The Real Price of Pretending: What Masking Costs Your Brain, Your Work and Your Relationships

You've rehearsed the eye contact, flattened your voice, and run a quiet script through every meeting: sit still, nod, look normal. By the end of the day you look fine to everyone else and feel hollowed out. That tiredness has a name. Masking, the effort of suppressing natural neurodivergent traits to pass as neurotypical, is a second full-time cognitive job competing for the same circuits ADHD and autism already tax. This is the bill, explained.
What does masking actually do to your brain?
Masking, or camouflaging, is the conscious or unconscious suppression of stims and natural traits so you can blend in. It runs whenever other people are around, filtering and translating your responses in real time. Neuroscience calls what happens next dual-task interference: the natural operating system and the performance layer draw on the same prefrontal cortex, the region handling task initiation, working memory and emotional regulation. Working memory can hold only so much at once, and the performance layer leaves less room for the task in front of you. Joseph Kennedy, a neurodiversity advocate, estimates masking can consume 50% of a person's mental resources before any work begins. Ludmila Praslova describes neurodivergent masking at work as a taxing survival strategy. Pretend all day, and less is left over to start and finish your work.
How many people are masking at work, and what does it cost them?
The same pattern runs through entire workplaces. A 2024 Pearn Kandola survey of 600 neurodivergent UK workers found 63% have masked at work, suppressing emotions, discomfort or thoughts connected to their neurodivergence. The same survey found 42% are uncomfortable asking for reasonable adjustments, and 40% do not receive the adjustments they need. A June 2026 NEXT for AUTISM survey of more than 400 employed autistic US adults found 80% report masking and emotional exhaustion at work, even while 73% say they feel supported and respected. Just 49% disclosed to a manager, while 44% disclosed to HR, and manager trust strongly predicted whether people felt safe asking for support. People can feel supported and still be exhausted, which is the whole story in miniature. The mask makes asking for support harder, and Business Disability Forum's guidance links that hesitation to uneven support and delayed adjustments.
What does all this hidden labour cost the economy?
The hidden labour surfaces in national productivity figures. Canada loses an estimated $6 billion to $11 billion CAD a year in workplace productivity from ADHD alone, according to CADDAC, a figure HR Reporter has corroborated. In the US, excess annual ADHD productivity costs are estimated at $28.8 billion USD, split $19.9 billion among men and $8.9 billion among women, according to a PMC/NIH analysis. Masking is the undercounted driver: it conceals need and burns cognition before work starts, so the cost lands first on workers, then employers. These figures measure ADHD productivity loss generally, not masking-attributed dollars, which remain unquantified. Pretending is expensive, and the invoice is shared.
Why is your exhaustion a neurological cost, not a character flaw?
That bone-deep exhaustion after an ordinary day is the bill for running two cognitive programs at once. It is predictable output: the expected result of sustained cognitive load. Shane Thrapp draws the line: masking doesn't have to be built on shame; it can be authenticity when it comes from the right place. That is the difference between hiding your traits out of fear and presenting yourself on purpose. The cost is paid internally, in the prefrontal and executive-function resources your work also needs. The fix targets the load and the environment, which is why Great Place to Work links neurodivergent masking to burnout.
The person who looked fine while running on empty was paying for the performance in the currency the brain spends on starting, remembering and regulating. The cost is real, quantifiable and invisible to everyone but you. Once you ask what can be changed about the environment, the shame lifts. The exhaustion is a mechanism doing exactly what mechanisms do.
