Common Intersection of Autism and Gender Diversity in Youth
This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.
About the autistic author markerStrang, J. F., van der Miesen, A. I., Fischbach, A. L., Wolff, M., Harris, M. C., & Klomp, S. E. (2023). Common Intersection of Autism and Gender Diversity in Youth. Child and Adolescent Psychiatric Clinics of North America, 32(4), 747-760. https://doi.org/10.1016/j.chc.2023.06.001
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Authors
Abstract
Autism and gender diversity often intersect. Many transgender youth seeking gender-related medical interventions are autistic. Clinicians serving these youth lack an autism-specific evidence base to guide gender care decisions. At present, care decisions are based on extrapolation of care models from transgender youth samples, generally. At this point, there is no evidence to suggest that autistic youth are likely to experience shifts in gender or gender-related medical requests, although this has been insufficiently studied. In this article, cowritten by expert clinicians and autistic gender-diverse collaborators, an overview of clinical care considerations and the current evidence base is provided.
Bibliography cited by this reference
Cited references are imported from external metadata sources when they are available. The list may be partial.
Cited bibliography overview
These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 12 Sep 2026 18:16.
- With a DOI
- 48
- Without a DOI, from raw bibliography text
- 16
- References with detected author names
- 52 / 64 (81.2%)
- Without detected author names
- 12
- Without a structured title
- 12
- Without a stable identifier
- 16
- References with raw author names still to review
- 12
- References with external metadata lookup issues
- 0
- From DOI or external metadata
- 593
- From validated raw bibliography text
- 0
- Raw names already validated
- 0
- Raw names still to review
- 22
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Cara Pugliese , Laura G. Anthony , John F. Strang , Katerina Dudley , Gregory L. Wallace , Daniel Q. Naiman et al. (2016). Longitudinal Examination of Adaptive Behavior in Autism Spectrum Disorders: Influence of Executive Function . Journal of Autism and Developmental Disorders, 46(2), 467-477. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
F. Gratton , John F. Strang , Minneh Song , Kate Cooper , Aimilia Kallitsounaki , Meng-Chuan Lai et al. (2023). The Intersection of Autism and Transgender and Nonbinary Identities: Community and Academic Dialogue on Research and Advocacy . Autism in Adulthood, 5(2), 112-124. SAGE Publications.
-
Laura E. Kuper , Sunita Stewart , Stephanie Preston , May Lau , Ximena Lopez (2020). Body Dissatisfaction and Mental Health Outcomes of Youth on Gender-Affirming Hormone Therapy . Pediatrics, 145(4). American Academy of Pediatrics (AAP).Crossref OpenAlex OpenCitations
-
Annette Estes , Jeffrey Munson , Sally J. Rogers , Jessica Greenson , Jamie Winter , Géraldine Dawson (2015). Long-Term Outcomes of Early Intervention in 6-Year-Old Children With Autism Spectrum Disorder . Journal of the American Academy of Child & Adolescent Psychiatry, 54(7), 580-587. Elsevier BV.Crossref OpenAlex OpenCitations
-
John F. Strang , Sascha E. Klomp *Autistic author. Learn more… , Reid Caplan *Autistic author. Learn more… , April Dawn Griffin , Laura G. Anthony , Marvel C. Harris et al. (2019). Community-Based Participatory Design for Research That Impacts the Lives of Transgender and/or Gender-Diverse Autistic and/or Neurodiverse People . Clinical Practice in Pediatric Psychology, 7(4), 396-404. SAGE Publications.
-
Varun Warrier , David M. Greenberg , Elizabeth M Weir , Clara Buckingham , Paula Smith , Meng-Chuan Lai et al. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals . Nature Communications, 11(1), 1. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
John Parkinson (2014). Gender dysphoria in Asperger’s syndrome: a caution . Australasian Psychiatry, 22(1), 84-85. SAGE Publications.Crossref OpenAlex OpenCitations
-
A. de Vries , Jenifer K. McGuire , Thomas D. Steensma , Eva C.F. Wagenaar , Theo A.H. Doreleijers , Peggy T. Cohen-Kettenis (2014). Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment . Pediatrics, 134(4), 696-704. American Academy of Pediatrics (AAP).Crossref OpenAlex OpenCitations
-
E. Coleman , A. E. Radix , W. P. Bouman , G. R. Brown , A. de Vries , M. B. Deutsch et al. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 . International Journal of Transgender Health, 23(sup1), S1-S259. Informa UK Limited.Crossref OpenAlex OpenCitations
-
A. de Vries , Ilse Noens , Peggy T. Cohen-Kettenis , Ina A. van Berckelaer-Onnes , Theo A. Doreleijers (2010). Autism Spectrum Disorders in Gender Dysphoric Children and Adolescents . Journal of Autism and Developmental Disorders, 40(8), 930-936. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Goldie A. McQuaid , Allison B. Ratto , Allison Jack , Alexis Khuu , Jessica Smith , Sean Duane et al. (2023). Gender, assigned sex at birth, and gender diversity: Windows into diagnostic timing disparities in autism . Center for Open Science.Crossref OpenAlex OpenCitations
-
Elizabeth Hisle-Gorman , Corinne A. Landis , Apryl Susi , Natasha A. Schvey , Gregory H. Gorman , Cade M. Nylund et al. (2019). Gender Dysphoria in Children with Autism Spectrum Disorder . LGBT Health, 6(3), 95-100. SAGE Publications.Crossref OpenAlex OpenCitations
-
Lisa Littman (2021). Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners . Archives of Sexual Behavior, 50(8), 3353-3369. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
A. de Vries , Thomas D. Steensma , Theo A.H. Doreleijers , Peggy T. Cohen-Kettenis (2011). Puberty Suppression in Adolescents With Gender Identity Disorder: A Prospective Follow-Up Study . The Journal of Sexual Medicine, 8(8), 2276-2283. Oxford University Press (OUP).Crossref OpenAlex
-
A. de Vries , Peggy T. Cohen-Kettenis (2012). Clinical management of gender dysphoria in children and adolescents: the Dutch approach . J Homosex, 59(3), 301. Informa UK Limited.Crossref OpenAlex
-
Penelope Strauss , Angus Cook , Vanessa Watson , Sam Winter , Andrew Whitehouse , Nicole Albrecht et al. (2021). Mental health difficulties among trans and gender diverse young people with an autism spectrum disorder (ASD): Findings from Trans Pathways . Journal of Psychiatric Research, 137, 360-367. Elsevier BV.Crossref OpenAlex OpenCitations
-
Diane Chen , Johnny Berona , Yee-Ming Chan , Diane Ehrensaft , Robert Garofalo , Marco A. Hidalgo et al. (2023). Psychosocial Functioning in Transgender Youth after 2 Years of Hormones . New England Journal of Medicine, 388(3), 240-250. Massachusetts Medical Society.Crossref OpenAlex OpenCitations
-
Gregory L. Wallace , Lauren Kenworthy , Cara Pugliese , Haroon Popal , Emily White , Emily Brodsky et al. (2016). Real-World Executive Functions in Adults with Autism Spectrum Disorder: Profiles of Impairment and Associations with Adaptive Functioning and Co-morbid Anxiety and Depression . Journal of Autism and Developmental Disorders, 46(3), 1071-1083. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Aimilia Kallitsounaki , David M. Williams (2023). Autism Spectrum Disorder and Gender Dysphoria/Incongruence. A systematic Literature Review and Meta-Analysis . Journal of Autism and Developmental Disorders, 53(8), 3103-3117. Springer Science and Business Media LLC.Crossref OpenAlex
-
Rita George , Mark A Stokes (2018). Gender identity and sexual orientation in autism spectrum disorder . Autism, 22(8), 970-982. SAGE Publications.Crossref OpenAlex OpenCitations
-
John F. Strang , Haley Meagher , Lauren Kenworthy , A. de Vries , Edgardo Menvielle , Scott F. Leibowitz et al. (2018). Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents . Journal of Clinical Child & Adolescent Psychology, 47(1), 105-115. Informa UK Limited.Crossref OpenAlex
-
Matthew J. Maenner , Kelly A. Shaw , Amanda V. Bakian , Deborah A. Bilder , Maureen S. Durkin , Amy Esler et al. (2021). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018 . MMWR. Surveillance Summaries, 70(11), 1-16. Centers for Disease Control MMWR Office.Crossref OpenAlex OpenCitations
-
Anna I.R. van der Miesen , A. de Vries , Thomas D. Steensma , Catharina A. Hartman (2018). Autistic Symptoms in Children and Adolescents with Gender Dysphoria . Journal of Autism and Developmental Disorders, 48(5), 1537-1548. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
E A Demetriou , A Lampit , D S Quintana , S L Naismith , Y J C Song , J E Pye et al. (2018). Autism spectrum disorders: a meta-analysis of executive function . Molecular Psychiatry, 23(5), 1198-1204. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
A. Natisha Nabbijohn , Anna I.R. van der Miesen , Alanna Santarossa , Diana Peragine , A. de Vries , Arne Popma et al. (2019). Gender Variance and the Autism Spectrum: An Examination of Children Ages 6–12 Years . Journal of Autism and Developmental Disorders, 49(4), 1570-1585. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Aimilia Kallitsounaki , David Williams (2020). Mentalising Moderates the Link between Autism Traits and Current Gender Dysphoric Features in Primarily Non-autistic, Cisgender Individuals . Journal of Autism and Developmental Disorders, 50(11), 4148-4157. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Aimilia Kallitsounaki , David M. Williams , Sophie E. Lind (2021). Links Between Autistic Traits, Feelings of Gender Dysphoria, and Mentalising Ability: Replication and Extension of Previous Findings from the General Population . Journal of Autism and Developmental Disorders, 51(5), 1458-1465. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Clare Harrop , Erin J. Libsack , Raphael Bernier , Mirella Dapretto , Allison Jack , James C. McPartland et al. (2021). Do Biological Sex and Early Developmental Milestones Predict the Age of First Concerns and Eventual Diagnosis in Autism Spectrum Disorder? Autism Research, 14(1), 156-168. Wiley.Crossref OpenAlex OpenCitations
-
Reubs J. Walsh , Lydia Krabbendam , Jeroen Dewinter , Sander Begeer (2018). Brief Report: Gender Identity Differences in Autistic Adults: Associations with Perceptual and Socio-cognitive Profiles . Journal of Autism and Developmental Disorders, 48(12), 4070-4078. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Lucia Youka Munoz Murakami , Anna I.R. van der Miesen , A. Natisha Nabbijohn , Doug P. VanderLaan (2022). Childhood Gender Variance and the Autism Spectrum: Evidence of an Association Using a Child Behavior Checklist 10-Item Autism Screener . Journal of Sex & Marital Therapy, 48(7), 645-651. Informa UK Limited.Crossref OpenAlex OpenCitations
-
John F. Strang , Abigail L. Fischbach , Sharanya Rao , Ann Clawson , Megan Knauss , Sarah N. Bernstein et al. (2025). Gender and Autism Program: A novel clinical service model for gender-diverse/transgender autistic youth and young adults . The Clinical Neuropsychologist, 39(3), 621-657. Informa UK Limited.OpenAlex OpenCitations
-
John F. Strang , Meredith D. Powers , Megan Knauss , Ely Sibarium , Scott F. Leibowitz , Lauren Kenworthy et al. (2018). “They Thought It Was an Obsession”: Trajectories and Perspectives of Autistic Transgender and Gender-Diverse Adolescents . Journal of Autism and Developmental Disorders, 48(12), 4039-4055. Springer Science and Business Media LLC.
-
Ariel Cohen , Veronica Gomez‐Lobo , Laura Willing , David Call , Lauren F. Damle , Lawrence J. D'Angelo et al. (2023). Shifts in Gender-Related Medical Requests by Transgender and Gender-Diverse Adolescents . Journal of Adolescent Health, 72(3), 428-436. Elsevier BV.Crossref OpenAlex OpenCitations
-
John F. Strang , Lucy S. McClellan , Daphne Raaijmakers , Reid Caplan *Autistic author. Learn more… , Sascha E. Klomp *Autistic author. Learn more… , Mindy Reutter et al. (2023). The Gender-Diversity and Autism Questionnaire: A Community-Developed Clinical, Research, and Self-Advocacy Tool for Autistic Transgender and Gender-Diverse Young Adults . Autism in Adulthood, 5(2), 175-190. SAGE Publications.
-
John F. Strang , Lucy S. McClellan , Sufang Li , Allison Jack , Gregory L. Wallace , Goldie A. McQuaid et al. (2023). The autism spectrum among transgender youth: default mode functional connectivity . Cerebral Cortex, 33(11), 6633-6647. Oxford University Press (OUP).
-
David Mason , Barry Ingham , Anna Urbanowicz , Cos Michael *Autistic author. Learn more… , Heather Birtles , Marc Woodbury-Smith et al. (2019). A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults . Journal of Autism and Developmental Disorders, 49(8), 3387-3400. Springer Science and Business Media LLC.AutiHub · Autistic Autism Scholarship Project AutiHub · Documentation center Crossref OpenAlex OpenCitations
-
Tomisin Oredipe , Bella Kofner , Ariana Riccio , Eilidh Cage , Jonathan Vincent , Steven K. Kapp *Autistic author. Learn more… et al. (2023). Does learning you are autistic at a younger age lead to better adult outcomes? A participatory exploration of the perspectives of autistic university students . Autism, 27(1), 200-212. SAGE Publications.
-
Marijn Arnoldussen , Thomas D. Steensma , Arne Popma , Anna I.R. van der Miesen , Jos W. R. Twisk , A. de Vries (2020). Re-evaluation of the Dutch approach: are recently referred transgender youth different compared to earlier referrals? Eur Child Adolesc Psychiatry, 29(6), 803-811. Springer Science and Business Media LLC.Crossref OpenAlex
-
(n.d.). Autistic Self Advocacy Network. Statement: ASAN Condemns Restrictions on Gender-Affirming Care. March 22 2023. Available at: https://autisticadvocacy.org/2023/03/asan-condemns-restrictions-on-gender-affirming-care/ . Accessed June 3, 2023.Type: OtherCrossref
-
Simone Mahfouda , Christina Panos , Andrew Whitehouse , Cati S. Thomas , Murray Maybery , Penelope Strauss et al. (2019). Mental Health Correlates of Autism Spectrum Disorder in Gender Diverse Young People: Evidence from a Specialised Child and Adolescent Gender Clinic in Australia . Journal of Clinical Medicine, 8(10), 1503. MDPI AG.Crossref OpenAlex
-
(n.d.). Rowling J. K. J. K. Rowling Writes about Her Reasons for Speaking out on Sex and Gender Issues. JK Rowling blog. 2020. Available at: https://www.jkrowling.com/opinions/j-k-rowling-writes-about-her-reasons-for-speaking-out-on-sex-and-gender-issues/ . Accessed June 3, 2023.Type: OtherCrossref
-
(n.d.). Devega C. There is no secret plan: First they came for trans people. Salon. March 13 2023. Available at: https://www.salon.com/2023/03/13/there-is-no-secret-plan-first-they-came-for-trans-people/ . Accessed June 3, 2023.Type: OtherCrossref
-
(n.d.). Strang JF, van der Miesen AIR, Lawson W, et al. Neurodiversity Workshop. World Professional Association for Transgender Health Global Education Initiative; 2022. Available at: https://www.wpath.org/gei . Accessed June 3, 2023.Type: OtherCrossref
-
John F. Strang , Megan Knauss , Anna I.R. van der Miesen , Jenifer K. McGuire , Lauren Kenworthy , Reid Caplan *Autistic author. Learn more… et al. (2021). A Clinical Program for Transgender and Gender-Diverse Neurodiverse/Autistic Adolescents Developed through Community-Based Participatory Design . Journal of Clinical Child & Adolescent Psychology, 50(6), 730-745. Informa UK Limited.
-
(n.d.). Strang JF, van der Miesen AIR, Janssen A, et al. The Intersection of Autism and Gender Diversity: The Lives of Transgender/Gender Diverse Neurodiverse Individuals. Conference Proceedings of the World Professional Association for Transgender Health Symposium. November 3–6, 2018. Buenos Aires, Argentina.Type: OtherCrossref
-
Kristina R. Olson , Lily Durwood , Rachel Horton , Natalie M. Gallagher , Aaron Devor (2022). Gender Identity 5 Years After Social Transition . Pediatrics, 150(2). American Academy of Pediatrics (AAP).Crossref OpenAlex OpenCitations
-
(n.d.). The Trevor Project. Research Brief: Mental Health Among Autistic LGBTQ Youth. April 29, 2022. Available at: https://www.thetrevorproject.org/research-briefs/mental-health-among-autistic-lgbtq-youth-apr-2022/ . Accessed June 3, 2023.Type: OtherCrossref
-
Christina G. McDonnell , Elizabeth A. DeLucia , Elizabeth P. Hayden , Melanie Penner , Kristina Curcin , Evdokia Anagnostou et al. (2021). Sex differences in age of diagnosis and first concern among children with autism spectrum disorder . J Clin Child Adolesc Psychol, 50(5), 1. Informa UK Limited.Crossref OpenAlex
-
Barnes (2023). Time to think: the inside story of the collapse of the Tavistock’s gender service for children .Type: OtherCrossref
-
Elie Vandenbussche (2022). Detransition-Related Needs and Support: A Cross-Sectional Online Survey . Journal of Homosexuality, 69(9), 1602-1620. Informa UK Limited.Crossref OpenAlex
-
John F. Strang , Laura G. Anthony , Amber Song , Meng-Chuan Lai , Megan Knauss , Eleonora Sadikova et al. (2023). In Addition to Stigma: Cognitive and Autism-Related Predictors of Mental Health in Transgender Adolescents . Journal of Clinical Child & Adolescent Psychology, 52(2), 212-229. Informa UK Limited.
-
van der Miesen (2021). Contemporary Complexities in Transgender Care: Disentangling the Intersections Among Gender Diversity, Autism, and Mental Health. [PhD thesis] .Type: OtherCrossref
-
(n.d.). van der miesen AIR., van Wieringen IM, Strang JF, et al. A Long-Term Follow-up of Autistic Transgender Children and Adolescents into Young Adulthood. Conference Proceedings of the European Professional Association for Transgender Health Symposium. April 26–28, 2023; Killarney, Ireland.Type: OtherCrossref
-
Elizabeth M Weir , Carrie Allison , Simon Baron-Cohen (2022). Autistic adults have poorer quality healthcare and worse health based on self-report data . Molecular Autism, 13(1), 23. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Clawson (2023). The gender and autism program: a new neuropsychology service for gender-expansive youth .Type: OtherCrossref
-
Janine de Snoo-Trimp , A. de Vries , Bert Molewijk , Irma Hein (2022). How to deal with moral challenges around the decision-making competence in transgender adolescent care? Development of an ethics support tool . BMC Medical Ethics, 23(1), 96. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Kate Cooper , Catherine Butler , Ailsa Russell , Will Mandy (2023). The lived experience of gender dysphoria in autistic young people: a phenomenological study with young people and their parents . Eur Child Adolesc Psychiatry, 32(9), 1655-1666. Springer Science and Business Media LLC.Crossref OpenAlex
-
John F. Strang , Gregory L. Wallace , Jacob J. Michaelson , Abigail L. Fischbach , Taylor Thomas , Allison Jack et al. (2023). The Gender Self-Report: A multidimensional gender characterization tool for gender-diverse and cisgender youth and adults. American Psychologist, 78(7), 886-900. American Psychological Association (APA).Crossref OpenAlex OpenCitations
-
(n.d.). Barnes H, Cohen D. 'How do I go back to the Debbie I was?'. British Broadcasting Corporation. November 26, 2019. Available at: https://www.bbc.com/news/health-50548473 . Accessed June 2, 2023.Type: OtherCrossref
-
(n.d.). Detransition Subreddit - r/detrans. Reddit. Available at: https://www.reddit.com/r/detrans/ . Accessed June 2, 2023.Type: OtherCrossref
-
(n.d.). Brown LXZ. Gendervague: At the Intersection of Autistic and Trans Experiences. The National LGBTQ Task Force Blog. Available at: https://www.autistichoya.com/2020/05/gendervague-at-intersection-of-autistic.html . Accessed June, 2023.Type: OtherCrossref
-
(n.d.). Rivera L. What is AutiGender? The Relationship Between Autism & Gender: An Autistic Perspective. Neurodivergent Rebel. Available at: https://neurodivergentrebel.com/2021/01/06/what-is-autigender-the-relationship-between-autism-gender-an-autistic-perspective/ . Accessed June 2, 2023.Type: OtherCrossref
-
(n.d.). Strang JF, Fischbach AL, Rao S, et al. Gender and Autism Program: A Novel Clinical Service Model for Gender-Diverse/Transgender Autistic Youth and Young Adults. [Manuscript submitted for publication]. 2023.Type: OtherCrossref
-
Thomas (2022). Dimensional gender diversity is associated with greater polygenic propensity for cognitive performance and interacts with other genetic factors in predicting health outcomes . medRxiv, 2021.Type: PreprintCrossref