Autism with adults is rarely presented and very individual anyway. I like to see such issues like some wound. Sure you can continue your daily chores. But if you accidentally rub against it, it gets worse and worse. Eventually you need to make a longer break so it doesn't get infected like crazy.

The whole masking thing isn't about skill. (Like in the intro, the guy is in fact even outgoing at times...) It's rather that you need to run behavior with software instead of hardware acceleration. Possible but it sucks.

That being said, the whole thing with falling asleep at the desk is a tough manifestation. For me it's less drastic but gets me into problems in the long run.