Looking for advice after difficult Occupational Health experience (autism)

Hi everyone,

I’m new to this group and also neurodivergent myself, so I hope it’s okay to ask for some advice.

My husband was recently diagnosed as autistic, and today he had an Occupational Health appointment related to long-term sickness (stress, anxiety, autistic burnout, migraines). I’m honestly quite shaken by how the appointment was handled. The OH GP’s communication felt very rigid and procedural, with little awareness of how overwhelming this kind of interaction can be for an autistic person.

During the appointment, my husband clearly explained that he is autistic, unwell, and struggling. When he asked why he wasn’t being helped, he was told things along the lines of “that’s not my role” and “this is just part of the process”. At other points, he was repeatedly asked “do you understand?” in a way that felt patronising rather than supportive, especially when he was clearly distressed and trying to explain himself.

There was a strong focus on paperwork, consent, and closing things off, but very little discussion about actual support, reasonable adjustments, or how he might realistically be helped to return to work. He came away confused, shut down, and feeling that his autism and vulnerability had not been properly recognised at all.

I’m trying to work out the safest way to respond. I’d really appreciate hearing from others who’ve been in similar situations:

  • How do you challenge this kind of interaction without making things harder for the autistic person involved?

It was genuinely very difficult to listen to, and I want to make sure our next steps protect my husband rather than add to the trauma.

Thank you so much for reading and for any advice or shared experiences.

Thanks,

ava

Parents
  • Have you received a written report from OH? If not request one. It will detail the advice the OH has given to your employer. If you are still not satisfied request a follow up appointment to explain the issues. 

    Might be a good idea to write a list of issues to discuss.

    I have found my experience with OH to be generally supportive but my employer did not follow the advice given, but that is another story.

  • Hi Mr T and thanks for your reply. He did receive the report yesterday, but unfortunately it’s still full of inaccuracies. This was actually his second appointment because he kept asking for his own words to be recorded. He even brought a list of issues, but the OH clinician wouldn’t let him speak and shut him down. A formal complaint is our next step I guess.

Reply
  • Hi Mr T and thanks for your reply. He did receive the report yesterday, but unfortunately it’s still full of inaccuracies. This was actually his second appointment because he kept asking for his own words to be recorded. He even brought a list of issues, but the OH clinician wouldn’t let him speak and shut him down. A formal complaint is our next step I guess.

Children
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