Direct answer

Autism Diagnosis in Girls: Understanding Masking and Missed Diagnosis

Verified answerVerified 2026-05-13

Direct answer

Autistic girls are diagnosed later than boys on average — one 2021 study estimated the gap at about 1.5 years (Lockwood Estrin et al.) — and many are missed entirely. Boys are diagnosed with autism more often than girls, though research suggests the true prevalence gap between the sexes is smaller than the diagnosed gap (Loomes et al., 2017). Girls are more likely to mask (camouflage) autistic traits by imitating social behaviour, leading to missed or delayed diagnosis. Ontario families should seek assessors experienced in female autism presentations.

FOI & Government Data
Last verified: May 13, 2026Sources: FAO Report 2023-24 (Financial Accountability Office of Ontario) · 2026 Ontario Budget (tabled March 26, 2026) · CBC News FOI investigation — bi-weekly OAP progress reports, Jun 2024 – Jan 2026, published Mar 30, 2026 (Nicole Brockbank & Angelina King) · MCCSS bi-weekly OAP Core Clinical Services progress reports, Dec 10, 2025 – Mar 4, 2026, obtained under Freedom of Information (release CSS2026-0749) · MCCSS Ontario Autism Program figures as of May 13, 2026, released under Freedom of Information to the Ontario Autism Coalition and published in the OAC "OAP At A Glance" update, July 2026 (ontarioautismcoalition.com)
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Founder & Autism Advocate

Parent of autistic child navigating OAP system

Autism Diagnosis in Girls: Understanding Masking and Missed Diagnosis

  • Why are girls diagnosed with autism less often?
  • What is autism masking?
  • How can I find an assessor who understands autism in girls?

Why Girls Are Missed

Autism diagnostic criteria and screening tools were developed primarily from research on boys. Autistic girls often present differently: they may have more social motivation, more developed language, and restricted interests that appear typical (animals, reading, art). They are more likely to camouflage or "mask" their difficulties by observing and imitating peers' social behaviour.

Masking is exhausting and has mental health consequences. Many girls and women receive diagnoses of anxiety, depression, anorexia, or borderline personality disorder before autism is recognized. Teachers and clinicians may dismiss concerns because the girl "seems social" or "has friends." Dworzynski et al. (2012) found that girls needed more severe behavioural problems than boys to receive a diagnosis.

Finding the Right Assessor in Ontario

When seeking an autism assessment for a girl or woman in Ontario, look for clinicians who specifically state experience with female autism presentations. Ask whether they use tools validated for both sexes and whether they consider masking in their assessment. The Camouflaging Autistic Traits Questionnaire (CAT-Q) can supplement standard diagnostic tools.

In Ontario, clinicians at CAMH, Holland Bloorview, and several private practices specialize in assessing girls and women. Costs and wait times vary by provider and pathway — contact assessors directly for current pricing and availability. Online communities like the Ontario Women and Nonbinary Autism Network can recommend knowledgeable assessors.

Frequently asked questions

Sources

1

Research

Loomes, Hull & Mandy (2017), "What Is the Male-to-Female Ratio in ASD?" Journal of the American Academy of Child and Adolescent Psychiatry, 56(6), 466-474

2

Research

Dworzynski et al. (2012), "How Different Are Girls and Boys Above and Below the Diagnostic Threshold for ASD?" JADD, 42, 1219-1229

3

Research

Lockwood Estrin et al. (2021), "Barriers to autism spectrum disorder diagnosis for young women and girls," Journal of Autism and Developmental Disorders

Next step near you

Local route

Where to be assessed near you

Assessment routes, local providers and school boards are tracked city by city. Pick the one closest to you.

See every Ontario city we track

The clock

Where the wait clock starts

A child's place in the Ontario Autism Program queue is set by the AccessOAP registration date. 71,263 children are registered and still waiting for core funding (MCCSS FOI via OAC · May 2026).

Evidence for this answer

Updated:

Government Reports & Data

  • [2024]
    Ministry of Children, Community and Social Services: Spending Plan ReviewVerified FAO Data
    Financial Accountability Office of Ontario (FAO)Report 2024-06-05
  • [2026]
    Ontario Autism Program figures as of May 13, 2026 (MCCSS, released under Freedom of Information to the Ontario Autism Coalition; published in the OAC "OAP At A Glance" update, July 2026)Verified FAO Data
    Ministry of Children, Community and Social Services (Ontario), obtained by the Ontario Autism CoalitionReport 2026-05-13

Official Organizations

  • [2023]
    Autism Spectrum Disorders Fact SheetOfficial Source
    World Health Organization (WHO)Official 2023-11-15

Commitment to Accuracy: Our data is verified against official government reports (FAO, MCCSS), peer-reviewed scientific literature, and accessible public records. Last updated: March 24, 2026.

Next Steps

Next Steps

These statistics represent real children missing their critical developmental windows.

Citable source facts(3)Question-and-answer pairs with their source and verification link.

How many children are on the Ontario autism waitlist in 2026?

Verified

As of May 13, 2026, 91,974 children are registered with the Ontario Autism Program. However, only 20,711 (22.5%) have an active Core Funding Agreement. This represents ~300% growth in registrations since 2019, with 71,263 children still waiting for essential funding.

Source: MCCSS FOI via OAC · Mar 2026, FAO Report 2024 · Verify Link

How long do families wait for Ontario autism services?

Verified

Ontario autism wait times for core clinical services now exceed 5+ years (Ontario Autism Coalition, July 2026). Funding invitations are currently reaching families who registered in August 2021 (Ontario Autism Coalition, July 2026 (reported from community intake)). This delay far exceeds the sensitive early intervention window recommended by developmental specialists.

Source: MCCSS FOI via OAC · Mar 2026, FAO Report 2024 · Verify Link

Is the Ontario Autism Program underfunded?

Verified

Yes. The Financial Accountability Office (FAO) determined that $1.35 billion annually is needed to serve all registered children at 2018-19 service levels. The 2026-27 Ontario Budget allocated $965 million, leaving an estimated $385M+ annual shortfall. This gap is the primary driver of the perpetual 91,974+ child waitlist.

Source: Financial Accountability Office of Ontario [FAO] · Verify Link

About This Article

Written by

Founder & Autism Advocate

Parent of autistic child navigating OAP system