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Reflections on autism, neurodivergence, gender, sexuality, relationships, detransition, non-linear gender experiences, and gender-affirming care. These articles are written for queer, trans, autistic, and neurodivergent adults navigating identity, embodiment, autistic burnout, queer burnout, queer fatigue, minority stress, and the work of building more sustainable ways of living.


 

Bottom-Up Processing and Autism: Why the World Can Feel Like Too Much

Many autistic people describe the world as an intense, detailed, unpredictable or exhausting place to live. This can be hard to explain to others, especially when the situation does not look “that intense” from the outside.

A grocery store may not simply feel busy. It may feel like bright lights, humming refrigerators, music, overlapping conversations, carts moving unpredictably, labels everywhere, various smells, temperature changes, prices and products to analyse, decisions to make, navigating personal space while people move unpredictably around you, trying not to get too close to others while also feeling invaded when others move too close and the pressure to act “normal” while all of this is happening.

A social interaction may not simply be a conversation. It may involve words, tone, facial expression, pauses, timing, indirect meanings, social expectations, your own facial expression, your body language, the relationship context and the question of what is expected of you next.

One way to understand why everyday situations can feel so intense, effortful or hard to filter is through the idea of bottom-up processing in autism.

What is bottom-up processing?

Bottom-up processing means that information processing starts at the “bottom”: in the body, through the senses and through direct contact with the environment. The brain first attends to incoming information from the body and the outside world — what we might call interoception and exteroception. From there, information works its way “up” from sensory and body-based data toward the thinking and meaning-making parts of the brain: What am I noticing? What does this mean? What do I need to do with it?

Top-down processing works in the other direction. It starts with what the brain already knows, expects, remembers or assumes. The brain uses past experience and context to make a quick guess about what is happening.

Top-down processing is something like:

I have seen this before. I know what this probably means. I can fill in the gaps. I do not need to process every detail.

Everybody uses both bottom-up and top-down processing. Neither one is better or worse. We need both.

For example, imagine you walk into your kitchen and see a mug on the counter.

With top-down processing, your brain may quickly assume: “That’s my coffee mug. I probably left it there this morning.” You do not need to inspect every feature of the mug because your brain is using memory and context to understand the situation quickly.

With bottom-up processing, your brain may pay closer attention to the actual details: the mug is slightly closer to the edge than usual, there is still liquid in it, the handle is turned differently, there is a small crack and the counter is wet. These details may or may not matter, but they are noticed and take up processing bandwidth.

In many everyday situations, non-autistic people may rely more automatically on top-down shortcuts. Their brain may use context or expectations based on previous experiences to decide what can be ignored, what is familiar enough and what does not need much attention.

Some theories of autism suggest that autistic people may rely more heavily on bottom-up processing or may have less top-down filtering. This means that incoming sensory, bodily, social, emotional or environmental information may not be filtered out as automatically. Instead, more details may continue to register as relevant, increasing the amount of information the brain has to sort through.

This can make the world more vivid, more precise and more information-rich. It can also make the world more overwhelming and tiring.

Bottom-up processing and autism

When people talk about bottom-up processing and autism, they are often describing a style of sensory processing where details of the world may come in more clearly or intensely, rather than being quickly filtered out as background information.

This may include noticing:

  • small changes in someone’s tone

  • background sounds other people tune out

  • inconsistencies in rules or explanations

  • subtle changes in routine

  • patterns, errors or contradictions

  • textures, smells, lighting or movement

  • unclear expectations

  • shifts in someone’s mood or behaviour

  • bodily signals that are intense, but confusing or hard to interpret

This kind of sensory processing can be a strength. It can support deep analysis, pattern recognition, honesty, precision, creativity and the ability to notice what others miss.

But it can also create a high processing load and exhaustion.

If the brain is taking in many details at once and if those details are not automatically sorted into “important” and “not important,” the person may have to do much more conscious work to understand what is happening.

This is one reason autistics may need more clarity, more time, more predictability or more recovery time after situations that create a high processing load.

The brain as a prediction system

One helpful way to understand bottom-up processing and autism is to think of the brain as a prediction system. In simple terms, the brain is always predicting. It predicts what will happen next, what sensory information is likely to come in, what other people probably mean, what a situation requires and what will happen if we act in a certain way.

Then the brain compares its predictions with what actually happens. When reality matches the prediction, things feel easier. The brain does not have to work as hard. When reality does not match the prediction, the brain has to do an update.

For example:

You expect the room to be quiet, but there is a buzzing sound.

You expect someone to answer directly, but they respond vaguely.

You expect the appointment to start on time, but the schedule changes.

You expect a familiar food to taste one way, but the texture is different.

You expect a rule to apply, but suddenly there is an exception.

Each mismatch creates a need to re-process the situation. In everyday life, small mismatches happen all the time. A flexible prediction system can often soften them: “That does not matter,” “close enough,” “ignore it,” “that mismatch is insignificant,” “not worth updating.”

One model of autistic processing, called HIPPEA or High, Inflexible Precision of Prediction Errors in Autism, suggests that when something does not match what was expected, autistic processing may give that mismatch more weight and may have a harder time turning it down as unimportant.

In plain language: when something does not match what was expected, it may be harder for an autistic person to automatically shrug it off.

That does not mean autistic people cannot predict. It also does not mean autistic people are incapable of flexibility. It may mean that changes, ambiguity and inconsistencies come with a higher processing cost.

In everyday life, this means that an autistic person may not always be able to automatically say, “close enough, I can ignore this.” A small change, a vague expectation, a sensory shift or an unclear social cue may still register as information that needs to be processed.

This can help explain why predictability, routines, explicit rules and coherent explanations can matter so much. They are not simply preferences. They can reduce the amount of cognitive, sensory and executive work the person has to do.

Why small changes can feel big: less top-down filtering in autism

Another related idea is that autistic perception may involve less reliance on prior expectations. A prior expectation is what the brain already expects based on past experience.

For example, if you have walked into the same office many times, your brain builds expectations: how the room looks, where the chair is, how bright it is, what the interaction usually feels like and what kind of conversation happens there.

Those expectations help the brain process the situation quickly.

Some theories suggest that autistic perception may involve less reliance on these prior expectations. This means that incoming sensory information may be experienced more directly and more “raw,” rather than being automatically softened, filtered or smoothed over by what the brain already expects.

Another way to say this is that there may be less top-down filtering.

This can be useful. If the brain is less guided by expectation, it may notice what is actually there. It may detect patterns, changes, contradictions and details that others overlook.

But it can also be exhausting.

If prior experience does not automatically reduce the amount of information that needs to be processed, then familiar situations may still require effort. The brain may not simply say, “I know this already.” It may keep checking: Is this the same? What changed? Does the change matter? Is this detail relevant? What does this mean now?

This can help explain why “small changes” are not always small.

A change in plan, a different therapy room, an altered routine, a new form to fill out, a vague instruction or a slight shift in someone’s communication style may require real reprocessing.

Why predictability, routines and rules help

From the outside, autistic needs for routine, rules, predictability or explicit expectations are often misunderstood. They may be described as rigidity, anxiety, overthinking, controlling, resistance,or intolerance of change.

But from a bottom-up processing perspective, these supports make sense.

Predictability reduces the amount of new information the brain has to process. Routines reduce uncertainty. Explicit rules reduce guessing. Advance notice gives the brain time to update. Coherent explanations help the person understand why something is happening. Sensory accommodations reduce competing information. Environmental predictability lowers the number of unexpected inputs.

These are not simply preferences. They can be ways of reducing cognitive, sensory and executive load. They can also act as external scaffolding, reducing the labour of processing a large amount of incoming information.

If the world is constantly changing, unclear, noisy or inconsistent, an autistic person may have to keep reprocessing the situation from the ground up. That is tiring. It can affect communication, emotional regulation, task initiation, transitions and the capacity to stay present, available and connected.

Social exhaustion and bottom-up processing

Social interaction is one of the most prediction-heavy things humans do.

During a conversation, the brain may be tracking words, tone, facial expression, timing, body language, social norms, relational history, emotional subtext and what might happen next.

For many non-autistic people, some of this is processed quickly and automatically. Their brain fills in gaps using social expectations.

For many autistic people, social meaning may require more conscious processing.

The person may be asking:

  • What does that tone mean?

  • Was that literal?

  • Is there subtext?

  • Did something shift?

  • Am I supposed to respond now?

  • What is the rule in this situation?

  • What does this person expect from me?

  • Am I using the right facial expression?

  • Am I missing something?

This can make socializing feel like work, even when the autistic person likes people and wants connection.

Autistic sensory and social processing can lead to social exhaustion and dread. Because of this, an autistic person may want to minimize or avoid certain social situations. This is not the same as not wanting connection, lacking empathy or having an avoidant attachment style. It may come from a place of self-preservation.

At the same time, self-preservation does not have to mean avoiding social situations altogether. The goal is not to withdraw from connection, but to recognize that social interaction may cost more when you are autistic. From there, it becomes possible to be more discerning about when, where, how and with whom you spend your social energy.

Sensory overload and bottom-up processing

Sensory overload can also be understood through bottom-up processing.

If the brain is taking in many sensory details and cannot easily dismiss them as irrelevant, then the system can become overloaded. The issue may not be one sound, one light or one smell. It may be the accumulation.

Noise, lighting, texture, visual clutter, movement, temperature, smell, pain, hunger, fatigue and social demands may all compete for processing at the same time.

When this happens, executive functioning becomes harder.

It may become harder to speak, decide, plan, transition, remember, problem-solve or regulate emotion — not because the person is unwilling, but because the brain’s processing capacity is already being used.

This is why sensory accommodations can have such a significant impact. Reducing sensory load can free up capacity for everything else.

Stimming, sameness and predictability

Stimming and repetitive actions are often misunderstood.

From a predictive processing perspective, repetitive movement, familiar routines and sameness can help create predictability. They can act as a form of external scaffolding, giving the nervous system something stable, familiar, repeatable and sensorially reliable to organize around when the surrounding environment feels too uncertain or intense.

The person knows what will happen. They know how it will feel. They know the pattern. They know the outcome.

This can be regulating.

The strengths and costs of bottom-up processing in autism

Bottom-up processing in autism can come with real strengths:

  • strong attention to detail

  • detection of patterns, inconsistencies and contradictions

  • precision, depth and strong analytical thinking

  • ability to notice incoherence, unfairness or hidden assumptions

It can also come with real costs:

  • higher fatigue in ambiguous, noisy or unpredictable environments

  • sensory overload and social exhaustion

  • more reprocessing when plans change suddenly

  • being misread as rigid, anxious, resistant or overthinking

A neuro-affirming approach holds both sides.

It does not reduce autistic sensory processing to deficit. It also does not romanticize the cost of living in a world that is often too vague, too sensory-intensive and too dependent on unspoken expectations.

Bottom-up processing and autistic executive functioning

Bottom-up processing also helps explain some aspects of autistic executive functioning.

Executive functioning is often described in terms of planning, starting tasks, switching tasks organizing information, remembering steps and managing time. These are important, but they are not the whole picture.

For autistic people, executive functioning may also depend on how stable or unstable the situation feels.

If there are too many unclear variables, the brain may need to keep modelling and re-modelling what is happening. What is the task? What matters most? What are the rules? What changed? What is expected? What happens next? What does “done” mean?

When the predictive model is unstable, action can become harder.

This can look like procrastination, avoidance, indecision or resistance. But internally, the person may be trying to make the situation coherent enough to act. From this perspective, routines, rules, systems and coherent explanations are supports that reduce uncertainty and make action possible.

When routines are disrupted, rules are unclear, priorities shift without explanation or environments become sensory or socially unpredictable, the system may have to re-process the situation from the ground up.

That takes energy.

And when too much energy is spent on re-orientation, there may be less left for doing the task itself.

autism friendly therapy space

Why this matters in therapy

Understanding bottom-up processing and autism can change how we approach support.

When wondering “Why is there rigidity here?” we might ask, “What is unclear, unpredictable or too much right now?” Instead of treating routines as an issue of inflexibility, we might ask, “What stability does this routine provide?”

Instead of assuming someone is avoiding, we might ask, “How much processing load is this situation creating?”

Instead of pushing flexibility at all costs, we might ask, “What information or supports would make flexibility safer or more possible?”

For autistic adults, therapy can be a place to better understand these patterns, reduce shame, and build supports that honour autistic ways of processing. You can learn more about my approach to autism therapy.

The goal is not to make autistic people process the world in a non-autistic way. The goal is to reduce unnecessary load, increase clarity, honour sensory and cognitive differences and build a life with more coherence, self-trust and room to breathe.


References

Pellicano, E., & Burr, D. (2012). When the world becomes “too real”: A Bayesian explanation of autistic perception. Trends in Cognitive Sciences, 16(10), 504–510. https://doi.org/10.1016/j.tics.2012.08.009

Todorova, G. K., Mcbean Hatton, R. E., Sadique, S., & Pollick, F. E. (2024). The world is nuanced but pixelated: Autistic individuals’ perspective on HIPPEA. Autism, 28(2), 498–509. https://doi.org/10.1177/13623613231176714

Van de Cruys, S., Evers, K., Van der Hallen, R., Van Eylen, L., Boets, B., De-Wit, L., & Wagemans, J. (2014). Precise minds in uncertain worlds: Predictive coding in autism. Psychological Review, 121(4), 649–675. https://doi.org/10.1037/a0037665


 

Dr. Jesse Bossé, D.Ps., C.Psych, is a clinical psychologist offering virtual therapy for LGBT, queer, trans, neurodivergent and autistic adults in Ontario, Québec, New Brunswick and Nova Scotia. Their work focuses on gender identity, autism, relational patterns, burnout, boundaries and building more sustainable ways of living and connecting.