NEW YORK (AP) — Before Megan Pilatzke was diagnosed with autism, she wondered why she always felt drained when she got home from work.

All day long, she'd labored to understand when to speak up or stay silent in meetings. She replayed conversations in her head, worrying she'd misunderstood or said the wrong thing. Noisy environments distressed her. She watched her peers receive promotions when she didn't.

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