Can Autism Get Worse if Untreated? Social and Emotional Impact

July 30, 2025

Can autism get worse if untreated? Yes—while core traits of autism don’t “worsen” like a degenerative illness, untreated autism often leads to escalating challenges over time. Without intervention, difficulties with communication, social skills, and behavior can intensify, resulting in more significant mental health issues and reduced quality of life.



  • Social & Emotional Impact: Untreated autism increases isolation, anxiety, and depression. Around 70% of autistic people have a mental health condition, with rates even higher when support is lacking.

  • Communication & Learning: Many children without early intervention struggle to develop speech and learning skills, impacting classroom success and friendships.

  • Independence & Adulthood: Adults with untreated autism face higher risks of unemployment (only 14% hold paid jobs compared to 70% of the general population), poor independent living, and ongoing relationship difficulties.

  • Behavioral & Health Risks: Untreated autism raises the chance of behavioral problems, substance abuse, and chronic health concerns like sleep issues and gastrointestinal problems.

  • Mental Health: Higher rates of depression, anxiety, self-injury, and even suicidal thoughts are reported among those who don't receive timely support.

Families at Blue Jay ABA in North Carolina see firsthand how early intervention transforms lives. Children who begin therapy gain skills, confidence, and independence, while families report lower stress and more positive daily routines.


Can autism get worse if untreated? Absolutely—the risks are proven, but support and intervention change lives for the better. 


Are you ready to see the difference caring support can make? Schedule a “Progress Planning” call with Blue Jay ABA. Let’s map out a brighter path together—because every step forward matters for your child and your family.


Sources:

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC10498662/
  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC6952468/

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