Under-diagnosis of autism, and how should society accommodate autistic people?

A lot of new members post here asking if it's a good idea to get a diagnosis - I was one of them when I joined almost 9 years ago. A lot of us older people had no idea that we could be autistic, and so of course in adults it is under diagnosed. I found an NAS article which reports the results of a study which calculated an estimate of how many people are autistic in the UK - both diagnosed and not:

https://www.autism.org.uk/advice-and-guidance/professional-practice/under-diagnosis-of-autism-in-england

The results suggest that 1.2 million people in the UK are autistic. That's about the same amount as use wheelchairs. Businesses, organisations and employers install ramps, disabled toilets, etc, to assist people in wheelchairs and give them access and inclusion, which of course is the right thing to do. But what is done to assist autistic people? 

There is also a lot of discussion in the media recently about possible "over diagnosis" of autism. Why do people think this? Is it because they fear the cost of diagnoses will cause tax rises? I must admit that one of the reasons I haven't pursued a diagnosis is that I know the NHS has limited funds and as I don't need support I feel it's better for those limited resources to be used by those who do need a diagnosis (including those who need it for personal validation)

So, do we increase NHS funds and encourage all those who believe they are autistic to get a formal diagnosis, or would it be better to get society to make some small adjustments to make life more comfortable and accesible for everyone?

If you think society should change practices, what would make your life easier? (Or make it easier for your autistic family member, if you're a relative of an autistic person)

The first thing I would suggest is to stop shops playing music - I went into Superdrug yesterday where music was playing and became anxious and found it difficult to process what the pharmacist was saying - so I left and went to an independent pharmacy where no music was playing, and it was a much easier experience to get what I needed.

What else can organisations do?

Parents
  • Its not a good idea to go for one if you are uncertain. I mean if I imagine carrying on as was, would I know how I felt was due to autism or something else, probably not. There may the 'worried well' who also see having a test for ADHD and Autism as a must. But become the worried unwell. I think i have met many who have ADHD diagnosis and were probably high performing before and their tendency not to leave things where they are lead them to refer themself. Knowing really offers no solutions, maybe greater depth of understanding (which also needs fine tuning). I don't think the diagnostic (particularly late diagn.) was set out well to assist people. The amount of messages I have read here from panicking parents, or near suicidal late diagnosed is ridiculous which is why I am watching the news in July for changes in the law. What I have realised more than anything is how the lack of top level laws is being lfagrantly abused not to employ people or for ablist employers to misuse people.  

Reply
  • Its not a good idea to go for one if you are uncertain. I mean if I imagine carrying on as was, would I know how I felt was due to autism or something else, probably not. There may the 'worried well' who also see having a test for ADHD and Autism as a must. But become the worried unwell. I think i have met many who have ADHD diagnosis and were probably high performing before and their tendency not to leave things where they are lead them to refer themself. Knowing really offers no solutions, maybe greater depth of understanding (which also needs fine tuning). I don't think the diagnostic (particularly late diagn.) was set out well to assist people. The amount of messages I have read here from panicking parents, or near suicidal late diagnosed is ridiculous which is why I am watching the news in July for changes in the law. What I have realised more than anything is how the lack of top level laws is being lfagrantly abused not to employ people or for ablist employers to misuse people.  

Children
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