensations are troublesome so you can make adjustments.</li>\n<li>Use visual cues to help you stay organized (e.g., write tasks on a calendar).</li>\n<li>Don’t be afraid to ask for help when you need it, be that from family, friends, or mental health professionals.</li>\n<li>Be open about your autism and be willing to share your experience with others. With increased understanding, others can provide improved support when you need it.</li>\n</ul></article><div class=\"article-endmatter\"><section class=\"article-sources\" data-reference-list=\"\" data-reference-style=\"author-date-title-source\" data-source-references=\"\" id=\"references\"><h2 id=\"references-2\">References</h2><ol><li id=\"autism-diagnosis-criteria-dsm-5\" value=\"1\" data-reference-number=\"1\" data-reference-format=\"393\">Autism Speaks. (n.d.). <em class=\"reference-title\">Autism diagnosis criteria: DSM-5.</em> <a href=\"https://www.autismspeaks.org/autism-diagnosis-criteria-dsm-5?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-high-functioning-autism&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">autismspeaks.org</a>. Accessed October 10 2026.</li><li id=\"autism-retrieved-june-16-2023-nhs\" value=\"2\" data-reference-number=\"2\" data-reference-format=\"393\">National Health Service. (2022, September 7). <em class=\"reference-title\">What is autism?</em> <a href=\"https://www.nhs.uk/conditions/autism/what-is-autism/?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-high-functioning-autism&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">NHS</a>. Accessed October 10 2026.</li><li id=\"mental-health-services-individuals-high-functioning-autism-spectrum-disorder\" value=\"3\" data-reference-number=\"3\" data-reference-format=\"393\">Lake, J.K., Perry, A., &amp; Lunsky, Y. (2014, September 3). <em class=\"reference-title\">Mental health services for individuals with high functioning autism spectrum disorder.</em> Autism Research and Treatment, 2014. <a href=\"https://www.hindawi.com/journals/aurt/2014/502420/?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-high-functioning-autism&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">hindawi.com</a>. Accessed June 16 2023.</li><li id=\"autism-spectrum-disorder\" value=\"4\" data-reference-number=\"4\" data-reference-format=\"393\">National Institute of Mental Health. (n.d.). <em class=\"reference-title\">Autism spectrum disorder.</em> <a href=\"https://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-asd?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-high-functioning-autism&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">National Institute of Mental Health</a>. Accessed October 10 2026.</li><li id=\"treatment-options-retrieved-june-16-2023-autismsciencefoundation-org\" value=\"5\" data-reference-number=\"5\" data-reference-format=\"393\">Autism Science Foundation. (n.d.). <em class=\"reference-title\">Treatment options.</em> <a href=\"https://autismsciencefoundation.org/treatment-options/?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-high-functioning-autism&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">autismsciencefoundation.org</a>. Accessed October 10 2026.</li><li id=\"keeping-healthy\" value=\"6\" data-reference-number=\"6\" data-reference-format=\"393\">National Autistic Society. (2020, August 20). <em class=\"reference-title\">Keeping healthy.</em> <a href=\"https://www.autism.org.uk/advice-and-guidance/physical-health/keeping-healthy?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-high-functioning-autism&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">autism.org.uk</a>. Accessed October 10 2026.</li><li id=\"verified-source-370-8\" value=\"8\" data-reference-number=\"8\" data-reference-format=\"393\">National Institute for Health and Care Excellence. (n.d.). <em class=\"reference-title\">Autism spectrum disorder in adults: diagnosis and management (CG142).</em> Recommendations. <a href=\"https://www.nice.org.uk/guidance/cg142/chapter/Recommendations?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-high-functioning-autism&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">nice.org.uk</a>. Accessed October 10 2026.</li></ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://www.mentalhealth.com/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://www.mentalhealth.com/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/sean-jackson\" class=\"card-identity-photo\" aria-label=\"Sean Jackson\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/247332c17ad5442e70eb051e.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Author</p><h3 id=\"sean-jackson\"><a href=\"https://www.mentalhealth.com/people/sean-jackson\">Sean Jackson</a></h3><p class=\"article-bio-credentials\">Writer</p><p>Sean Jackson is a medical writer with 25+ years of experience, holding a B.A. degree from the University of Nottingham.</p><dl><div><dt>Published</dt><dd><time datetime=\"2023-07-27T10:07:43Z\">July 27, 2023</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2025-08-13T12:43:45Z\">August 13, 2025</time></dd></div></dl></div></section><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/morgan-blair\" class=\"card-identity-photo\" aria-label=\"Morgan Blair, M.A.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/9f1be5c5cc2b412cfab5f6cc.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"morgan-blair\"><a href=\"https://www.mentalhealth.com/people/morgan-blair\">Morgan Blair, M.A.</a></h3><p class=\"article-bio-credentials\">MA, LPCC</p><p>Morgan Blair is a licensed therapist, writer and medical reviewer, holding a master’s degree in clinical mental health counseling from Northwestern University.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2023-07-27\">July 27, 2023</time></dd></div></dl></div></section></div></section><section aria-label=\"Related community\" class=\"article-topic-community article-topic-community-end\"><a href=\"https://www.mentalhealth.com/community/autism-spectrum-disorder\" class=\"card-identity-photo\" aria-label=\"Autism Spectrum Disorder\"><img alt=\"\" class=\"topic-community-banner\" height=\"675\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/03e36b6f3d1ceedfd1abbc1a.webp\" width=\"1200\" decoding=\"async\" srcset=\"/assets/responsive/9958f9a70a57210f0eecd839.webp 800w, /assets/optimized/03e36b6f3d1ceedfd1abbc1a.webp 1200w\" sizes=\"(min-width: 961px) 236px, calc(100vw - 80px)\"></a><p class=\"topic-community-label\">Related community</p><h2><a href=\"https://www.mentalhealth.com/community/autism-spectrum-disorder\">Autism Spectrum Disorder</a></h2><p>A space for perspectives on autistic experiences, connection, and support across life stages.</p></section></div></div><aside aria-label=\"Article navigation and related information\" class=\"article-sidebar\" data-bounded-rail=\"\" tabindex=\"0\"><details class=\"article-contents\" data-expanded=\"false\" data-scrolled-past=\"false\" data-section-preview=\"3\" open=\"\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#what-is-high-functioning-autism\" aria-label=\"What is high-functioning autism?\" title=\"What is high-functioning autism?\">What is high-functioning autism?</a></li><li><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#high-functioning-autism-symptoms\" aria-label=\"High-functioning autism symptoms\" title=\"High-functioning autism symptoms\">High-functioning autism symptoms</a></li><li><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#autism-differences-across-the-spectrum\" aria-label=\"How does high-functioning autism differ from other autism spectrum disorders?\" title=\"How does high-functioning autism differ from other autism spectrum disorders?\">Autism: differences across the spectrum</a></li><li><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#high-functioning-autism-and-aspergers-syndrome\" aria-label=\"High-functioning autism vs Asperger's syndrome: What's the difference?\" title=\"High-functioning autism vs Asperger's syndrome: What's the difference?\">High-functioning autism and Asperger’s syndrome</a></li><li><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#high-functioning-autism-diagnosis\" aria-label=\"High-functioning autism diagnosis\" title=\"High-functioning autism diagnosis\">High-functioning autism diagnosis</a></li><li><a href=\"https://www.mentalhealth.com/library/high-functioning-autism#how-to-manage-high-functioning-autism\" aria-label=\"How to manage high-functioning autism\" title=\"How to manage high-functioning autism\">How to manage high-functioning autism</a></li></ol><button aria-controls=\"article-section-list\" aria-expanded=\"false\" class=\"article-sections-toggle\" data-sections-toggle=\"\" type=\"button\">View more</button></nav></details></aside></div></div></div>","text":"Home Library Autism Spectrum Disorder High-Functioning Autism High-Functioning Autism Written by Sean JacksonMedically reviewed by Morgan Blair Published on July 27, 2023 · Updated on August 13, 2025 High-functioning autism is a non-medical term for people with mild autism spectrum disorder (ASD) or ASD Level 1⁠[1]. People with this form of ASD can live independently and generally handle daily activities of daily living. However, they still require some support and show some common symptoms of ASD, such as poor social and communication skills and sticking to highly specific routines⁠[2]. Key takeaways High-functioning autism is an informal label rather than a separate medical diagnosis. People described by this label may live independently while still needing support with communication, flexibility, or daily demands. Individualized support can address autistic needs, while medication may be used for co-occurring conditions. What is high-functioning autism? High-functioning autism refers to individuals whose symptoms fall on the mild end of autism spectrum. As noted above, high-functioning correlates with individuals given an ASD Level 1 diagnosis. ASD Level 1, according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), requires “support” (whereas ASD Level 2 requires “substantial support” and ASD Level 3 requires “very substantial support”)⁠[1]. Before the DSM-5 was released in 2013, people with high-functioning autism were likely to be diagnosed with Asperger’s syndrome. However, the DSM removed this diagnosis and incorporated it into the autism spectrum disorder category. Nevertheless, someone with this form of autism has classic symptoms of ASD, but unlike people with ASD Level 2 or ASD Level 3, there is an absence of intellectual disability[3]. High-functioning autism symptoms People with high-functioning autism exhibit classic symptoms of ASD. These symptoms fall into two categories: deficits of social communication and interaction and restricted or repetitive behavior patterns⁠[1]. For example, one of the most common signs of high-functioning autism is social awkwardness. This can manifest in many ways, including an inability to read body language, not understanding when to let someone else speak, and a failure to manage the volume and tone of one’s voice⁠[4]. In addition, it’s common for people with high-functioning autism to have difficulty adjusting to different social situations. Making friends can be anxiety-provoking and difficult. This may be due to a lack of emotional expression, a lack of eye contact when speaking with someone, and an incongruence in conversations with their facial expression or body movements⁠[3]. Additional symptoms of high-functioning autism in adults include restrictive or repetitive behavioral patterns. For example, many people with ASD Level 1 are intensely interested in specific, complex topics (e.g., being fixated on learning about a certain topic). It’s common for people with high-functioning autism to be highly sensitive to sensory information. For example, one might find certain lighting, sounds, temperatures, or textures of clothing to be highly uncomfortable to the point of agitation. On the flipside, some people with ASD may display have a less-than-normal level of sensory sensitivity, known as hyposensitivity)⁠[4]. High-functioning autism symptoms also include highly structured routines. People with ASD often have difficulty transitioning from one activity to the next, and they can become upset by even the slightest changes in their typical routine. It is important to note, these are just examples of some symptoms seen in ASD. The list is not exhaustive. Additionally, not all people with ASD experience the same symptoms - one person with high-functioning autism might display a completely different set of symptoms than the next. How does high-functioning autism differ from other autism spectrum disorders? The difference between high-functioning autism and other levels of ASD is the severity of the symptoms. In other words, the same diagnostic criteria apply to all three levels of ASD, but ASD Level 1 includes less severe symptoms than Level 2 or Level 3⁠[5]. ASD Level 1 The DSM-5 notes that people with ASD Level 1 display difficulties with social communication. These difficulties cause “noticeable impairments” without support⁠[1]. For example, someone with ASD Level 1 might have a decreased interest in interaction with others, or when attempts are made to make friends, their friendly overtures are awkward and might not be successful. Moreover, people with ASD Level 1 exhibit inflexible behaviors that impair daily functioning in at least one context⁠[1]. Children with ASD, for example, might be unable to transition from one school activity to the next without their teacher's guidance. Subject matter expert Holly Schiff Psy.D. Children, adolescents, and families ASD Level 2 ASD Level 2 is characterized by “marked deficits in verbal and nonverbal social communication skills.”[1] These deficits are noticeable even when supportive interventions are in place. As a result, people with ASD Level 2 seldom initiate social interactions. For example, when engaging in a social situation, the responses to social cues from others are usually minimal or abnormal. This level of autism is also marked by a rigidity of behaviors that causes difficulty functioning in multiple contexts. These rigid behaviors are severe and frequent enough that even a casual observer can notice them⁠[1]. For example, some people with ASD have echolalia or repeatedly say the same thing over and over again. This behavior appears to others to have no apparent meaning, and may make social interactions difficult. ASD Level 3 ASD Level 3 is the most severe type of autism characterized by a near lack or complete lack of verbal communication[1]. In some cases, people with this level of autism might not react to their surrounding environment, or if they do, it is minimal. As a result, there are minimal social interactions with others. The inflexibility of behavior for people with ASD Level 3 is extreme⁠[1]. The ability to cope with change is nearly nonexistent, while other restrictive or repetitive behaviors are so severe that functioning in any context might be challenging. For example, even the slightest change to typical routines might trigger an angry outburst. High-functioning autism vs Asperger's syndrome: What's the difference? As detailed earlier, before the revisions made to the DSM-5, Asperger’s syndrome was the diagnosis for high-functioning autism. Now that Asperger’s has been absorbed into autism spectrum disorders, it is no longer used as a clinical term⁠[2]. Instead, high-functioning autism and Asperger’s syndrome can be considered colloquial terms that describe ASD Level 1. High-functioning autism diagnosis The DSM-5 outlines specific criteria to diagnose ASD. These criteria are summarized as follows:⁠[5] Deficits in social communication and interaction that persist in varying contexts, including:n A lack of social-emotional reciprocity (e.g., failure to initiate social interactions, lack of sharing emotions) A lack of nonverbal communication (e.g., littleor no eye contact, lack of understanding of how to use nonverbal gestures) Inability to develop, maintain, or understand relationships (e.g., little or no interest in befriending peers, inability to adjust behavior to different social contexts) Restricted or repetitive behavioral patterns, including two or more of the following:n Repetitive or stereotyped motor movements, speech, or use of objects (e.g., echolalia) Inflexible routines or adherence to ritualized patterns of behavior (e.g., rigid thinking patterns, eating the same food each day) Fixated interests that are abnormal in focus or intensity (e.g., a strong attachment to a specific object) Sensory difficulties that can either be hyperreactive (extreme sensitivity to sensory input) or hyporeactive (extreme insensitivity to sensory input)(e.g., strong reaction to certain sounds or apparent indifference to changes in temperature) A diagnosis of ASD Type 1 requires the Type 1 specifier to indicate that “support” is needed for normal functioning in the areas discussed above. The DSM-5 further outlines the following diagnostic criteria for ASD: Symptoms must begin in early development, though they might not fully manifest until later. Symptoms cause clinically significant impairment in multiple areas of functioning, including social and occupational contexts. A developmental delay or intellectual disability does not better explain the behaviors. How to manage high-functioning autism Even though people with high-functioning autism can live independently and live relatively normal lives, they might require assistance when managing their symptoms. This assistance can come in various forms, including therapy, medication, and self-help strategies. Therapy for high-functioning autism The most commonly known type of therapy for autism is cognitive-behavioral therapy (CBT)⁠[6]. This approach can assist people with ASD Level 1 by exploring how thoughts, behaviors, and feelings are interconnected. CBT can result in an improved ability to cope with ASD symptoms, such as learning to accept changes in one’s routine with fewer feelings of anxiety. Although, it is important to note that CBT also presents with drawbacks for neurodivergent individuals as the therapeutic intervention was originally created with neurotypical individuals in mind. Applied behavioral analysis (ABA) is another therapeutic option that reinforces positive and adaptive behaviors. ABA takes complex behaviors, like interacting with peers, and breaks them down into small, achievable steps. Each step represents an opportunity to learn a new skill, put that skill into practice, and gain reinforcement for using newly acquired skills[5].It is also important to note that many neurodivergent advocates have been discussing the downsides and harms of ABA therapeutic interventions. Again, ABA is an intervention that promotes a neurotypical way of functioning rather than empowering neurodivergent individuals to find their unique way of interacting with the world. Various other therapies can also target the development of improved social-relational functioning. For example, social skills groups provide a highly structured environment where children with ASD can practice interacting with others. Another approach, commonly called “floor time,” encourages parents and family members to show interest in and follow their child’s activities to improve communication and interaction⁠[6]. Many people with ASD Level 1 can benefit from other types of therapies, as well. For example, sensory integration therapy can help people with ASD cope better with overwhelming sensory inputs. Likewise, physical therapy and speech-language therapy can address the motor and verbal issues common with ASD⁠[6]. Medication for high-functioning autism No medication treats all core features of autism⁠[4]. However, medications for comorbid conditions might be prescribed to help improve day-to-day functioning. For example, someone with ASD Level 1 might take an antidepressant or anxiolytic to help manage associated depression or anxiety symptoms. Some people with ASD Level 1 might also take medications to address sleep problems, inattentiveness, or seizures. Some autistic people may be prescribed medications (e.g., antipsychotics like risperidone or aripiprazole⁠[5]) to address self-harming behaviors, such as biting or head banging. Self-help techniques for high-functioning autism Support needs vary between autistic people and can change over time. Practical strategies and appropriate support can make daily activities easier. Options to consider include:⁠[8] Break complex tasks into small steps to help avoid frustration and improve the ability to transition from one thing to the next. Keep a sensory record to help improve your understanding of what sensations are troublesome so you can make adjustments. Use visual cues to help you stay organized (e.g., write tasks on a calendar). Don’t be afraid to ask for help when you need it, be that from family, friends, or mental health professionals. Be open about your autism and be willing to share your experience with others. With increased understanding, others can provide improved support when you need it. References Autism Speaks. (n.d.). Autism diagnosis criteria: DSM-5. autismspeaks.org. Accessed October 10 2026. National Health Service. (2022, September 7). What is autism? NHS. Accessed October 10 2026. Lake, J.K., Perry, A., & Lunsky, Y. (2014, September 3). Mental health services for individuals with high functioning autism spectrum disorder. Autism Research and Treatment, 2014. hindawi.com. Accessed June 16 2023. National Institute of Mental Health. (n.d.). Autism spectrum disorder. National Institute of Mental Health. Accessed October 10 2026. Autism Science Foundation. (n.d.). Treatment options. autismsciencefoundation.org. Accessed October 10 2026. National Autistic Society. (2020, August 20). Keeping healthy. autism.org.uk. Accessed October 10 2026. National Institute for Health and Care Excellence. (n.d.). Autism spectrum disorder in adults: diagnosis and management (CG142). Recommendations. nice.org.uk. Accessed October 10 2026. Medical Content The Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy. About MentalHealth.com MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life. Author Sean Jackson Writer Sean Jackson is a medical writer with 25+ years of experience, holding a B.A. degree from the University of Nottingham. Published July 27, 2023 Updated August 13, 2025 Medical Reviewer Morgan Blair, M.A. MA, LPCC Morgan Blair is a licensed therapist, writer and medical reviewer, holding a master’s degree in clinical mental health counseling from Northwestern University. Reviewed July 27, 2023 Related community Autism Spectrum Disorder A space for perspectives on autistic experiences, connection, and support across life stages. Table of contentsChoose a section What is high-functioning autism? 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