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We examined: (a) the nature, extent, and underlying motivation of camouflaging in high school; (b) the extent to which autistic girls\u2019 characteristics related to camouflaging settings, people, benefits, costs, and school supports; and (c) how girls\u2019 open-ended descriptions agreed with closed-ended camouflaging ratings. Using quantitative and qualitative analyses, this study examined the extent, domains, costs, and benefits of autistic females\u2019 school-based camouflaging. Thirty-one autistic female adolescents, all included in general education classrooms, answered rating and interview questions. Autistic females camouflaged most often in general education classrooms and with teachers and neurotypical peers that they did not know well; least often at home or with neurodivergent friends. Later age of diagnosis was associated with more camouflaging and camouflaging costs. Qualitative analyses revealed four themes: autistic identity; negative peer experiences; negative consequences of camouflaging; and value of neurodivergent friends. Some qualitative findings converged with quantitative findings, others diverged. Implications are discussed for research and practice for supporting autistic females in general education school settings.<\/jats:p>","DOI":"10.1007\/s10803-024-06716-5","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T12:15:07Z","timestamp":1736511307000},"page":"2282-2295","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A \u201cRound, Bruising Sort of Pain\u201d: Autistic Girls\u2019 Social Camouflaging in Inclusive High School Settings"],"prefix":"10.1007","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1485-4598","authenticated-orcid":false,"given":"Brittney L.","family":"Goscicki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4203-9735","authenticated-orcid":false,"given":"Mattie E.","family":"Scoggins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0690-6902","authenticated-orcid":false,"given":"Gabriela Herrera","family":"Espinosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3543-8726","authenticated-orcid":false,"given":"Robert M.","family":"Hodapp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"issue":"3","key":"6716_CR1","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/j.yfrne.2014.05.004","volume":"35","author":"M Altemus","year":"2014","unstructured":"Altemus, M., Sarvaiya, N., & Neill Epperson, C. 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