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Mental Health

Neurodivergent masking: 5 Signs the “Performance” is Draining You

Healthline Mantra Editorial Team
By Healthline Mantra Editorial Team
Last updated: February 16, 2026
10 Min Read
Neurodivergent masking
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Have you ever finished a standard day of work or a social gathering and felt like you just ran a literal marathon? You didn’t do anything strenuous, yet your muscles ache, your brain feels “fried,” and you have a desperate need to sit in a dark room for hours. If you feel like an actor in your own life—constantly checking a script to make sure you’re playing the “normal” version of yourself—you aren’t lazy. You’re likely exhausted from the physical toll of acting fine.

Contents
What Exactly is Social Camouflage?The Hidden Metabolic Cost of Neurodivergent MaskingBeyond ADHD: The Many Faces of the MaskWorkplace Emotional LaborCultural and Gender-Role MaskingWhy Unmasking Requires Safety, Not Just WillpowerSensory Regulation and Practical Ways to Let GoFinal Thoughts: You’re Worth the RestFAQsWhat is neurodivergent masking and why is it physically draining?What are the physical symptoms associated with chronic masking?How does masking impact the mental health of neurodivergent individuals?What are practical strategies to reduce the exhaustion of masking?

This experience is known as neurodivergent masking. It is the invisible effort of suppressing your natural behavior, and it’s one of the most draining things a human can do. While it looks like success from the outside, neurodivergent masking is actually a biological overdraft. In fact, between 70% and 82% of people who engage in this kind of social camouflage regularly report significant daily fatigue. If you are currently unmasking ADHD or autism, you know that this isn’t just a mental hurdle; it’s a metabolic cost of suppression that your body eventually demands back.

Save this for later

You’ll want to come back to these strategies the next time the world feels like a stage you aren’t ready to perform on.

What Exactly is Social Camouflage?

At its simplest, neurodivergent masking is a survival strategy. It’s the process of hiding your natural traits, emotions, or impulses to fit in or avoid judgment. We all “mask” a little to be polite, but for many, it goes much deeper.

Author Devon Price describes it as a way of life for those who feel the world isn’t safe for their true selves. It’s the constant act of performing a version of yourself that you think society will accept. This isn’t just a social quirk; neurodivergent masking is incredibly common. In professional settings, masking rates range from 55% to 91% among neurodivergent individuals.

The Hidden Metabolic Cost of Neurodivergent Masking

Masking isn’t “all in your head.” It’s a high-energy metabolic process. When you engage in neurodivergent masking, your Prefrontal Cortex (PFC)—the part of the brain that handles logic and self-control—is working overtime.

According to the National Institutes of Health (NIH), this part of your brain has a limited energy supply. When you use that fuel for neurodivergent masking, you’re essentially burning through your brain’s gasoline at double speed. This leads to Allostatic Load, which is the literal “wear and tear” on the body from chronic stress and masking. Over time, this performance can lead to:

  • Chronic muscle tension (especially in your jaw, neck, and shoulders).
  • A weakened immune system.
  • Increased cardiovascular risk (stress markers can raise this risk by up to 1.5 times).
  • Autistic burnout signs, which affect roughly 70% of autistic adults.

Beyond ADHD: The Many Faces of the Mask

Neurodivergent masking isn’t a “one size fits all” experience. It changes based on who you are and where you’re standing. Understanding these layers helps us see why the neuroscience of meditation or simple rest isn’t always enough to fix the fatigue.

Workplace Emotional Labor

This is the “service smile.” It’s the exhausting requirement to look happy and enthusiastic for eight hours, no matter how you actually feel. It is a form of social camouflage that leaves little energy for anything else.

Cultural and Gender-Role Masking

Many people from marginalized backgrounds “code-switch,” shifting their speech or behavior to fit into majority spaces just to stay safe. Similarly, gender roles force men to hide “soft” emotions and women to be “agreeable” even when burnt out. Notably, neurodivergent women face such high strain that up to 86% report co-occurring health conditions due to the compounded pressure of neurodivergent masking.

Why Unmasking Requires Safety, Not Just Willpower

We’re often told to “just be ourselves,” but neurodivergent masking usually isn’t a choice—it’s a necessity. If your workplace doesn’t accommodate your needs, “dropping the mask” can feel genuinely dangerous.

The Mayo Clinic notes that the chronic stress of hiding your true self is a major contributor to depression. Those who mask heavily are 1.5 to 2.5 times more likely to experience clinical anxiety. True unmasking isn’t about “willpower”; it’s about safety. You can only stop the cycle of neurodivergent masking when you feel secure that the “real you” won’t be punished.

Sensory Regulation and Practical Ways to Let Go

You might not be able to stop neurodivergent masking entirely at work, but you can find small ways to lower the energy drain:

  • Try “Body Checks”: A few times a day, ask yourself: Where am I holding tension? Unclench your jaw and drop your shoulders. It’s a small signal to your nervous system that the show is on intermission.
  • Find “Unmasking Zones”: Find one place where the mask stays off. Whether it’s with a pet, a trusted friend, or alone in your car, give yourself time where you don’t have to monitor your face.
  • Sensory Regulation Strategies: The CDC suggests that managing sensory input can lower stress. When you get home, use noise-canceling headphones or dim the lights to help your brain reset.
  • Audit Your Energy: Notice which people or places leave you feeling most “fried.” It might be time to set boundaries in relationships where you feel you must be “on” 100% of the time.

Final Thoughts: You’re Worth the Rest

If you’re exhausted, it’s not because you aren’t trying hard enough. It’s because you’re trying too hard to meet the world’s expectations. Neurodivergent masking is a heavy weight to carry, and it’s okay to be tired of the performance.

The first step to healing is realizing that your true self isn’t a “problem” to be hidden. You deserve a life where you can breathe. Be gentle with yourself as you figure out where the mask ends and you begin. You aren’t lazy—you’re just ready to come home to yourself.

FAQs

What is neurodivergent masking and why is it physically draining?

Neurodivergent masking, or social camouflage, is the survival strategy of hiding natural traits to avoid judgment. This process forces the prefrontal cortex to work overtime, consuming significant metabolic energy. Between 70% and 82% of individuals who mask report daily fatigue due to the high metabolic cost of suppressing their natural impulses.

What are the physical symptoms associated with chronic masking?

Chronic masking leads to allostatic load, which is the physical wear and tear on the body from sustained stress. Common symptoms include chronic muscle tension in the jaw, neck, and shoulders, a weakened immune system, and increased cardiovascular risk. Approximately 70% of autistic adults also experience signs of autistic burnout.

How does masking impact the mental health of neurodivergent individuals?

Heavily masking individuals are 1.5 to 2.5 times more likely to experience clinical anxiety and depression. The chronic stress of hiding one’s true self is a major contributor to these conditions. This strain is compounded for neurodivergent women, up to 86% of whom report co-occurring health conditions due to social pressure.

What are practical strategies to reduce the exhaustion of masking?

Strategies to lower the energy drain include performing “body checks” to release muscle tension and creating “unmasking zones” where monitoring behavior is unnecessary. Sensory regulation techniques, such as using noise-canceling headphones, can also help the brain reset. Auditing environments to identify the most draining interactions allows for better energy management.


Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider from organizations like the WHO or NIH regarding mental health concerns or questions about neurodiversity.

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