Last updated 27 October 2026 · 8 min read · By Sarah M., Support Coordinator
In short
Is autism genetic? Genes play a large part in autism, and it can run in families, but genes are not the whole story. This guide covers heredity, twins, chromosomes, the MTHFR gene and where to get reliable answers in Australia. For the basics, see our autism definition guide.
Key points
Autism often runs in families, and the Autism Association of Australia estimates the chance of having another autistic child at around 1 in 5.
One large study found 77% concordance in identical twins, so genes matter a lot, but identical twins are not always both autistic.
Single gene results you read about online, such as MTHFR, cannot diagnose autism on their own.
A family that wants answers about genes can talk to their GP, who can explain whether a referral to a paediatrician or genetics service makes sense.
Is autism genetic? At a glance
Is autism genetic?
Genes strongly influence autism, but genes alone do not explain every case
Chance of another autistic child
Estimated at around 1 in 5 (Autism Association of Australia)
Identical twins
One large study found 77% concordance
Who can help with genetic questions
Your GP, who can talk about a referral to a paediatrician or genetics service
Free helpline
Autism Connect on 1300 308 699, 8am to 7pm Monday to Friday
Is autism genetic or hereditary?
Families often ask whether autism is inherited. Genes are a big part of the picture, and the figures below come from the Autism Association of Australia (Autism Association of Australia).
Question
What the evidence says
Can autism be hereditary?
Yes. Autism can run in families, and the chance of having another autistic child is estimated to be around 1 in 5.
Is ASD hereditary?
ASD (autism spectrum disorder) is the clinical name for autism, so the same answer applies: genes play a large part.
What about identical twins?
One large study found 77% concordance in identical twins, meaning that in most pairs studied, when one twin was autistic the other was too.
Is autism only genetic?
No. Identical twins share the same genes, yet in that study they were not always both autistic.
Our guide to what causes autism looks at the wider question of causes and what is still being studied.
Is autism genetic if it is passed down in families?
Autism can be passed down in families, but a family pattern does not let anyone predict whether a particular child will be autistic. A specialist is the right person to explain what a family history means for you.
Can autism be passed down genetically? Genes play a large part, which is why the chance of another autistic child in the same family is estimated at around 1 in 5.
Is autism genetically inherited every time? No. Around 1 in 5 is an estimate of chance, not a certainty, and genes do not explain every case.
Siblings: brothers and sisters may be alike or quite different, and each person’s strengths and support needs should be understood on their own terms.
Adults wondering about themselves: if you recognise autistic traits in yourself, your GP can talk with you about an adult assessment.
If you are an adult asking this question, our guide on autism and neurodiversity explains how families can think about difference.
Is there an autism gene? Chromosomes, X and MTHFR
You may read about one particular gene or chromosome being linked to autism. These names come up often online, so here is how to read them carefully.
Is there an autism gene? The evidence points to genes having a strong influence overall, rather than one gene that explains autism for everyone.
Chromosome 15 and the X chromosome: you may see claims about these, and a genetics service can explain whether any finding applies to your family.
MTHFR gene mutation and autism: online articles link MTHFR to autism, but a test result on its own cannot diagnose autism or tell you what supports to use.
Genetic testing: ask your GP or paediatrician whether testing is relevant for your family, and what a result could and could not tell you.
Cautions: be wary of supplements or treatments sold on the basis of a gene result, and speak to your GP before changing anything.
Looking for NDIS support at home?
TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.
Many autistic people and families do not think of autism as a disease. They describe it as a different way of experiencing the world, with strengths as well as support needs.
Genetic disease: this phrase suggests an illness that needs treating, and many autistic people feel it does not describe their lives.
Genetic condition: if a family has been told about a separate genetic condition, a specialist can explain how it relates to autism for that person.
Other factors: because genes do not explain everything, other influences are still being studied, and our causes guide covers what is known.
Is autism genetic when other conditions run in families?
Doctors often ask about family history during an assessment, including other conditions in the family.
ADHD: the Australian ADHD Guideline found children and adolescents with autism have a significantly higher risk of ADHD (AADPA). Read about whether ADHD is hereditary or genetic.
ADHD in families: the same guideline says ADHD is highly heritable in children and adults, with heritability estimated at 70–80% (AADPA).
Epilepsy: the guideline also lists epilepsy among the groups with a higher risk of ADHD, and our guide explains whether epilepsy can be genetic.
Telling the doctor: mention any autism, ADHD, epilepsy or other diagnoses in the family so the assessment has the full picture.
How to find out more about autism and genetics in Australia
If you want to explore the question for your family, these steps are a sensible path.
1Write down your family history. List relatives with autism, ADHD, epilepsy, learning differences or developmental concerns so the doctor has the full picture.
2Book a GP appointment. Ask whether a referral to a paediatrician or genetics service makes sense for your situation.
3Ask what a test could change. Find out whether results would affect your child’s care, supports or planning before you decide.
4See a genetic counsellor if offered. A counsellor can explain what findings mean for you, your children and extended family.
5Call Autism Connect. Autism Connect on 1300 308 699 is a free, national autism helpline, open 8am to 7pm Monday to Friday (Amaze).
When to talk to a GP or specialist
You do not have to wait for certainty before you ask for support. These are good reasons to make an appointment.
A child has differences in speech, play, eye contact or sensory reactions that you want to understand better.
Autism, epilepsy or a genetic condition runs in your family and you are planning a pregnancy or have concerns about a child.
A child has lost skills they previously had, such as speech or social interest, and you want to have this checked.
You have seen a genetic test or supplement advertised for autism and want independent advice before spending money.
You are an adult who recognises autistic traits in yourself and want to explore assessment.
Call 000 in an emergency.
Looking for NDIS support at home?
TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.
Whatever the cause, support depends on what a person needs day to day. TQN Care provides support workers for personal care, community access, respite and help around the home, and we work with families to match support to routines and goals. Browse our TQN Care NDIS services, or read our guide to NDIS funding for autism to see how plans work if you meet the NDIS access requirements.
SM
Sarah M., Support CoordinatorTQN Care is a registered NDIS provider supporting people across Sydney, Melbourne and surrounding areas (NSW & VIC).
Common questions
FAQs about autism and genetics
Where does autism come from? +
Genes play a large part in autism, which is why it often runs in families. Genes do not explain everything, though, because identical twins in one large study were not always both autistic. Other influences are still being studied, and a GP or paediatrician can talk about your family.
Is autism passed down, and is autism genetic? +
Autism can be passed down in families, so genes clearly matter. The Autism Association of Australia estimates the chance of having another autistic child at around 1 in 5. That figure is an estimate of chance, not a prediction for any one child, and a GP can talk with you about your family.
Is autism always genetic? +
Genes have a strong influence, but they do not explain everything. Even identical twins, who share the same genes, are not always both autistic: one large study found 77% concordance. A GP or genetic counsellor can talk about your own situation and what testing can offer.
Is autism a genetic mutation? +
Autism is not described as one single mutation that applies to everyone, and a genetic result does not diagnose autism by itself. If your family has been given a genetic test result, a paediatrician or genetic counsellor can explain what it means for you and your child.