(image: Emily Katy)

Trigger warning: discussion of self harm/suicide attempts.

I was so excited when I saw my online friend Emily Katy’s brand new book coming out! Emily was one of the first reviewers of my book Bring Me to Light and had taken photos of her reading it with her dog and some horses :). I followed her on social media and saw that she was writing her own memoir on what it was like to live as a teenager with undiagnosed autism and mental ill health. This review is not gifted or sponsored- I just wanted to read Emily’s story.

I want to congratulate Emily and her team as this week it has become a Sunday Times Bestseller which is an incredible feat for any author, especially for their first book!

Emily says,

“Far too many autistic people – women and girls especially – fly under the radar, unseen and unsupported. Many of us reach crisis point and only then (if we are lucky) do we find out that we are autistic. I hope this book can add to the collection of autistic voices demanding change in how autism is understood and recognised”.

I bought this book because I wanted to understand what it was like to live as someone with autism undiagnosed and how that affected Emily’s overall mental health, leading her to be sectioned on a psychiatric unit as her health deteriorated. Although autism is not a mental illness and many see the positives living with a neurodiverse brain, it does impact on mental health, especially when it is undiagnosed by a system not set up to understand it in women.

To the outside world, Emily , who is from the UK like me, looks like a typical girl, with a normal family, living an ordinary life. But inside, Emily does not feel typical, and the older she gets, the more she realises that she is different. As she finally discovers when she is 16, Emily is autistic.

Girl Unmasked is the extraordinary story of how she got there – and how she very nearly didn’t. Still only 21, Emily, writes with startling candour about the years leading up to her diagnosis. How books and imagination became her refuge as she sought to escape the increasing anxiety and unbearable stresses of school life; how her OCD almost destroyed her; how a system which did not understand autism let her down; and how she came so close to the edge that she and her family thought she would never survive. We see how family and friends became her lifeline and how, post-diagnosis, Emily came to understand her authentic self and begin to turn her life around, eventually becoming a mental health nurse with a desire to help others where she herself had once been failed.

(image: Emily Katy)

Emily bravely navigates how being undiagnosed with her autism led to her struggling with OCD, anxiety, self harm and depression -which led to suicide attempts. Thankfully, once Emily was able to get a proper diagnosis of all her symptoms that felt right for her (autism and OCD), she found herself able to recover from her depression. In the book, Emily also discusses ways to help you if you are self harming or feeling suicidal. She talks about how being on a psychiatric unit was extremely distressing and as someone with autism, she found that things like loud noises, unpredictability, lack of normal routine or a schedule and new people coming, were just some of the things she struggled with. While at the unit, Emily was also misdiagnosed as having a personality disorder, as well as an anxiety disorder.

It is clear from reading this important book, that Emily feels one of the reasons she was misdiagnosed was because she was a girl. Autistic females tend to fly under the radar for longer due to assessment methods being developed for males, masking to try to fit in with others socially and their special interests being more socially accepted. As someone with bipolar, I have often been called ’emotional’ or ‘drama queen’ and Emily mentions these labels were given to her and other women with autism too. I found reading the lists of autism myths and facts really helpful to further my understanding.

What stands out to me in Girl Unmasked is Emily Katy’s courage. Not just in telling her own story of the perils of living with undiagnosed autism and how it impacted her mental health, but the fact that after surviving multiple self harm and suicide attempts and being sectioned on a psychiatric unit, she has now become a mental health nurse at just 21 (and now bestselling author) to help others. Emily has managed to move forward with her life and achieve huge things, despite living with the trauma she has faced and she has amazing friends and family too, who are there to support her.

I loved this book and read it in 2 days. Girl Unmasked is not an easy read – it is a meaningful, powerful real story of someone’s life. Please do read with care as it discusses mental health themes alongside autism. On the front of Emily’s book is a rainbow and to me that symbolises the hope with which she lives her life and is now bringing to others.

Girl Unmasked: How Uncovering My Autism Saved My Life is out now, published with Monoray.

Emily Katy, 21, lived as an undiagnosed autistic girl for nearly seventeen years. After completing her degree in 2022, she qualified as a mental health nurse. She has a large, highly engaged following on social media: @ItsEmilyKaty X (formerly Twitter) 68.4k followers, 21k Instagram followers and a blog www.authenticallyemily.uk, where she talks about autism and mental health. Emily is a Trustee of the charity ‘The Autistic Girls Network’