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How Does Autism Affect Interpretation of Nonverbal Cues in Friendships? 

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

Much human communication happens without words, through facial expressions, gestures, tone, or posture. For autistic people, however, these nonverbal cues can be difficult to interpret or may carry less automatic meaning. This difference often shapes how friendships form, develop, and are maintained. 

According to NICE guidance, challenges in reading nonverbal signals are one of the defining social communication differences in autism. But with awareness and mutual adaptation, these differences can be bridged successfully. 

Understanding Nonverbal Communication Differences 

As NHS advice explains, autistic people may find it difficult to read subtle or inconsistent social signals. A smile, pause, or raised eyebrow might not convey the same emotional information it does to neurotypical peers. 

This can lead to confusion in friendships, for example: 

  • Taking sarcasm or teasing literally. 
  • Missing signs of boredom, discomfort, or affection. 
  • Misreading group dynamics or emotional tone. 
  • Feeling anxious in fast-paced or ambiguous social settings. 

These challenges are not a lack of empathy or interest, but differences in how the brain processes social and sensory information. 

The “Double Empathy” Perspective 

The National Autistic Society highlights that misunderstandings in autism are two-way. The “double empathy problem” suggests that non-autistic people also struggle to interpret autistic communication cues such as reduced eye contact, quietness, or literal speech leading to mutual misreading. 

When both sides recognise this dynamic, friendships become more understanding and less pressured. The issue isn’t inability, but a mismatch of communication styles. 

Strategies to Support Clearer Understanding 

Evidence from Autistica’s PACT programme shows that slowing down communication and reflecting on each other’s responses improves understanding between autistic and non-autistic individuals. In friendships, this can look like: 

  • Asking directly about feelings or intentions rather than guessing. 
  • Using literal, concrete language. 
  • Being explicit about humour, sarcasm, or tone. 
  • Allowing extra time for processing and response. 

These small adaptations can turn potential misunderstandings into moments of connection. 

Strengths in Autistic Communication 

Many autistic individuals excel at honesty, reliability, and focus on conversation. While nonverbal cues may not always be intuitive, friendships often thrive through clarity and depth: qualities that can make autistic communication particularly authentic. 

As NICE and NHS guidance emphasise, the goal is not to “correct” these differences but to foster shared understanding through education and empathy. 

Takeaway 

Autism affects interpretation of nonverbal cues by making implicit social information less predictable, but it also encourages communication grounded in honesty and intention. 

When peers and friends learn to be explicit, patient, and acceptable, relationships become more equal and rewarding. As NICE and National Autistic Society underline, bridging the nonverbal gap isn’t about teaching autistic people to “fit in”: it’s about everyone learning to meet in the middle. 

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, 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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