WHEN BRYCE, an accountant in his mid-40s, came to see me, he was worried about how he related to other people. He told me that he wasn’t good at small talk, he liked doing certain things the same way every time, and he had only a few friends. “People don’t get my humor, and I don’t like going out much,” he said. Then he followed up with a question I hear all the time: “Do you think I have autism?”
People with autism have trouble understanding the nuances of communication, interpreting facial expressions, and maintaining relationships. They may also get stuck in rituals or