This work presents a structured first-person clinical account of prolonged psychological suffering in a twice-exceptional (2e) profile characterized by high cognitive ability, high masking, and late diagnosis of neurodivergence. The text integrates neuropsychological data, longitudinal self-observation, and a systematic review of relevant literature to examine the relationship between autistic masking, cognitive asymmetry, and chronic suicidal ideation. The central empirical datum is the abrupt cessation of a 23-year period of persistent suicidal ideation, temporally linked not to therapeutic intervention or formal diagnosis, but to a specific perceptual insight into the cognitive cost of masking. This observation motivates a distinction between reduction of masking and access to one’s own cognitive capacity as separate but correlated processes. The main hypothesis advanced is that, in high-masking 2e profiles, chronic suicidal ideation may be sustained not primarily by affective dysregulation, but by a persistent misattribution of suffering to intrinsic inadequacy rather than to structural incompatibility between cognitive architecture and environmental demands. The interruption of this misattribution—enabled by direct access to one’s own cognitive configuration—is proposed as the mechanism underlying the observed cessation of ideation. Methodologically, the work is situated at the intersection of phenomenology and empirical constraint, presenting what is defined as a structurally organized first-person account with externally falsifiable components. The text further examines the role of artificial intelligence as an auxiliary system for cognitive externalization and pattern detection, while explicitly delimiting its non-diagnostic function. The proposed model is intended as a preliminary framework, open to replication, refinement, or refutation in analogous cases.
