ADHD and autism: we need better assessments, not more barriers.
I’ve been reflecting on the recent review suggesting that the country has reached a tipping point over ADHD and autism diagnoses, with concerns about potential misdiagnosis.
Let me be clear: accurate diagnosis matters. Assessments must be thorough, clinicians must be appropriately qualified, and nobody should be given an inaccurate diagnosis that leads to the wrong treatment.
But there is another side to this debate that must not be overlooked.
What about the people who have spent years struggling, being misunderstood, masking their difficulties and wondering why everyday things seem so much harder for them than for others?
What about those facing lengthy NHS waiting lists who turn to independent assessments because they desperately need answers, only to find that accessing a diagnosis and obtaining appropriate support can be two very different things?
We must not allow concerns about misdiagnosis to create an atmosphere of suspicion around everyone seeking an ADHD or autism assessment.
If there are problems with assessment standards, address them. If clinicians need better training, provide it. If people are being misdiagnosed, investigate why and improve the system.
But please do not lose sight of the people behind the statistics.
A diagnosis is not simply a label. For many people, it can provide an explanation for years of difficulties, help them understand themselves and open the door to appropriate support.
We must also recognise that people can have overlapping conditions and complex needs. The answer is not to assume that everyone seeking a diagnosis is correctly diagnosed, nor to assume that rising demand means people are being diagnosed unnecessarily. It is to ensure that every individual receives a thorough, evidence-based assessment.
The answer cannot simply be to make diagnosis harder to obtain. It must be to make assessments better, waiting times more reasonable and support more accessible.
Neurodivergent people already face enough misunderstanding, stigma and barriers to support. We should not add to that by making people afraid to seek an assessment or question whether their difficulties will be taken seriously.
Accuracy and compassion are not competing priorities. We need both.
Ultimately, this debate must be about getting the right assessment, the right understanding and the right support to the right people at the right time.
And crucially, we must listen to autistic and ADHD people themselves. Their voices and lived experiences must be central to this conversation, not an afterthought.
#ADHD #Autism #Neurodiversity #Neurodivergent #AutismAcceptance #ADHDAwareness #AutismAwareness #MentalHealthMatters #NHS #InclusiveSupport #ListenToNeurodivergentPeople