The End of "Autism" As We Know It? A Princeton Study Reveals Multiple "Autisms."

By Liz Wooten, LPC

About the Author: Liz Wooten, LPC, is the founder of Enlitens and a rebellious academic dedicated to dismantling the broken mental health system. As an AuDHD therapist with years of front-line crisis experience, she brings a deep, lived understanding to her work. Read Liz’s Full Story Here

Let’s be precise. In your work, precision is everything. A misplaced comma in a legal brief, a flawed line of logic in an argument—these are the details that separate success from failure. You’ve built a career on meticulous analysis, on the profound power of getting the details right.

And yet, when it comes to the most complex system you’ve ever had to manage—your own brain—you’ve been handed a single, blurry, impossibly imprecise word: “autism.”

It’s a word that tries to describe both a non-verbal child and a PhD-level engineer. It’s a clinical blunt instrument, a giant, messy box we’ve been forced to cram millions of unique, individual neurotypes into. For you, a late-diagnosed professional now trying to make sense of a lifetime of masking, this imprecision is a form of madness. It feeds the imposter syndrome that whispers, “If the label doesn’t perfectly fit, you must be a fraud.”

That era of imprecision is over. The monolithic lie of “autism” is crumbling. And it’s not being brought down by opinion, but by data.

 

The Smoking Gun: A Groundbreaking Study Changes the Map

 

For decades, the staggering diversity of the autistic experience has been a clinical mystery. But in a revolutionary approach to the problem, a groundbreaking 2025 study published in Nature Genetics by a team at Princeton, led by Dr. Aviya Litman, has provided the first definitive biological proof of what autistic people have been telling the world for years: There is no such thing as “autism.” There are autisms.

 

The Old Problem: A Diagnosis of Imprecision

 

The core problem has always been that we were trying to define a neurotype by a loose collection of external behaviors. This is like trying to understand the difference between a Mac and a PC by only describing what’s on the screen. It’s a surface-level analysis that completely misses the point. This “one-size-fits-all” model leads to therapies that fail because they’re trying to install Windows software on a machine running iOS. It creates a world where you’re handed a user manual that is fundamentally incompatible with your hardware.

 

A New Tool: From the Library to the Reading List

 

Instead of looking at behavior, the Litman team looked at the underlying genetic instructions, a field known as transcriptomics. Think of it this way:

  • Your DNA (genomics) is the entire law library—every possible statute and piece of case law that exists.

  • Your gene expression (transcriptomics) is the specific set of cases and statutes cited in a legal brief for a single, specific case. It’s the list of books that have been pulled off the shelf and are actually being used.

The Princeton team wasn’t just looking at the library; they were looking at the reading list for each person. They analyzed which genes were being turned “on” and “off.”

 

The Finding That Changes Everything

 

By analyzing these “reading lists,” the researchers were able to separate a single, monolithic group of “autistic” people into several distinct, biologically-defined subgroups. Each subgroup had a unique gene expression “signature.”

Crucially, these unique biological signatures correlated with unique clinical experiences. One subgroup’s genetic program was linked to more significant sensory sensitivities. Another’s was linked to the developmental timing of language acquisition. It is not one condition.

This is the smoking gun. It is the hard, scientific proof that what we have been calling “autism” is, in fact, an umbrella term for many different underlying neurobiologies. It has never been one thing.

 

The Rebellion: From a Blurry Label to a Precise Blueprint

 

This research is a righteous rebellion against the clinical blunt instrument. While the word “autism” is a vital tool for community and identity, this study proves that as a clinical tool, it is outdated and often harmful.

This is the dawn of a new era of precision neurodivergent care. It paves the way for a future where support is not tailored to a generic label, but to an individual’s specific biological profile. This is the end of one-size-fits-all therapies and the beginning of a world where we can look at an individual’s unique biological signature and understand, with breathtaking clarity, what their specific brain needs to thrive.

Your mission is no longer to figure out how you fit into the “autism” box. Your mission is to demand a user manual for your own unique brain. The days of generic assessments are numbered. Science is finally giving us the tools to write it.

Go Deeper Down the Rabbit Hole

When There's No "Normal" Brain

The idea of multiple “autisms” is built on a deeper truth: neurological diversity is the rule, not the exception, starting at birth.

The Crisis in Autism Testing

The “autism” monolith has been propped up by flawed diagnostic tools. Here’s a deep dive into the 2025 study that exposes the crisis.

The Biology of Your Anxiety

The same technology revealing multiple “autisms” is also revealing the unique biological signatures of other experiences, like anxiety.

*The information here is meant to guide and inform, not replace the care of a qualified healthcare professional. If you have questions or concerns about a medical or mental-health condition, please reach out to a trusted provider. The examples shared are based on general personas—no personal health details are used. At Enlitens, your privacy is a top priority, and we fully comply with HIPAA regulations to keep your information safe and confidential.

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Not a Debate.

This is not a space for debate or unsolicited advice. It is a space for sharing stories. We read every submission, and we will periodically feature the most resonant and validating stories here with the author’s explicit permission. Submit your’s below!

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First, do nothing.

Take one second. That’s all I’m asking.

Do not try to “calm down.” Do not try to “fix it.” Do not listen to the voice screaming that you need to do something right now.

Just be here, with me, for one single breath.

My name is Liz. I’ve spent years working overnight in the ER, sitting with people on what was often the worst night of their entire lives. I have sat in the eye of the hurricane, and I can tell you with absolute certainty that the chaos you feel right now is not the truth.

It is a storm in your nervous system. And a storm is just a weather pattern. It is not you. It is not permanent. And you do not have to navigate it alone.

Right now, your brain’s alarm system is screaming. The logical part of your brain has been taken offline. That is a normal, brilliant, biological survival response. But you and I are going to bring it back online, together.

We are going to do one, simple, physical thing. This is not a bulls*hit mindfulness exercise. This is a direct, manual override for your nervous system.

Place your hand on your chest.

Can you feel that? The rise and fall. The rhythm. That is the anchor. That is the proof that you are here, in this moment, and you are alive.

Keep your hand there.

Now, we are going to make one choice. The storm is telling you there are a million overwhelming things you have to do. That is a lie. There are only three choices right now, and you only need to pick one.

If you or someone else is in immediate, physical danger and you need help on site, right now:

This is the button you push when you need the paramedics or the police to show up. This is the “bring the fire truck” button.

If you are having thoughts of suicide and you need to talk or text with a human, right now:

This is the national, 24/7 lifeline. It is free, it is confidential, and it is staffed by trained counselors who are ready to listen without judgment. This is the “I need a lifeline” button.

If you are in St. Louis, you are not in crisis but you are in deep distress and need to talk to someone local:

Behavioral Health Response (BHR) is our community’s lifeline. They provide free, confidential telephone counseling and can connect you with local resources. This is the “I need a local guide” button.