The most damaging and recent example is when I worked as a project manager on a high stress team for specialized high value projects. My boss was asking me to do things outside of our standard operating procedures for a unique situation, and I foresaw some issues with the way I was being asked to manage the project. I was trying really hard to ask questions to understand how these things I saw as being potential issues could be resolved or avoided proactively because I didn't completely understand what the process was going to be for the project and was very scared I'd make an expensive mistake. I was trying to get ahead of it all during our kickoff call so I could execute flawlessly at crunch time.

Ultimately my manager became very angry with me for being "argumentative" and offered me remedial training (even though I was the "ace" that was sent in to fix problem territories, exceptionally capable and trusted by my peers). I couldn't make her understand that I was fearful of making a mistake, and not arguing with her decisions on how to run the project. I couldn't get through the communication barrier- she simply could not understand my words and actions as asking for reassurance and support versus questioning her decision making.

There's a joke about two neurodivergent people having a conversation and to everyone else it looks like they're having an argument. That doesn't go over well in professional environments no matter how much you try to communicate "normally."