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How Does Autism Impact the Ability to Form Friendships? 

Author: Beatrice Holloway, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Friendship is one of the most valued parts of human connection, but for autistic people, it can come with unique challenges. While many autistic individuals deeply want companionship, the social expectations and communication styles that shape friendship can be confusing or exhausting. 

According to NICE guidance, these differences are not a lack of social ability but variations in communication and sensory processing that affect how relationships develop and are maintained. 

Understanding the Social Experience in Autism 

As NHS advice explains, autism affects how people understand social cues like body language, tone of voice, or unspoken rules about turn-taking and small talk. For some autistic individuals, these cues may seem inconsistent or illogical, leading to uncertainty or social anxiety. 

At the same time, autistic people often form friendships in different ways: through shared interests, honesty, and reliability rather than through casual or emotionally complex social rituals. Friendships may develop more slowly but when they do, they are often marked by depth, loyalty, and authenticity. 

Barriers to Friendship 

The National Autistic Society identifies several common barriers that can make friendship formation harder: 

  • Unpredictable social rules: Autistic people may struggle with shifting expectations in groups. 
  • Sensory overload: Noisy or crowded environments can make socialising stressful. 
  • Past negative experiences: Rejection or bullying can cause lasting social anxiety or avoidance. 
  • Different communication rhythms: Some autistic individuals need more time to process and respond in conversation. 

These challenges can lead to frustration or loneliness, not due to lack of care, but because the social environment isn’t adapted for neurodiverse communication. 

The Role of Support and Inclusion 

Autistica’s PACT research shows that structured, reflective communication helps autistic individuals build stronger, more comfortable relationships. By slowing interactions, clarifying meaning, and using shared interests as connection points, friendships become easier to navigate and sustain. 

Schools, communities, and families can help by: 

  • Teaching peers about neurodiversity and respectful communication. 
  • Creating sensory-friendly social spaces. 
  • Encouraging interest-based clubs or online friendship groups. 
  • Providing early social support without pressure to “fit in.” 

As NICE notes, inclusion works best when autistic people can be themselves, not when they are expected to mask or imitate others. 

Takeaway 

Autism doesn’t prevent friendship; it simply changes how it’s built. When social environments respect sensory needs, communication styles, and individuality, autistic people can form strong, lasting, and deeply genuine friendships. 

As NHSNICE, and National Autistic Society all emphasise, friendship grows best through understanding, patience, and authenticity, not conformity. 

When a difference is accepted as normal, every connection becomes an opportunity for true inclusion. 

Beatrice Holloway, MSc
Beatrice Holloway, MSc
Author

Beatrice Holloway is a clinical psychologist with a Master’s in Clinical Psychology and a BS in Applied Psychology. She specialises in CBT, psychological testing, and applied behaviour therapy, working with children with autism spectrum disorder (ASD), developmental delays, and learning disabilities, as well as adults with bipolar disorder, schizophrenia, anxiety, OCD, and substance use disorders. Holloway creates personalised treatment plans to support emotional regulation, social skills, and academic progress in children, and delivers evidence-based therapy to improve mental health and well-being across all ages.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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