Living with Low Functioning Autism

woman sitting on floor and leaning on couch using laptop Low Functioning Autism

People hear “low functioning autism” and instantly think of medical labels or clinical definitions.

But what does it actually look like to live it?

Not from a textbook.

From inside the home.

Inside the routine.

Inside the overwhelm.

Let’s talk real life. No fluff. No filters.

Because if you’re parenting, supporting, or just trying to understand someone with high support needs, the goal isn’t to “fix” anything.

It’s to build a life that works — even when communication is limited, routines are non-negotiable, and meltdowns are part of the rhythm.


What “Low Functioning” Actually Means (In Real Life Terms)

Let’s get one thing straight: the term “low functioning autism” isn’t perfect.

It’s outdated. It’s loaded. And lots of autistic advocates want it gone.

But people still Google it. And when they do, they’re usually looking for help — not labels.

So when I say “low functioning,” here’s what I mean:

  • Nonverbal or minimally verbal communication

  • Needs help with basic tasks like dressing, eating, or using the loo

  • Has strong sensory reactions — to lights, sounds, crowds, textures

  • Struggles with transitions or changes in routine

  • Needs constant support to stay safe or regulated

Not “broken.” Not “less than.”

Just a different brain, with higher support needs.


Daily Life with Low Functioning Autism: No Day Looks the Same

Forget what you think “normal” looks like.

For someone with low functioning autism, daily life is built around consistency, safety, and sensory balance.

That might mean:

  • Using visual schedules (like picture cards or colour-coded charts) to walk through the day

  • Repeating the same routines every morning and night

  • Limiting sensory triggers — like wearing noise-cancelling headphones or avoiding shops during busy hours

  • Building in plenty of downtime between activities, because stimulation takes a toll

Every little thing has to be intentional.

Brushing teeth?

Could take 30 minutes and four different toothbrushes just to find the one that feels “right.”

Leaving the house?

Might not happen today if there’s roadworks nearby, because that surprise jackhammer? Game over.

This isn’t laziness. It’s overload. It’s processing at full capacity — all day.


Routines Are Everything (And Disruptions Feel Like a Threat)

Ever planned a day around someone’s favourite cup?

Because it’s the only one they’ll drink from, and if it’s missing, the meltdown will eat your whole morning?

That’s what we’re talking about.

Low functioning autism often means deep reliance on routines, objects, or sensory anchors that feel safe and predictable.

These aren’t “quirks.” They’re survival tools.

They create a sense of control in a chaotic world that often feels too loud, too fast, and too unclear.

So when a routine breaks — even something as small as putting socks on in a different order — it can trigger:

  • Panic

  • Screaming

  • Hitting or self-injury

  • Total shutdown

That’s not manipulation. That’s nervous system dysregulation.

And our job? Isn’t to “snap them out of it.”

It’s to help them feel safe again.


Communication Challenges Aren’t Just About Talking

Not everyone with autism speaks.

But that doesn’t mean they have nothing to say.

People with low functioning autism might:

  • Use AAC apps (like Proloquo2Go)

  • Communicate with PECS (picture cards)

  • Gesture, point, or lead you to what they need

  • Use body language or repetitive actions (stimming) to express emotion

Here’s the kicker: we’re not just talking about speech.

We’re talking about being understood.

So if someone’s flapping their hands and rocking back and forth, it’s not “weird.”

It might be excitement. Or stress. Or focus.

We don’t always need words to understand — we need to pay attention.


When the World Doesn’t Work for You, You Build Your Own

Public spaces are not made for people with low functioning autism.

Most classrooms are too loud.

Shops are overwhelming.

Even family barbecues can be too chaotic.

So a big part of daily life is carving out safe zones:

  • Sensory rooms with soft lights, weighted blankets, and calming music

  • Corner spaces at school where they can regulate

  • Structured playtime at home that includes fidget toys or favourite objects

It’s not about isolation.

It’s about regulating the nervous system so they can re-enter the world — when they’re ready.

And sometimes, the whole day needs to happen within that safe bubble.

That’s okay.


Caregiving Isn’t a Job. It’s a 24/7 Reality.

If you’re supporting someone with low functioning autism, there’s no off switch.

You’re:

  • Prepping three versions of dinner, because textures matter more than taste

  • Learning how to predict a meltdown before it erupts

  • Getting hit, kicked, or screamed at — not from hate, but from sensory overload

  • Constantly adapting your plans, energy, and expectations

And let’s be real.

It’s hard.

There’s grief, guilt, resentment, and exhaustion — all swimming under the surface.

And you’re still showing up every single day.

That doesn’t make you a superhero. It makes you human.

If you’re in the UK, charities like The National Autistic Society offer carer support, community resources, and guidance on navigating education and benefits.

And if you’re building a business while caregiving (or just neurodivergent yourself), I see you.

At PhilanthroPeak Coaching, we help ADHD entrepreneurs build sustainable, systemised businesses that work with your brain — especially in seasons when energy is scarce and routines are fragile.

Because the world might not flex for you — but your business can.

The Strengths Behind the Struggles (Yeah, They Exist)

Let’s be honest — most people only see what’s “hard” about low functioning autism.

They miss the wins.

They miss the moments of joy, of connection, of breakthrough.

They miss the whole person behind the behaviours.

Yes — communication can be tough.

Yes — support needs can be constant.

But low functioning autism isn’t all about what’s missing.

There’s also:

  • Hyper focus that can lead to amazing skill development in specific areas

  • Deep emotional attunement — often expressed through nonverbal cues

  • Strong sensory memory or attention to patterns

  • Unfiltered authenticity — you always know where you stand

And in the right environment?

With the right support?

These strengths get room to breathe.


Advocacy Matters: The Voices We Don’t Hear Enough

Most media coverage of autism focuses on people who can speak for themselves.

Bloggers.

Tech geniuses.

TED Talkers.

But where are the voices of people with low functioning autism?

Often, they’re spoken about — but not with.

This is why communication tools like AAC devices, spelling-to-communicate, and facilitated writing are so important.

Because nonverbal doesn’t mean non-thinking.

And the more we listen — really listen — the more we realise how much wisdom is in those minds.

Look up Ido Kedar — a nonverbal autistic author who types his thoughts. His book Ido in Autismland is a game-changer.

And if you’re wondering why this matters to you?

Because the moment we start including every type of brain, the entire community gets better.


Schools, Spaces, and Systems: Still Playing Catch-Up

Mainstream schools?

Usually not equipped.

Doctors?

Still often focused on medical models instead of lived realities.

Social systems?

So slow it’s painful.

Parents and carers of people with low functioning autism are often stuck between:

  • Advocating full-time

  • Doing the actual care work

  • Trying to create a life that makes sense

There are SEN schools and autism units — yes.

There are EHCPs (Education, Health and Care Plans) in the UK — absolutely.

But the reality?

You’ll spend more time chasing the system than getting support from it.

So we do what we always do:

  • Build workarounds

  • Tap into community support groups

  • Learn through trial, error, and a ton of YouTube

Because when the system doesn’t work, you become the system.


Let’s Talk About Safety

This doesn’t get talked about enough.

Low functioning autism often comes with elopement risks (running off with no warning), self-injurious behaviour, or sudden sensory meltdowns in public.

Which means caregivers are:

  • Constantly scanning the environment

  • Carrying backup clothes, noise-reducing headphones, snacks, and comfort items

  • Managing other people’s stares and judgements on top of it all

And the world doesn’t exactly make it easy.

People with low functioning autism are at higher risk of being restrained, institutionalised, or misunderstood — just because they react differently.

That’s why autism-friendly spaces aren’t a luxury. They’re a necessity.

It’s not about “coddling.”

It’s about access.

And if you’ve ever had to drag a child out of a supermarket mid-meltdown while strangers stared?

You already know what I’m talking about.


How Businesses Can Be Part of the Solution

You run a business?

You hire people?

You design environments?

You can make life easier for folks with low functioning autism — and their families — with a few small changes:

  • Offer quiet hours with low lighting and no music

  • Make your spaces visual: think picture menus, signs, and colour coding

  • Train staff in sensory awareness

  • Don’t assume someone’s rude or disinterested just because they’re not talking

These adjustments aren’t hard.

But they go a long way for people who are too often ignored.


Why It Matters to Talk About This (Without the Medical Jargon)

This article isn’t about treatment.

It’s not about diagnosis.

It’s not about trying to “cure” anything.

It’s about reality.

Daily life.

Support systems.

And how we can stop defining people by what they can’t do — and start understanding the world they live in.

If you’ve made it this far?

You care.

And that’s where it all starts.


FAQs About Low Functioning Autism

❓Is the term “low functioning autism” still used?

Technically? Yes. But it’s controversial.

It’s not a clinical diagnosis — it’s more of a label used to describe people on the autism spectrum who need higher levels of support in day-to-day life.

Many autistic advocates prefer terms like:

  • High support needs

  • Nonverbal autism

  • Severe autism

That said, people still search for “low functioning autism,” which is why we’re using the term here — to reach folks who are genuinely looking for help, not labels.


❓Can someone with low functioning autism communicate?

Absolutely.

Not always with speech.

But through:

  • AAC devices

  • Gestures and signs

  • Visuals or written language

  • Behavioural cues

Communication doesn’t start and end with talking.

And just because someone doesn’t speak doesn’t mean they don’t understand.


❓Is it possible to live independently with low functioning autism?

It depends.

Some individuals will need full-time care throughout their lives.

Others may live in supported housing with assistance in key areas like hygiene, meals, or transport.

The goal isn’t “independence” in the neurotypical sense.

It’s dignity, safety, and quality of life — whatever that looks like for the individual.


❓How do I support someone with low functioning autism at home?

Start with these basics:

  • Create predictable routines

  • Use visual schedules and cues

  • Keep the environment sensory-friendly

  • Practice nonverbal communication

  • Learn their meltdown triggers

  • Celebrate tiny wins

And don’t forget to get support for yourself too — you can’t pour from an empty cup.


❓Are there any resources for UK-based families?

Yes.

Check out:

  • National Autistic Society – Resources, helplines, education and advocacy

  • Ambitious About Autism – Especially good for school transitions and young adults

  • IPSEA – Legal support with EHCPs and educational rights

  • Local Facebook groups for SEN parents — raw, unfiltered, and incredibly useful


Conclusion: Low Functioning Autism Isn’t a Label — It’s a Lived Reality

Low functioning autism isn’t about “less.”

It’s about different needs, different rhythms, and a different lens on the world.

And when we stop trying to fit people into boxes they were never meant for?

We make space for lives that are actually liveable.

Whether you’re a parent, a teacher, a carer, or a business owner — the moment you understand what low functioning autism actually looks like?

You change the game.

You create safety.

You build systems that flex.

You give people dignity, not just “help.”

That’s the real work.

And if you’re running a business while managing all this chaos?

You’re not alone.

At PhilanthroPeak Coaching, we help ADHD-led entrepreneurs build businesses that still function — even when focus is gone and life is upside down.

No hustle hype. No “just try harder” energy.

Just systems that flex with your brain — and your reality.

Because when your world doesn’t run like everyone else’s?

You need tools that actually work for you.

About the Author

Picture of Errin Anderson

Errin Anderson

Errin Anderson is a leading ADHD Business Coach and the founder of PhilanthroPeak Coaching. With firsthand experience of the challenges and strengths of ADHD—having been diagnosed in his 30s—Errin combines his personal journey with professional expertise to empower neurodiverse entrepreneurs. His coaching focuses on transforming obstacles into opportunities, offering practical tools and strategies tailored to the unique needs of ADHD business owners.
Errin’s passion lies in helping entrepreneurs embrace their creativity, focus their energy, and thrive both personally and professionally. His mission is to prove that ADHD isn’t a limitation—it’s a unique advantage waiting to be unlocked.

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