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What Does Level 1 Autism Look like? Signs, Challenges, and Support Options

Autistic girl wearing a striped yellow shirt and aviator hat balances on a couch.

Autism exists on a spectrum, and at Level 1, the signs can be subtle. A child might appear highly intelligent but struggle with friendships. An adult might excel at work but feel exhausted from masking their challenges all day. Many families spend years searching for answers, often dismissing concerns until difficulties become too much to ignore. 

For example, an eight-year-old was told by her teachers she was “too sensitive”—she hated loud noises, refused certain clothing fabrics, and had meltdowns when overwhelmed. Her parents initially thought she would “grow out of it,” but school became increasingly difficult. 

Everyday activities, like eating in the cafeteria or participating in group activities, left her in distress. Desperate to find support, her parents discovered Bluebell ABA, where therapists helped Emma develop coping strategies for sensory overload.

Understanding Level 1 Autism

What is Level 1 Autism?

Autism Spectrum Disorder (ASD) is categorized into three levels based on the amount of support an individual needs. Level 1 autism, sometimes called mild autism or high-functioning autism, is the least severe but still presents significant challenges. Individuals with Level 1 autism experience difficulties with social interactions, communication, and behavioral flexibility, but they can often function independently with some support.

How Level 1 Autism Differs from Other Levels

The main difference between Level 1, Level 2, and Level 3 autism is the level of support required:

  • Level 1 autism – Requires minimal support in daily life but still experiences social and sensory difficulties.
  • Level 2 autism – Requires moderate support, often struggling with communication and adapting to change.
  • Level 3 autism – Requires significant support due to severe challenges in communication, sensory processing, and behavioral regulation.

Individuals with Level 1 autism might blend in socially but still face hidden struggles that affect their personal and professional lives.

Recognizing the Signs of Level 1 Autism

Social Difficulties That Go Beyond Shyness

One of the most common traits of Level 1 autism is difficulty with social interactions. Unlike severe autism, where social engagement might be absent, individuals with Level 1 autism want to connect with others but struggle with the nuances of conversation and relationships.

Key social challenges include:

  • Difficulty with small talk – Conversations can feel exhausting or confusing.
  • Struggling to read social cues – Misunderstanding body language, sarcasm, or unspoken rules.
  • One-sided conversations – Talking extensively about personal interests without noticing if others are engaged.
  • Challenges with making and keeping friends – Wanting friendships but struggling with social reciprocity.

Difficulty Adapting to Change and Rigid Thinking

Many autistic individuals prefer routine and struggle with unexpected changes. This need for predictability can manifest in various ways:

  • Insisting on specific daily routines and becoming distressed when they are disrupted.
  • Difficulty transitioning between activities or settings.
  • Struggles with abstract thinking and preferring clear, logical rules over vague instructions.

Intense Interests and Deep Knowledge in Specific Subjects

A special interest is a common trait among those with Level 1 autism. These interests can become a source of joy and expertise, but they can also dominate conversations or daily life.

Some examples include:

  • A child memorizing every dinosaur species and sharing facts at every opportunity.
  • An adult becoming highly focused on a hobby like coding, astronomy, or history and spending hours researching.
  • Struggling to shift focus when engaged in an interest.

These passions can lead to highly specialized careers, but they may also create social barriers when conversations become too one-sided.

Sensory Sensitivities That Affect Daily Life

Even at Level 1, many autistic individuals experience sensory processing differences, though they may learn to mask or manage them.

Common sensitivities include:

  • Sound: Difficulty filtering background noise, becoming overwhelmed in loud environments.
  • Touch: Discomfort with certain clothing textures or physical touch.
  • Light and Visual Input: Sensitivity to bright lights, cluttered spaces, or rapid movements.

These sensitivities can impact school, work, and social interactions, often leading to stress and exhaustion.

How Level 1 Autism Affects Daily Life

Challenges in School and Work Environments

While individuals with Level 1 autism may perform well academically or professionally, they often struggle with unspoken social rules and executive functioning.

In school, this may appear as:

  • Difficulty working in group projects.
  • Struggles with multi-step instructions.
  • Sensory overload from bright lights or noisy classrooms.

In the workplace, challenges can include:

  • Misinterpreting workplace social norms.
  • Struggles with time management and organization.
  • Feeling exhausted from masking autistic traits all day.

Masking: The Hidden Struggle

Many individuals with Level 1 autism learn to “mask”—suppressing autistic behaviors to fit into social expectations. While this helps them blend in, it often leads to:

  • Increased anxiety and exhaustion.
  • Higher risk of burnout.
  • Feeling disconnected from their true self.

This masking can make it harder to diagnose autism, as the person appears to function well despite internal struggles.

Conclusion

Understanding Level 1 autism is essential for recognizing the hidden struggles individuals face. While they may not require as much support as others on the spectrum, they still experience social, sensory, and executive functioning challenges that can impact their daily lives. With the right support strategies, accommodations, and therapies, they can thrive in school, work, and social settings.

At Bluebell ABA, we specialize in helping individuals with Level 1 autism develop essential life skills, whether it’s navigating friendships, managing sensory sensitivities, or improving communication. If your child is struggling, our experienced therapists are here to help. Contact Bluebell ABA today to learn more about our personalized therapy programs!

FAQs

Is Level 1 Autism the Same as Asperger’s?

Asperger’s syndrome was once a separate diagnosis, but it is now classified under Autism Spectrum Disorder (ASD) Level 1 in the DSM-5.

Can Someone with Level 1 Autism Live Independently?

Yes, many individuals with Level 1 autism live independently, but they may need support with social skills, executive functioning, or sensory management.

How is Level 1 Autism Diagnosed?

A developmental pediatrician, psychologist, or neurologist can diagnose Level 1 autism through behavioral assessments, interviews, and observation.

What Are the Best Therapies for Level 1 Autism?

ABA therapy, speech therapy, and occupational therapy can all help individuals with Level 1 autism improve communication, adaptability, and daily life skills.

 

We make it easy for you to send referrals to Bluebell. Please use one of the following methods:

01
Fax

Send referrals to our dedicated fax number:

980-300-8904
02
Email

Email referrals to:

info@bluebellaba.com

If you have any questions or need assistance, please don’t hesitate to contact us.