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We interviewed autistic adults about their perceptions of VC compared to other computer- mediated communications (CMC) and face-to-face interactions. We developed a neurodiversity-sensitive model of CMC that describes how stressors such as sensory sensitivities, cognitive load, and anxiety, contribute to their preferences for CMC channels. We learned that they apply significant effort to construct coping strategies to support their sensory, cognitive, and social needs. These strategies include moderating their sensory inputs, creating mental models of conversation partners, and attempting to mask their autism by adopting neurotypical behaviors. Without effective strategies, interviewees experience more stress, have less capacity to interpret verbal and non-verbal cues, and feel less empowered to participate. Our findings reveal critical needs for autistic users. We suggest design opportunities to support their ability to comfortably use VC, and in doing so, point the way towards making VC more comfortable for all.<\/jats:p>","DOI":"10.1145\/3359236","type":"journal-article","created":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T13:40:21Z","timestamp":1573220421000},"page":"1-29","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":87,"title":["Managing Stress"],"prefix":"10.1145","volume":"3","author":[{"given":"Annuska","family":"Zolyomi","sequence":"first","affiliation":[{"name":"University of Washington &amp; Microsoft Research, Redmond, WA, USA"}]},{"given":"Andrew","family":"Begel","sequence":"additional","affiliation":[{"name":"Microsoft Research, Redmond, WA, USA"}]},{"given":"Jennifer Frances","family":"Waldern","sequence":"additional","affiliation":[{"name":"Microsoft, Seattle, WA, USA"}]},{"given":"John","family":"Tang","sequence":"additional","affiliation":[{"name":"Microsoft Research, Mountain View, CA, USA"}]},{"given":"Michael","family":"Barnett","sequence":"additional","affiliation":[{"name":"Microsoft Research, Redmond, WA, USA"}]},{"given":"Edward","family":"Cutrell","sequence":"additional","affiliation":[{"name":"Microsoft Research, Redmond, WA, USA"}]},{"given":"Daniel","family":"McDuff","sequence":"additional","affiliation":[{"name":"Microsoft Research, Redmond, WA, USA"}]},{"given":"Sean","family":"Andrist","sequence":"additional","affiliation":[{"name":"Microsoft Research, Redmond, WA, USA"}]},{"given":"Meredith Ringel","family":"Morris","sequence":"additional","affiliation":[{"name":"Microsoft Research, Redmond, WA, USA"}]}],"member":"320","published-online":{"date-parts":[[2019,11,7]]},"reference":[{"key":"e_1_2_1_1_1","doi-asserted-by":"publisher","DOI":"10.1177\/1461444818755394"},{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.24251\/HICSS.2017.665"},{"key":"e_1_2_1_3_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","unstructured":"American Psychiatric Association . 2013. 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