This book delves deeply into the experiences of autistic adults, providing comprehensive insights into potential professional paths and the psychological hurdles they may face in adulthood. It illuminates the experiences of autistics in professional fields like medicine, music, teaching, therapy, and sex work, alongside challenges like gender identity, eating disorders, dissociative disorders, and professional stagnation. Theoretical chapters offer differentiations between autism and other psychiatric conditions; describe autistic thinking in terms of a disrupted integration between primary and secondary processes; provide a matrix for mapping various manifestations of autism; and outline support strategies tailored for autistics, therapists, government systems and future research. Geared towards the ever-expanding audience of autistic individuals and mental health professionals, this book provides valuable insights into previously underexplored experiences to foster more understanding and validation.