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How does autism affect the perception of first impressions in forming new friendships? 

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

Building new friendships often begins with first impressions, but autistic people frequently describe these early moments as more effortful, unpredictable or misunderstood. According to NICE guidance, autism involves differences in social communication and interaction that can affect how relationships start and develop, especially when cues are fast, subtle or ambiguous. Evidence also shows that many autistic people want meaningful friendships, even when the process feels overwhelming. 

Differences in how first impressions are expressed and interpreted 

Research shows that autistic people may express themselves differently through eye contact, facial expression, tone of voice, or timing. NHS clinicians note that many people find relationships exhausting because so much depends on non-verbal signals and shifting social norms. These communication differences can influence how others perceive confidence, warmth, or approachability in the first few seconds of meeting. 

A major meta-analysis found that non-autistic observers often form less favourable first impressions of autistic people when they only see quick “thin slices” of behaviour, such as brief video clips or short interactions. Researchers noted that it is the social presentation style, not the content of what is said; that drives these early judgments. This can make first encounters less reflective of the autistic person’s genuine personality or intentions. 

Autistic perception of others 

Studies suggest that autistic adults often form impressions of other people in similar ways to non-autistic adults, needing comparable amounts of information to make basic judgements. This was highlighted in a recent impression formation study, which found that autistic adults assess others’ traits using similar cognitive processes. Many autistic adults also report worrying intensely about how they come across, particularly if they struggle to read facial expressions or tone now, as described in a qualitative study on social anxiety

The role of masking and social anxiety 

Systematic reviews show that many autistic people use “masking” or camouflaging to manage first impressions, altering eye contact, rehearsing phrases or copying social norms. This has been documented in the systematic review of camouflaging and further explored in studies of social camouflaging. While masking can help initial interactions feel smoother, it often comes with high emotional and cognitive costs and may make forming authentic friendships more difficult over time. 

Anxiety also plays a major part. Autistica notes that fear of judgement or past misunderstandings can make first meetings feel riskier and lead to avoiding new social opportunities. Sensory overwhelms such as noise or bright lighting can add extra stress, which NHS England guidance highlights as a factor affecting communication during early interactions. 

What helps 

Many autistic adults build strong, fulfilling friendships when environments are predictable, low-pressure, and based on shared interests. The National Autistic Society highlights that clarity, slower pacing, and interest-based activities can make forming friendships more comfortable. Supportive, neurodiversity-affirming contexts can significantly reduce barriers created by quick first impressions. 

Takeaway 

Autism can influence both sides of first impressions, how an autistic person is perceived, and how they perceive others. Differences in communication and sensory processing can make early interactions feel harder, but many autistic people are highly motivated for connection. With understanding, clear communication and environments that reduce sensory and social pressure, first meetings can become more authentic and the foundation for genuinely supportive friendships. 

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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