Hallucinations and Autism: What Unusual Perceptions Might Mean

A stylized graphic titled "Hallucinations and Autism" features a simple blue figure with wide eyes and a series of curved lines around its head, representing sensory or mental overwhelm. The design includes soft blue and pink abstract shapes in the corners. The logo “Neurodivergent Insights” appears in the bottom left corner.

Abnormal Perceptions and Autism

Autistics have more abnormal perceptions than allistics. We also experience MORE distress over these events. Increasing awareness of autistic hallucination-type experiences can help reduce the stress & anxiety about having these experiences. These experiences are rarely dangerous and rarely are they a sign of something more serious. It’s simply neurons in our brain misfiring.

⁠⁠Hallucinations can also be considered on a spectrum. They can be intense and can lead to a blurring of reality, or they can be fainter in nature (the knock you thought you heard, the music you hear playing in the background, the touch you thought you just experienced).

Infographic titled “Autism & Hallucinations” by Dr. Megan Anna Neff, with a central box surrounded by six informational points and small illustrations. Points include: 63% of autistic adults answered yes to “Do you ever feel that someone is touching you, but when you look, nobody is there?” Different levels of neurotransmitters may play a role in increased abnormal perceptions. Autistics are 3x more likely to have abnormal perceptions. Autistics are more likely to be distressed by abnormal perceptions. Hallucination-type experiences occur at higher rates among autistics. Social isolation and bullying can contribute to unusual perceptions. The design includes simple icon-style illustrations and the Neurodivergent Insights logo at the bottom.

New research suggests that autistic adults experience more abnormal perceptions (hearing, sight, sound, touch). It is believed neurotransmitters, social isolation/discrimination may all be involved. ⁠This research comes from the work of Elizabeth Milne. ⁠

  • Abnormal perceptions are distinct and different from sensory sensitivities ⁠⁠

  • 47% of autistic adults answered yes to: “Do you ever see shapes, lights, or colors even though there is nothing really there?”

  • Other abnormal perceptions include strange body sensations such as experiencing a burning sensation and strange feelings in the body, hearing one’s own thoughts or fearing those near you can hear your thoughts.⁠⁠

  • Autistics were more likely to report experiencing distress associated with their abnormal perceptions. ⁠⁠

  • Increasing awareness of autistic hallucination-type experiences may help reduce stress and anxiety about having these experiences.

  • Speculated that abnormal perceptions may be related to altered GABA levels⁠⁠

  • Past research has shown that those who experience isolation and discrimination (such as in the case of migration), also have more hallucinatory and paranoid feelings than people who are not discriminated against. Bullying, discrimination and social isolation related to autism may thus increase the risks of hallucinatory and paranoid feelings. ⁠⁠

Picture of Dr. Megan Anna Neff
Dr. Megan Anna Neff
Dr. Megan Anna Neff is an AuDHD clinical psychologist. Author of Self-Care for Autistic People and The Autistic Burnout Workbook, and the forthcoming AuDHD Unlocked (Spring 2027). Founder of Neurodivergent Insights. Grounded in the blend of clinical insight, research, and lived AuDHD experience, NDI translates complex neurodivergent experiences into accessible, compassionate, and affirming resources for adults, clinicians and helping professionals worldwide.

Exploring mental health and wellness through a neurodivergent lens, blending lived experience with clinical insight. 

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