Why Eye Contact Can Be So Difficult for an Autistic Child—And Why You Should Care

Why Eye Contact Can Be So Difficult for an Autistic Child—And Why You Should Care

Imagine walking into a room where the lights are too bright, every sound is amplified, and the air feels heavy with distractions. Now, amidst this overwhelming sensory experience, someone expects you to look them in the eye while holding a conversation.

For many autistic individuals, this expectation isn’t just uncomfortable—it can feel impossible.

Eye contact, often considered a basic part of social interaction, can feel unnatural, overwhelming, or even painful for some on the autism spectrum. The struggle isn’t about defiance or disinterest (possibly)—it can be about how many autistic brains process social cues, sensory input, and cognitive load differently.

But here’s what’s most important: understanding this challenge is not just about empathy—it’s about building genuine inclusion in classrooms, workplaces, and everyday interactions.

​For many autistic individuals, maintaining eye contact during conversations can be overwhelming due to sensory sensitivities and social anxieties. At KC Therapy, we offer Applied Behavior Analysis (ABA) therapy, occupational therapy, and speech therapy to support and empower children on the autism spectrum, fostering more comfortable and effective social interactions.

The Science Behind Eye Contact in Autism

To truly understand why eye contact can be difficult for autistic individuals, we could look at the neurological, sensory, and cognitive factors at play.

1. The Brain Processes Eye Contact Differently in Autism

Functional MRI (fMRI) studies have shown that autistic individuals exhibit atypical activation in the brain’s social processing regions when making eye contact. The amygdala, the part of the brain responsible for emotional responses, shows heightened activity, suggesting that eye contact may trigger a stress response rather than a neutral or positive one. 

Additionally, research indicates reduced activation in the fusiform gyrus, which is responsible for facial recognition. This suggests that autistic individuals may not process faces the same way neurotypical individuals do, making eye contact a much more intense and cognitively demanding experience. (National Institutes of Health, 2023)

2. Sensory Overload and the “Too Much” Effect

Many autistic individuals experience sensory processing differences, meaning that sights, sounds, and touch can be more intense than they are for neurotypical individuals. Eye contact adds another layer of overwhelming sensory input—one that can dominate their focus and make verbal processing harder.

A study in Scientific Reports found that eye contact avoidance is directly linked to sensory sensitivity in autism, meaning that individuals with heightened sensory perception are more likely to struggle with eye contact.

3. Eye Contact Increases Cognitive Load

Think of eye contact like a background app running on your phone, constantly draining battery life. While neurotypical individuals process facial expressions and emotions automatically, autistic individuals must consciously process and interpret these cues, requiring extra mental effort.

Research from the Journal of Autism and Developmental Disorders found that when autistic individuals were required to make direct eye contact while listening, they struggled more with verbal comprehension compared to when they were allowed to avert their gaze. (Springer, 2023)

This is why many autistic individuals look away when trying to think, listen, or process language—not because they aren’t engaged, but because it helps them focus.

Personal Insights: Navigating Eye Contact as an Autistic Individual

As someone on the autism spectrum, I’ve personally experienced the discomfort and anxiety that comes with making eye contact.

I’ve developed strategies to manage expectations while staying true to my own communication needs:

+ I initiate eye contact briefly, then shift my gaze slightly off-center to remain engaged without feeling overwhelmed.
+ I explain my communication style by saying, “I’m fully engaged in our conversation, but I process information better if I don’t maintain direct eye contact.”
+ I use alternative engagement methods, such as mirroring tone, pacing, or using affirmative verbal cues.

These small adjustments increase my ability to connect while ensuring that I communicate at my best.

Some people understand immediately. Others don’t. But I’ve found that being upfront about my needs has led to deeper, more meaningful interactions.

Breaking the Myths: Eye Contact ≠ Engagement

Why Eye Contact Can Be So Difficult for an Autistic Child—And Why You Should Care

In many Western cultures, eye contact is often associated with:

  • Trustworthiness (“Look me in the eye and tell me the truth.”)
  • Confidence (“Strong leaders maintain direct eye contact.”)
  • Attentiveness (“If you’re listening, you should be looking at me.”)

But these are assumptions, not universal truths.

In many Asian, African, and Indigenous cultures, prolonged eye contact is considered disrespectful or even aggressive.

This proves that the “importance” of eye contact can be culturally conditioned—not a biological necessity.

When we assume eye contact equals honesty and engagement, we can unintentionally exclude autistic individuals and misinterpret their communication styles.

The Double Empathy Problem: Communication Goes Both Ways

The double empathy problem challenges the outdated idea that only autistic individuals struggle with communication.

This theory states that misunderstandings between autistic and neurotypical individuals are mutual—meaning that just as autistic individuals may struggle to interpret neurotypical behavior, neurotypical individuals also fail to understand autistic communication.

This isn’t just about autistic people “fixing” their eye contact—it’s about society learning to adapt and accept diverse communication styles.

How Can We Support Autistic Individuals?

Creating inclusive spaces means rethinking communication norms and adapting to individual needs. Here’s how we can do that:

For Parents and Educators

+ Avoid forcing eye contact—this often increases anxiety rather than improving engagement.
+ Teach alternative ways to show attentiveness, such as verbal affirmations or body language.
+ Encourage self-advocacy—help autistic children express their needs in social settings.

For Employers and Professionals

+ Rethink “professional” body language norms—some of the best employees won’t fit the traditional mold of confident eye contact.
+ Allow alternative communication methods, like email or written responses.
+ Promote neurodiverse-friendly work environments, where individual preferences are respected.

For Society as a Whole

+ Challenge outdated assumptions about what “engagement” looks like.
+ Educate others on why eye contact isn’t necessary for connection.
+ Lead with curiosity, not judgment.

Verdict: True Inclusion Means Seeing Beyond Eye Contact

Eye contact should never be a litmus test for connection, confidence, or honesty—it’s just one way humans communicate.

For many autistic individuals, maintaining eye contact is a social burden that adds anxiety without adding value.

By challenging outdated social norms and embracing diverse communication styles, we empower autistic individuals to engage authentically—without forcing them to conform to neurotypical expectations.

The goal isn’t to make autistic people more like the world. The goal is to make the world more understanding of autistic people.

In the words of Simon Sinek:
“Communication is not about speaking what we think. Communication is about ensuring others hear what we mean.”

Let’s work toward hearing and understanding each other—eye contact or not.

About

​Todd Root

Todd Root is President of Strategy & Partnerships at BEST (Building Essential Skills Together) and a Clinical Advisory Board Member for Cicero Therapies. Autistic by wiring, Wall Street-honed by experience, and fluent in tech and intelligence ideation and consulting, he rewrites the rules of neurodiversity by proving innovation, not conformity, is the true metric of success. Todd’s mission is simple: build the system that should have existed all along so every neurodivergent mind can thrive within community and self.