Girls with Asperger's Syndrome are less frequently diagnosed with Asperger's Syndrome than boys. When the symptoms are recognized in girls, less help is offered than with boys. The coping with such challenges is difficult in females. They have deficits in grasping social cues and challenges exist in finding, and maintaining employment. Loneliness is often a factor in females with Asperger's syndrome. Aspergirls received the 2010 Independent Publishers Group Gold Medal. The foreword is by Liane Holliday Willey who is herself an Aspergirl. She has written books on Asperger's syndrome. It has been translated into Dutch, Japanese, French and German. The German and English editions share the same cover art. The Dutch and Japanese editions have different covers.