A literature search for autism and burnout produces publications on family, teacher, caregiver, peer, and other burnout related to caring for or being around autistic people, 3вЂ“6 but no studies on burnout in autistic people themselves. 1, 2Дespite how often and urgently the autistic community discusses autistic burnout, the concept is almost completely absent from the academic and clinical literature. Addressing autistic burnout is a high priority for autistic adults. 1, 2 The Twitter hashtag #AutisticBurnout produces hundreds of urgent messages among autistic people trying to understand, prevent, or recover from autistic burnout. 1 Informally, autistic adults describe how burnout has cost them jobs, friends, activities, independence, mental and physical health, and pushed them to suicidal behavior. вЂњAutistic burnoutвЂќ is often used by autistic adults to describe a state of incapacitation, exhaustion, and distress in every area of life. People had ideas for recovering from autistic burnout including acceptance and social support, time off/reduced expectations, and doing things in an autistic way/unmasking. They also discussed a lack of empathy from neurotypical people. Participants described negative impacts on their lives, including health, capacity for independent living, and quality of life, including suicidal behavior. It is characterized by pervasive, long-term (typically 3+ months) exhaustion, loss of function, and reduced tolerance to stimulus.

From this we created a definition:ДЄutistic burnout is a syndrome conceptualized as resulting from chronic life stress and a mismatch of expectations and abilities without adequate supports. These pressures caused expectations to outweigh abilities resulting in autistic burnout. Participants described burnout as happening because of life stressors that added to the cumulative load they experienced, and barriers to support that created an inability to obtain relief from the load. The primary characteristics of autistic burnout were chronic exhaustion, loss of skills, and reduced tolerance to stimulus. These findings highlight the need to reduce discrimination and stigma related to autism and disability. Better understanding autistic burnout could lead to ways to recognize, relieve, or prevent it, including highlighting the potential dangers of teaching autistic people to mask or camouflage their autistic traits, and including burnout education in suicide prevention programs. They also discussed a lack of empathy from neurotypical people and described acceptance and social support, time off/reduced expectations, and doing things in an autistic way/unmasking as associated in their experiences with recovery from autistic burnout.Д¬onclusions: Autistic burnout appears to be a phenomenon distinct from occupational burnout or clinical depression. Autistic adults described negative impacts on their health, capacity for independent living, and quality of life, including suicidal behavior. They described burnout as happening because of life stressors that added to the cumulative load they experienced, and barriers to support that created an inability to obtain relief from the load. Results: Autistic adults described the primary characteristics of autistic burnout as chronic exhaustion, loss of skills, and reduced tolerance to stimulus. We addressed trustworthiness through multiple coders, peer debriefing, and examination of contradictions. We conducted a thematic analysis, using a hybrid inductiveвЂ“deductive approach, at semantic and latent levels, through a critical paradigm. Interview participants were autistic adults who identified as having been professionally diagnosed with an autism spectrum condition.

Methods: We used a community-based participatory research approach to conduct a thematic analysis of 19 interviews and 19 public Internet sources to understand and characterize autistic burnout. Background: Although autistic adults often discuss experiencing вЂњautistic burnoutвЂќ and attribute serious negative outcomes to it, the concept is almost completely absent from the academic and clinical literature.

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