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How Does Autism Influence Recognizing Others’ Emotional States in Friendships? 

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

Understanding another person’s emotions is central to building and maintaining friendships, yet for many autistic people, this process can be complex. Autism can affect how emotional cues are noticed, interpreted, and expressed, meaning that friends’ feelings may not always be recognised in the way others expect. 

According to NICE guidance, autism involves differences in social communication and emotional reciprocity. These differences don’t mean autistic people lack empathy, rather they reflect how the brain processes emotional and social information in unique ways. 

Emotional Understanding in Autism 

As NHS advice explains, autistic people often find it harder to interpret subtle emotional signals such as tone of voice, body language, or facial expressions. This means emotions like frustration, boredom, or disappointment may not be recognised immediately. 

For example: 

  • A friend’s sigh might be interpreted literally, not as a sign of sadness. 
  • Rapid emotional changes can feel confusing or unpredictable. 
  • Mixed signals (like smiling while upset) can be difficult to decode. 

This doesn’t reflect indifference; it reflects information overload. Autistic people often focus on factual details before emotional cues, especially in busy or sensory-heavy environments. 

The “Double Empathy” Challenge 

The National Autistic Society highlights that misunderstanding goes both ways. Non-autistic people may misread autistic communication as blunt or detached, while autistic individuals may struggle to recognise emotions expressed indirectly. 

This “double empathy problem” means both sides can feel unseen not from lack of care, but from mismatched communication styles. Friendships improve when both parties learn to express emotions more explicitly rather than assuming understanding. 

Strengths in Emotional Connection 

Research from Autistica’s PACT programme shows that when emotional information is shared clearly through words, not just gestures, autistic individuals often respond with deep empathy and thoughtfulness. Many autistic people describe caring intensely for friends but needing direct communication to respond appropriately. 

Autistic emotional connection is often shown through actions rather than expressions: helping practically, remembering details, or offering honest feedback. These are authentic signs of friendship that may be overlooked if judged by non-autistic norms. 

Supporting Clear Emotional Communication 

Friendships thrive when both people adapt to their communication. Helpful approaches include: 

  • Saying feelings directly: “I’m upset about what happened,” rather than hinting. 
  • Asking for clarity: “I can’t always tell how you’re feeling, could you tell me?” 
  • Noticing effort: Recognising when an autistic friend is trying to show empathy, even if it looks different. 
  • Using shared routines or humour: Familiar patterns help regulate emotions and strengthen bonds. 

According to NICE guidance, structured communication such as predictable check-ins helps reduce anxiety and improve mutual understanding. 

Takeaway 

Autism influences recognition of others’ emotions not by removing empathy, but by changing how emotional cues are read and expressed. 

As NHSNICE, and National Autistic Society emphasise, emotional understanding improves dramatically when friends communicate feelings openly and without assumption. 

When both autistic and non-autistic friends learn to speak about emotions clearly, they don’t just avoid misunderstanding; they build the foundation for honest, enduring, and deep human connection. 

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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