I think the individualised (dare I say neoliberal) nature of it can cause problems. With exams, as you are directly competing with other people based on results, it makes a material difference if you don't have time that others get. Of course some people will try to gain the advantage. It's a competition. We could approach things more collaboratively.
When I have needed to make changes at work, I have tried to make those changes for everyone, to improve everyone's working conditions. Instead of just carving out an exception for myself or burdening others, I've tried, where possible to make general changes. So I've negotiated to improve sickness policies for everyone when I've been offered an individual variation in contract, altered socialising policies, set up things like transcription services, live captioning, and so on.
I can't keep my physical disability private but I'm not "out" as autistic at work so unfortunately I have to sit through a lot (a LOT) of lectures by junior staffers on neurodiversity. They all (in one role 80% identified as ND) seem to have ADHD and mainly this comes up as, bluntly, weak reasons why they can't do their job and why someone else, someone less different and special, should do it instead. This approach doesn't seem to be helping anyone, just making everyone anxious and unproductive.
I have a really different perspective from the MN orthodoxy on autism and without imposing my own beliefs, where possible, I try to work with these staffers to unpick these ideas a bit. I find actually often they CAN do their actual job, they just have some issue with some particular method or process or expectation about HOW they do it, or how anyone does anything, and I try to help them see how to get away from these shoulds and oughts and just focus on outcomes.
They may well have this diagnosis or that, but really what is important is: what is the goal, what resources do they need to achieve it, and how can we do that as efficiently as possible. If something is a blocker, let's get rid of it. If something is pointlessly hard, let's stop doing it. Let's make it easier for everyone, because work is hard enough and any energy wasted on this stuff is just friction, pointless drag.