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How Do Friendship Patterns Change Over Time in People with Autism? 

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

Friendship patterns for individuals with autism often evolve over time as they navigate different life stages and social environments. While forming and maintaining friendships can present challenges at any age, these patterns change as individuals develop new skills, gain more social experiences, and adapt to various social contexts. Understanding how these patterns of shift can help provide the necessary support to foster lasting friendships and reduce isolation. 

Challenges

Friendship Development in Early Childhood 

In early childhood, many autistic children face significant challenges with social interaction, communication, and emotional regulation, which can make forming friendships difficult. However, NHS guidance highlights that providing structured social opportunities, such as playgroups or interest-based activities, can help children with autism learn basic social skills. At this stage, friendships may be based more on shared activities and interests, rather than deep emotional connections or complex social dynamics. 

Social skills training and Peer-Reviewed interventions, as recommended by NICE guidelines, play a crucial role in teaching children how to initiate and maintain interactions with peers. These interventions often encourage positive peer relationships through structured group activities that focus on cooperative play and turn-taking, which can lay the foundation for friendship development. 

Friendships in Adolescence and Early Adulthood 

As individuals with autism enter adolescence, friendship patterns begin to shift. The social expectations and complexities of friendships grow more intricate, and individuals may encounter new challenges in managing peer relationships. NAS points out that while some individuals with autism continue to form strong, stable friendships based on shared interests, others may struggle with understanding more abstract social cues such as sarcasm, humor, or non-verbal communication. 

During adolescence, social groups become increasingly important, and peer pressure can complicate friendships. However, interventions like group-based social skills training, which focus on communication, emotional regulation, and self-awareness, can help individuals better navigate these challenges. Peer support groups and mentorship programs can also provide autistic adolescents with opportunities to connect with others who have similar experiences and interests, promoting deeper, more meaningful friendships. 

Adult Friendships and Social Networks 

In adulthood, friendship patterns tend to become more stable, with a stronger focus on emotional bonds and mutual support. Many adults with autism develop lasting friendships with others who share similar hobbies or professional interests. NICE emphasizes that ongoing support, such as social skills coaching and therapy, helps individuals maintain friendships and engage in social activities. Autistic adults may find it easier to form friendships in structured environments such as workplaces, volunteering opportunities, or interest-based clubs. 

However, social isolation remains a challenge for some individuals with autism, particularly those who lack social confidence or ability to initiate interactions. For these individuals, therapeutic interventions that focus on emotional regulation and build self-advocacy skills can help increase social engagement and reduce loneliness. 

Changing Friendship Patterns Across the Lifespan 

Over the lifespan, friendships for people with autism often become more focused on quality rather than quantity. NAS notes that many autistic individuals prefer smaller, more intimate social circles and tend to develop deeper friendships with a few close peers rather than a wide network of acquaintances. The need for structure and routine may mean that individuals with autism often engage in familiar, predictable social activities, which can offer a sense of comfort and stability. 

In later adulthood, individuals with autism may prioritize socializing in safe, supportive environments that reduce the risk of overstimulation and provide opportunities for consistent, low-stress interactions. 

Conclusion 

Friendship patterns for individuals with autism evolve as they move through different life stages. Early on, friendships may be more about shared activities, but as individuals grow, they face greater social complexities and need targeted support to foster deeper, more meaningful connections. By focusing on emotional regulation, social skills training, and providing structured opportunities for interaction, we can help individuals with autism form and maintain lasting friendships throughout their lives. 

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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