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Beyond Exhaustion: Shame, Identity Disruption, and Functional Collapse in Autistic Burnout
Megan M Clarey1, Michael J Ireland1, Susan Abel1,2
1University of Southern Queensland, Toowoomba, Australia.
Summary
Autistic burnout involves profound exhaustion and functional impairment, often worsened by shame and dual-masking. Recovery requires shame-aware, low-demand support and gentle re-engagement strategies.
Area of Science:
- Neurodevelopmental Disorders
- Psychology
- Social Sciences
Background:
- Autistic burnout is characterized by chronic exhaustion impacting daily life.
- Emotional and relational dimensions of autistic burnout are underexplored.
- Understanding lived experiences is crucial for effective support.
Purpose of the Study:
- Document autistic adults' lived experiences of burnout.
- Identify emotional and relational factors (shame, masking) influencing burnout.
- Explore onset, maintenance, and recovery processes.
Main Methods:
- Semi-structured interviews and written responses from 11 autistic adults.
- Online data collection between July 2023 and November 2024.
- Template analysis combining a priori and inductive coding.
Main Results:
- Participants reported profound exhaustion, sensory overload, and executive dysfunction.
- Shame significantly influenced interpretations of functional limits and help-seeking.
- Dual-masking (hiding autistic traits and burnout) intensified strain and delayed recovery.
- Withdrawal and gentle re-engagement were key recovery strategies.
Conclusions:
- Autistic burnout encompasses physical, cognitive, emotional, and relational challenges.
- Shame and masking complicate burnout disclosure and recovery.
- Shame-aware, low-demand support is essential for autistic individuals experiencing burnout.
- Creating safe, accepting environments can mitigate burnout's impact.
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