The relationship between autistic camouflaging mental health: a scoping review - Report - MDSpire

The relationship between autistic camouflaging mental health: a scoping review

  • By

  • Ellie Kiger Hodge

  • Katherine Kuhl Meltzoff

  • June 2, 2026

  • 0 min

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Clinical Report: Exploring the Connection Between Autistic Camouflaging and Mental Health

Overview

This scoping review examines the relationship between autistic camouflaging and mental health, finding a positive correlation with poor mental health outcomes. The review highlights the need for caution in promoting camouflaging behaviors, particularly assimilation, in therapeutic contexts.

Background

Incorporate statistics on co-occurring mental health disorders in autistic individuals.

Data Highlights

Forty-eight studies were reviewed, indicating a positive relationship between camouflaging and poor mental health, with effect sizes ranging from small to large.

Key Findings

  • Camouflaging is associated with poor mental health outcomes, particularly in relation to assimilation behaviors.
  • The relationship between camouflaging and mental health appears to be bidirectional.
  • Non-autistic individuals exhibit similar mental health challenges related to camouflaging as autistic individuals.
  • Effect sizes for the relationship between camouflaging and mental health vary from small to large.
  • Future research is needed to explore the implications of camouflaging on mental health in both autistic and non-autistic populations.

Clinical Implications

Clinicians should be cautious when encouraging camouflaging behaviors in therapeutic settings, especially those related to assimilation. It is essential to assess and address the mental health needs of autistic individuals, considering the potential negative impacts of camouflaging on their wellbeing.

Conclusion

The findings underscore the complex relationship between autistic camouflaging and mental health, highlighting the need for careful consideration in clinical practice. Further research is essential to deepen understanding and inform interventions.

Related Resources & Content

  1. Frontiers in Psychiatry, 2026 -- A scoping review of the relationship between autistic traits and eating disorders: exploring the secondary impact of eating disorders and co-occurring psychiatric diagnoses
  2. Frontiers in Psychiatry, 2026 -- Adverse outcomes for autistic people: an umbrella review of mental health, physical health, social and lifestyle domains
  3. npj Digital Medicine, 2026 -- Quantitative Evaluation of Atypical Facial Expression Patterns in Children with Autism Spectrum Disorder Through Naturalistic Interaction Dynamics
  4. Overview | Autism spectrum disorder in adults: diagnosis and management | Guidance | NICE
  5. Autistic Traits and Camouflaging: A Meta-Analysis
  6. BMC Psychiatry (Springer) — A multidisciplinary approach to establishing clozapine in a patient with schizophrenia and comorbid ASD: a case report
  7. Overview | Autism spectrum disorder in adults: diagnosis and management | Guidance | NICE
  8. Autistic Traits and Camouflaging: A Meta-Analysis
  9. Cognitive-Behavior Therapy for Social Anxiety Does Not Increase Reports of Camouflaging Behavior in Autistic Adults: Results From an Exploratory Study - PubMed

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