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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to wonder whether an autism diagnosis is always that helpful in milder cases?

381 replies

NCdoesexistno · 26/08/2025 11:48

Posting in AIBU for traffic. I know there are lots of discussions about general over-diagnosis of autism on mumsnet, but I'm wondering about the actual usefulness of a diagnosis for families (we're working out some issues in our family right now).

I completely understand that for many families, getting an autism diagnosis can be a huge relief, explaining behaviours, unlocking support, and help everyone understand their child better.

But it's diagnosed through a description of behaviours that are often very disparate (i.e. two children with the same diagnosis could present with entirely different signs). In those much milder cases, where autism is more of a catch-all for a cluster of behaviours, is the label always that useful?

I know these children still face challenges they’ll need to navigate and mitigate, and of course they deserve understanding and support. I just find myself questioning whether the diagnosis itself makes a material difference, or whether it can sometimes muddy the waters. For example, if a child is not sleeping, fussy about food, hugely emotional dysregulated, or having meltdowns, then even after a diagnosis of autism, they are still going to need to employ strategies to grow up to eventually sleep, eat, and navigate society (and if they don't, they'll still have the same problems, even if they/their parents can say 'oh - it's because they're autistic'). And these strategies can surely be employed without the diagnosis.

I can see that it might help parents to feel less guilty, or more understanding of their child, but given that EHCPs aren't going to be doled out here, what benefits does it bring? And in fact, in a few cases, I wonder if it might risk 1) creating a narrative about the child that they may start to imitate or feel boxed in by, and/or 2) stop parents from reflecting more deeply on their own behaviours, boundaries and expectations.

I genuinely wonder whether the private assessment industry is just a racket now. Backed up by the fact that it's statistically overwhelmingly wealthy, white, middle-class families doing this. I'm not talking about the very clear cases of autism.

I'm aware that many people will find this rude because (if this is indeed the case - I genuinely have no idea, that's why I'm asking the question) they are part of the group who like having a reason for their kids' behaviours. So that's not really a control group.

I'm looking for non-emotive answers as we try to navigate a family situation. So the 'Don't be so dismissive - our son didn't like vegetables and was having tantrums every night and hitting his brother. Now I know he is autistic, he might still be doing those things but I know why, so it must be true' doesn't help me. For context, we are looking to make a decision in our family about this.

YABU - Even in mild cases, there are material benefits attached to getting it labelled (in which case, what are these?)
YANBU - Lots of us have random neurodivergent traits that we have to navigte, and the culture of diagnosis and needing a catch-all 'reason' for everything has gone too far and isn't always helpful.

OP posts:
mamakoukla · 26/08/2025 12:11

A diagnosis offers a framework of understanding not an excuse for behaviour/s. While a person’s condition may externally appear mild, it tells you nothing of the impact on that person’s life. They don’t just hand out diagnoses; these are conditions which are negatively affecting someone’s day to day.

ExtraOnions · 26/08/2025 11:59

This reply has been deleted

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Slightyamusedandsilly · 26/08/2025 11:59

FurForksSake · 26/08/2025 11:55

To receive an autism diagnosis is not easy and even a “mild” case the traits will be having a severe impact on day to day life. Autism is a developmental disability it is not a catch all for normal childhood behaviours and preferences.

A diagnosis will give access to support and appropriate reasonable adjustments.

DEFINITELY!!!

Slightyamusedandsilly · 26/08/2025 11:57

Personally speaking, I think it helps explain some behaviours and has changed the way I respond to them. So rather than thinking DC is being difficult (which they definitely at times have the capability of being 😆) SOME behaviours now I can see are definitely as an alternate response/interpretation of a situation. They don't have the ability to empathise OR access their own feelings in the way I do, and as a result sometimes respond in a way that is generally seen as inappropriate. Which still requires managing (by me) BUT is more logical now.

I'm sure other people still just see it as bad behaviour but I can frame it differently now. AND try to teach them coping techniques.

FurForksSake · 26/08/2025 11:55

To receive an autism diagnosis is not easy and even a “mild” case the traits will be having a severe impact on day to day life. Autism is a developmental disability it is not a catch all for normal childhood behaviours and preferences.

A diagnosis will give access to support and appropriate reasonable adjustments.

BUMCHEESE · 26/08/2025 11:53

I don't think what you're saying is as clear cut as YABU or YANBU.

For every child who will be hugely helped by understanding their autistic self, there will probably be another for whom it's less helpful. I would say I know more in the former camp.

In my experience:

A diagnosis (ours via NHS) gets you listened to and taken seriously in certain circles. School seems to want to help more.

It also means any issues your child is dealing with could be dismissed as them being autistic.

For example mental health issues with GP - "it's really common for autistic children and people to say they want to kill themselves". Er, it's also more common for them to actually do it.