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Explain to me why you offence is caused by saying things like 'mildly autistic' etc.

727 replies

Purpleturtle45 · 07/02/2026 02:19

If ASD is a spectrum why do people commonly disagree that you can be mildly autistic or severely autistic etc.

My daughter is diagnosed with ASD, however you wouldn't really know unless you knew her well. She goes to mainstream school and copes well with everyday life most of the time so to me I would say she is mildly autistic but I often see people getting ripped to shreds on here for using that term.

Genuinely wondering how 'spectrum' can literally be in the title of the condition but people disagree there can be different severities.

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Shinygolden · 09/02/2026 18:00

Bluegreenhaze · 09/02/2026 17:52

I'm sorry, but I don't agree. I have mild/high functioning/ whatever you want to call it autism. I've had difficulties, including having to be home educated because I couldn't handle secondary school. But my difficulties are nothing compared to those of severely autistic people and their families. My best friend has a severely autistic child, and I wouldn't dream of pretending that my issues are anywhere near as serious as hers. She's in a few support groups and Facebook groups for autism, and she's had plenty of people who are autistic (or whose children are) but are able to do things like work, live independently, marry, have children, claim that they have things just as hard as her daughter.
My friend’s daughter will never be able to do any of those things. She'll need someone to look after her, 24 hours a day, every single day for the rest of her life. She cannot speak, do even basic self care, toilet herself.
Mild doesn't mean no issues, it means mild in comparison with severe. Distinguishing between severities isn't about insulting those of us with lower support needs. We need to do it to ensure that people who literally cannot survive without 24 hour care aren't ignored. Not everything is about us, and that's ok!

I agree with what you’re saying mostly @Bluegreenhaze, but a person can also be mild in some areas of functioning (eg high iq, no speech issues) yet be unable to attend school or college, or work or marry or live independently.

RawBloomers · 09/02/2026 17:58

Bluegreenhaze · 09/02/2026 17:56

Being able to talk does mean you are more mildly affected than someone who can't talk. I think as others have said we really need to bring back Aspergers or something similar. Or some other way of distinguishing.

Edited

Researchers are increasingly clear that Autism isn't one condition at all, but probably several, maybe many, that all have a big overlap in symptoms. So we will probably see some big changes to diagnoses in the coming years.

Bluegreenhaze · 09/02/2026 17:56

TigerRag · 09/02/2026 17:27

It's also ignorant to suggest that those of us who talk have it mildly

Being able to talk does mean you are more mildly affected than someone who can't talk. I think as others have said we really need to bring back Aspergers or something similar. Or some other way of distinguishing.

Bluegreenhaze · 09/02/2026 17:52

TheWordWomanIsTaken · 09/02/2026 17:11

It is ignorant, that is exactly the point.

There seems to be continual argument about severe and mild autism with the underlying implication that those with mild autism are not 'deserving' of the diagnosis.

Perhaps I am battle weary from fighting for my child throughout childhood. He isn't a bit 'quirky'. He has/had severe problems but would present 'mildly' to a lot of people. It completely undermines what we all went through as a family - especially him.

I'm sorry, but I don't agree. I have mild/high functioning/ whatever you want to call it autism. I've had difficulties, including having to be home educated because I couldn't handle secondary school. But my difficulties are nothing compared to those of severely autistic people and their families. My best friend has a severely autistic child, and I wouldn't dream of pretending that my issues are anywhere near as serious as hers. She's in a few support groups and Facebook groups for autism, and she's had plenty of people who are autistic (or whose children are) but are able to do things like work, live independently, marry, have children, claim that they have things just as hard as her daughter.
My friend’s daughter will never be able to do any of those things. She'll need someone to look after her, 24 hours a day, every single day for the rest of her life. She cannot speak, do even basic self care, toilet herself.
Mild doesn't mean no issues, it means mild in comparison with severe. Distinguishing between severities isn't about insulting those of us with lower support needs. We need to do it to ensure that people who literally cannot survive without 24 hour care aren't ignored. Not everything is about us, and that's ok!

Shinygolden · 09/02/2026 17:35

I am glad my DC hasn’t more severe problems even though I agree with pp that sometimes (often?) people underestimate the difficulties associated with the Asperger's type of autism. DC is unlikely to ever be able to live independently even though his speech and iq are not affected. He has gone through some horrific periods and every day is difficult for him.

You can be grateful and heartbroken at the same time I’ve found.

TigerRag · 09/02/2026 17:27

Bluegreenhaze · 09/02/2026 16:55

What an ignorant comment.

It's also ignorant to suggest that those of us who talk have it mildly

TheWordWomanIsTaken · 09/02/2026 17:11

Bluegreenhaze · 09/02/2026 16:55

What an ignorant comment.

It is ignorant, that is exactly the point.

There seems to be continual argument about severe and mild autism with the underlying implication that those with mild autism are not 'deserving' of the diagnosis.

Perhaps I am battle weary from fighting for my child throughout childhood. He isn't a bit 'quirky'. He has/had severe problems but would present 'mildly' to a lot of people. It completely undermines what we all went through as a family - especially him.

Bluegreenhaze · 09/02/2026 16:55

TheWordWomanIsTaken · 09/02/2026 16:52

As the parent of an adult child with what you would call 'mild' autism I'd say that it is only 'mild' to the observer.
I'm sick of those dealing with different presentations of autism frankly belittling how difficult life is for my adult child.
I'd counter argue that it is easier with 'severe' autism because the expectations of the individual to behave 'normally' are so much less.

What an ignorant comment.

TheWordWomanIsTaken · 09/02/2026 16:52

Thatsalineallright · 07/02/2026 04:33

There are of course milder and more severe forms of autism. It's the milder cases that have skyrocketed in recent years and many people seem to believe they are representative of all autism. They're forgetting the children who often remain non-verbal, incontinent, and socially cut off all the way into adulthood (and whose diagnosis rates have remained stable). They don't post on Instagram and tiktok so can easily be ignored.

As the parent of an adult child with what you would call 'mild' autism I'd say that it is only 'mild' to the observer.
I'm sick of those dealing with different presentations of autism frankly belittling how difficult life is for my adult child.
I'd counter argue that it is easier with 'severe' autism because the expectations of the individual to behave 'normally' are so much less.

Whatafustercluck · 09/02/2026 16:03

Widening the diagnostic criteria has helped a huge number of girls and women to finally have their difficulties recognised and understood better. Before now, many were misdiagnosed with GAD and eating disorders, which never really got to the bottom of why they were struggling so badly with their mental health - to the point where, undiagnosed, they're actually around 20 times more likely than their neurotypical peers to either attempt to or succeed in taking their own lives. Like many other aspects of healthcare, the female presentation was largely overlooked. Women and girls tend to internalise until they break.

Caring for a 'high functioning' (sorry) child in burnout is every bit as heartbreakingly debilitating as caring for a 'severely autistic' child. What differs is that the former is generally transient in nature requiring a lengthy period of recovery following nervous system collapse, whereas the latter is ever-present with no respite. The former is now a recognised presentation that enables better management/ support if diagnosed early enough.

99pwithaflake · 09/02/2026 15:41

Aliceband25 · 09/02/2026 14:38

I think we should bring back Asperger's syndrome, and just rename it to avoid the association with Hans Asperger. It seems like it would benefit everyone.

I absolutely agree with this. It would be much easier for everyone.

IndebtedtoTomNook · 09/02/2026 15:39

This reply has been withdrawn

This message has been withdrawn at the poster's request

Aliceband25 · 09/02/2026 14:38

I think we should bring back Asperger's syndrome, and just rename it to avoid the association with Hans Asperger. It seems like it would benefit everyone.

UnhappyHobbit · 09/02/2026 14:28

TheBlythe · 09/02/2026 13:49

That is why it is only an analogy

A very weak analogy which has potential to frustrate cancer victims.

TheBlythe · 09/02/2026 13:49

ScrollingLeaves · 09/02/2026 13:14

Cancer progresses and spreads though. The various sorts of autism are not diseases like the different sorts of cancer.

That is why it is only an analogy

ScrollingLeaves · 09/02/2026 13:28

I agree with pp about the dangers of using the word ‘mild’ especially if politicians use it.

I do think ‘Asperger’s Syndrome’ was taken perfectly seriously however as requiring special accomodations, and think it is a pity it has become a cancelled word.
The current extreme of presenting all autism as being the same will unfortunately eventually lead to extreme reactions dismissing this.

ScrollingLeaves · 09/02/2026 13:14

TheBlythe · 09/02/2026 09:03

It works because like autism cancer is not one condition - it is a whole number of different conditions with a specific feature in common.

Cancer progresses and spreads though. The various sorts of autism are not diseases like the different sorts of cancer.

Fearfulsaints · 09/02/2026 13:00

TheBlythe · 09/02/2026 12:40

No not to any disease - the point is cancer is not a single disease but a whole range of different diseases with a feature in common. So too are there a range of different conditions that have one symptom on common - autism.

If it helps I think it more like 'rash'. i think autism describes a set of symptoms not a cause. One day I suspect we will find different causes that result in autism and even find out which causes have better or worse outcomes.

I think we at the stage of noticing measles, chicken pox, scarlet fever and allergies and all cause a rash but not knowing any more than thst other than thinking that rash looks worse.

I know these are all different diseases and the rashes present different but to me thats what autism looks like all different things that lead to all different social communication, interaction needs plus restricted repetitive behaviour.

TheBlythe · 09/02/2026 12:40

UnhappyHobbit · 09/02/2026 09:52

By that logic, you could compare the autism spectrum to almost any disease, which shows why bringing cancer into it doesn’t actually add anything useful to the argument. Cancer isn’t uniquely comparable to autism, its just being used as a dramatic example, and that ends up confusing the issue rather than clarifying it.

No not to any disease - the point is cancer is not a single disease but a whole range of different diseases with a feature in common. So too are there a range of different conditions that have one symptom on common - autism.

UnhappyHobbit · 09/02/2026 09:52

TheBlythe · 09/02/2026 09:03

It works because like autism cancer is not one condition - it is a whole number of different conditions with a specific feature in common.

By that logic, you could compare the autism spectrum to almost any disease, which shows why bringing cancer into it doesn’t actually add anything useful to the argument. Cancer isn’t uniquely comparable to autism, its just being used as a dramatic example, and that ends up confusing the issue rather than clarifying it.

TheBlythe · 09/02/2026 09:03

UnhappyHobbit · 09/02/2026 08:33

I think comparing autism to cancer is a misleading analogy. Cancer is a disease that progresses in stages and can change over time with treatment. People can move up or down in stages depending on how their body responds. Autism doesn’t work like that at all. It’s a neurodevelopmental condition, not an illness with stages of progression or recovery. You don’t “move along” the autism spectrum in the same way you move through cancer stages.

using cancer as a comparison doesn’t just stretch the analogy, it actually risks reinforcing the wrong idea that autism is a disease that progresses or can be cured, which isn’t accurate.

It works because like autism cancer is not one condition - it is a whole number of different conditions with a specific feature in common.

UnhappyHobbit · 09/02/2026 08:33

99bottlesofkombucha · 07/02/2026 10:20

It can be the same thing. Just like you can be terminal with cancer or working and living life fairly normally with extra treatment for your low level cancer.

I think comparing autism to cancer is a misleading analogy. Cancer is a disease that progresses in stages and can change over time with treatment. People can move up or down in stages depending on how their body responds. Autism doesn’t work like that at all. It’s a neurodevelopmental condition, not an illness with stages of progression or recovery. You don’t “move along” the autism spectrum in the same way you move through cancer stages.

using cancer as a comparison doesn’t just stretch the analogy, it actually risks reinforcing the wrong idea that autism is a disease that progresses or can be cured, which isn’t accurate.

99pwithaflake · 09/02/2026 08:30

DifferentNameForQuestion · 09/02/2026 08:28

"The criteria were widened, to include milder presentations."

Exactly 💯

Mildly presenting is not the same as being mildly affected.

DifferentNameForQuestion · 09/02/2026 08:28

Peridoteage · 08/02/2026 15:50

I don't really get why people find it so controversial.

The diagnostic criteria were deliberately broadened in the DSM to scope in "milder cases" of autism that didn't previously meet threshholds for diagnosis - purportedly to enable those individuals better access to behavioural interventions/therapies. This is well known. It is not simply that "we are better at recognising and diagnosing autism". The criteria were widened, to include milder presentations.

However, thats quite an Ameri-centric approach driven by their insurance funded healthcare model, which theoretically has no limit on the supply of services. What is available will simply increase in respond to demand (albeit at a cost). Widening the scope of who will expect support also nicely increases the flow of profit to the huge healthcare industry.

"The criteria were widened, to include milder presentations."

Exactly 💯

XDownwiththissortofthingX · 08/02/2026 23:06

People like Einstein, Mozart, Bill Gates and Elon Musk are autistic. Not just a bit, but totally. You see it at first glance, there is no hiding it. It shapes all aspects of their lives

Curious how you, or anyone else alive can possibly see anything at first glance about Mozart, being that he's been dead and in the ground for the past 235 years. 😛

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