The Hidden Struggles of Masking: How the Emotional Toll of Masking Affects Mental Health and Coping Strategies
- H. Oliver
- Mar 27
- 4 min read
For many neurodivergent individuals, "masking" is a survival strategy in a world that often fails to accommodate their differences. Masking refers to the deliberate suppression of one’s authentic behaviors, emotions, or sensory experiences in order to fit into social norms. While this behavior may be necessary in certain situations, it comes at a significant emotional and mental cost. Understanding the emotional toll of masking, as well as the coping strategies to reduce its burden, is essential to supporting neurodivergent people in leading healthier and more authentic lives.
The Emotional Toll of Masking

The emotional toll of masking can be profound and far-reaching. Neurodivergent individuals—particularly those with autism, ADHD, and other conditions—often feel the pressure to appear "normal," adhering to societal expectations of behavior, communication, and emotional expression. Over time, this pressure can lead to:
1. Exhaustion and Burnout
Masking requires constant mental energy. The need to suppress natural impulses, mimic social cues, or navigate social interactions in a way that feels foreign can leave individuals feeling mentally drained. The effort to maintain this "mask" throughout the day, often without breaks, leads to burnout—a state of emotional and physical exhaustion. This chronic fatigue can result in decreased productivity, lowered mood, and a sense of isolation.
2. Increased Anxiety and Stress
The fear of not fitting in or of being “found out” as different can cause heightened anxiety. Many neurodivergent individuals experience a constant internal dialogue of self-monitoring and self-censorship, leading to stress. The fear of making a social mistake or being judged harshly can heighten social anxiety, which can create a loop of avoidance and withdrawal.
3. Feelings of Alienation and Identity Loss
When masking becomes a frequent coping mechanism, it can cause individuals to feel disconnected from their true selves. The longer they suppress their natural behaviors, the harder it becomes to distinguish between who they are and who they are pretending to be. This identity loss can lead to feelings of confusion, loneliness, and emotional disconnection, further exacerbating mental health struggles.
4. Depression and Low Self-Worth
The constant pressure to hide one's true self can lead to feelings of inadequacy. Neurodivergent individuals may feel that they are never good enough or that they are constantly failing to meet expectations, which can contribute to depression. Over time, they may internalize negative stereotypes about themselves, further diminishing their sense of self-worth.
Strategies to Reduce the Emotional Toll of Masking

While masking can sometimes feel like a necessary survival mechanism, it is crucial to recognize that there are healthier ways to manage social and emotional challenges without compromising mental health. Here are some strategies that can help neurodivergent individuals reduce the burden of masking:
1. Develop Self-Awareness and Self-Acceptance
The first step in reducing the emotional toll of masking is recognizing and accepting one's neurodivergence. Building self-awareness around sensory sensitivities, emotional triggers, and social needs can help individuals understand when they are masking and why. Practicing self-acceptance and embracing neurodiversity can lessen the need for masking by allowing individuals to be kinder to themselves and validate their unique ways of experiencing the world.
2. Create Supportive Environments
Finding or creating environments where neurodivergent individuals can be themselves without fear of judgment is crucial. Supportive spaces, whether in family, friendship circles, or workplaces, can offer relief from the constant pressure to mask. Being surrounded by understanding people who accept and appreciate differences can significantly reduce anxiety and stress.
3. Practice Self-Care and Mental Health Management
Engaging in regular self-care practices such as mindfulness, deep breathing, or exercise can help manage the emotional toll of masking. These practices can promote relaxation, reduce stress, and restore emotional balance. Additionally, seeking professional mental health support—whether through therapy, counseling, or support groups—can provide the tools needed to cope with the emotional burdens of masking.
4. Use Communication Tools
For neurodivergent individuals who find it difficult to communicate their needs, utilizing alternative forms of communication—such as written expressions, visual aids, or technology-assisted devices—can help relieve the pressure of verbalizing in social contexts. Learning to set boundaries and communicate personal needs clearly can also reduce the tendency to mask in order to please others.
5. Set Realistic Expectations
It's essential for neurodivergent individuals to set realistic social and professional expectations. Not every situation requires "perfect" behavior, and learning to embrace moments of discomfort or awkwardness can help reduce the pressure to constantly mask. Setting small, achievable goals and recognizing personal accomplishments can improve self-esteem and reinforce a sense of self-worth.
6. Engage in Peer Support Networks
Connecting with others who understand the experience of neurodivergence and masking can be incredibly empowering. Online and in-person support groups offer spaces for sharing experiences, strategies, and emotional support. Knowing that others are going through similar challenges can help normalize the experience and reduce feelings of isolation.
7. Advocate for Change in Societal Norms
Lastly, a broader cultural shift toward inclusivity and acceptance is needed. Advocating for changes in social, educational, and workplace environments to better accommodate neurodivergent people can help reduce the need for masking in the first place. This may include promoting flexible work hours, offering sensory-friendly environments, and encouraging diversity in all areas of life.
Conclusion
The emotional toll of masking, while often a necessary coping mechanism, can take a serious toll on the mental health of neurodivergent individuals. The emotional burden of pretending to be someone you're not can lead to anxiety, exhaustion, and identity confusion. However, with a combination of self-awareness, supportive environments, and healthy coping strategies, the negative impacts of masking can be alleviated. It’s vital to foster a culture of acceptance and understanding, allowing neurodivergent individuals to show up authentically without fear of judgment.