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To think if ASD is costing the UK 32bn per year we need to better early screening?

237 replies

Pelot · 12/01/2025 19:21

Autism costs the UK 32bn a year. That's more than cancer, heart disease and stroke combined.

Yet we don't routinely screen all children and get them the services they need early enough. Often the system waits until a child is so unable to cope that they become disruptive in school that a referral is made. Often families don't realise (because no one tells them) that their child is displaying multiple red flags and that they will likely have higher care needs. Those families go on to have multiple affected children because they had no idea what the care needs of the first would be. Surely getting intervention and support sooner would be more cost effective and allow families a chance to be more fully informed when making decisions about subsequent children?

OP posts:
biscuitsandbooks · 12/01/2025 20:31

Blue278 · 12/01/2025 20:29

I often think about a man I managed years ago who very evidently had the form of autism that used to be known as Asperger’s. He struggled so hard but had managed with difficulty to stay in paid work until he was made redundant in his 50s.

He contacted me a few years later to say he’d now been diagnosed with Autism. There must be many like him who just weren’t aware so didn’t get the help they needed.

It is everywhere now. Two of my nephews. One niece. My son’s GF is diagnosed autistic but if she’d grown up when I did I doubt she would have been screened for it or able to get the help she needs. She thinks my son is autistic too and is encouraging him to look into it.

I think being diagnosed in your fifties is surprisingly common. I have two family members diagnosed at that kind of age - both of whom had managed successful careers but who struggled massively in other areas.

soupfiend · 12/01/2025 20:31

biscuitsandbooks · 12/01/2025 20:18

Yep - lots of people work and get diagnosed - it's very, very normal.

Being high-masking and high-functioning (on the surface at least) doesn't mean you don't qualify for a diagnosis of autism.

I know I was being sarcastic, I obviously missed the mark!!

Kuch3n · 12/01/2025 20:31

VivienneDelacroix · 12/01/2025 20:25

Being autistic, according to the diagnostic criteria is down to:

  • Persistent deficits in social communication/interaction and
  • Restricted, repetitive patterns of behavior
Sensory sensitivity can also be an additional part.

That's the criteria for diagnosis. I can function well in the world and yet have these three things. My diagnosis helps me to understand how best to manage my social communication deficits, restricted behaviours, and sensory sensitivities - so that I can function well in the world.

There is a threshold you need to meet and having persistent deficits in reciprocal social communication and social interaction
restricted, repetitive patterns of behaviour and symptoms causing clinically significant impairment in social, occupational, or other important areas of functioning to the extent you are significantly impacted in life to meet diagnosis criteria would mean you don’t function “well” in life- without support and adjustments .

CautiousLurker01 · 12/01/2025 20:33

Hmmm… my children have cost the taxpayer £0. Not for assessments, not for medication or therapy, not for their education (yep private education, so in fact SAVED them £7k x 8 years for each child)…

biscuitsandbooks · 12/01/2025 20:33

soupfiend · 12/01/2025 20:31

I know I was being sarcastic, I obviously missed the mark!!

I was agreeing with you, lol.

biscuitsandbooks · 12/01/2025 20:35

Kuch3n · 12/01/2025 20:31

There is a threshold you need to meet and having persistent deficits in reciprocal social communication and social interaction
restricted, repetitive patterns of behaviour and symptoms causing clinically significant impairment in social, occupational, or other important areas of functioning to the extent you are significantly impacted in life to meet diagnosis criteria would mean you don’t function “well” in life- without support and adjustments .

In the nicest way, you seem quite misinformed.

You can work, be "successful" in a career and still struggle with all the things on your list.

OffMyDahlias · 12/01/2025 20:37

Kuch3n · 12/01/2025 20:08

“someone with a job in accountancy who functions well in the world.“ wouldn’t get an autism diagnosis.Traits need to significantly impact life.

As someone who has worked in accountancy with at least 2 (that I know of) diagnosed adults, you’re ill informed. A lot of autistic people are very capable of functioning in an important or difficult job. There are many ways in which autism can impact people and it’s doesn’t always mean they can’t function well.

gamerchick · 12/01/2025 20:38

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

Blue278 · 12/01/2025 20:38

Think of all the people in history who likely had autism. In fact it’s suggested that most of the great scientists may have had it. It’s a type of being human that tends to produce extremes when ability is combined with single mindedness.

NattyTurtle59 · 12/01/2025 20:39

bradfordisdamned · 12/01/2025 19:45

Of course it's skyrocketed. Parents with autism who have children, are more likely to have kids who also have autism. How is this surprising?

To those of us who have been around a while I can assure you it is surprising. Where were all these people with autism when I was young?

Pookypook · 12/01/2025 20:40

Kuch3n · 12/01/2025 20:11

No you can’t, it needs to significantly impact life. Working does not mean you function well in the world.

This is absolute rubbish, as anyone who knows anything about autism will know. At least half the (diagnosed) autistic adults I’ve met are in work - FT as well as PT. Doesn’t mean we all “function well in the world” outside a safe, predictable routine.

Kuch3n · 12/01/2025 20:41

Pookypook · 12/01/2025 20:40

This is absolute rubbish, as anyone who knows anything about autism will know. At least half the (diagnosed) autistic adults I’ve met are in work - FT as well as PT. Doesn’t mean we all “function well in the world” outside a safe, predictable routine.

Which is exactly why being able to work doesn’t clarifying somebody as functioning well in the world.

Pookypook · 12/01/2025 20:42

NattyTurtle59 · 12/01/2025 20:39

To those of us who have been around a while I can assure you it is surprising. Where were all these people with autism when I was young?

Oh don’t worry, we were there 👋mostly struggling along unaided and/or misdiagnosed

soupfiend · 12/01/2025 20:42

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

Its not inherited, just to say

Its thought at the moment to be genetic. Thats not the same as inherited. This misunderstanding is quite widespread

Pelot · 12/01/2025 20:42

@CautiousLurker01 my point isn't about two specific kids..this is health economic data that goes across a massive group. But even in your case why did you pay for private? We've paid for private education because ours wouldn't cope in a state school with 30 kids. They wouldn't have gotten the social and emotional support they needed either. It's still a cost. Because I'm shouldering it privately doesn't make it an additional cost. It If I had NT kids I would have happily used the local primary school.

OP posts:
biscuitsandbooks · 12/01/2025 20:43

NattyTurtle59 · 12/01/2025 20:39

To those of us who have been around a while I can assure you it is surprising. Where were all these people with autism when I was young?

Many would have been medicated and sent to live in care facilities for the rest of their lives. Others would go to "special schools" and then stay at home indefinitely. The more "high functioning" would have just been seen as odd or weird or special.

Autism isn't new. It's always existed. It's just it was hidden from public view much more often in the past.

Pookypook · 12/01/2025 20:43

Kuch3n · 12/01/2025 20:41

Which is exactly why being able to work doesn’t clarifying somebody as functioning well in the world.

Apologies, I think I misread your post. I thought you were saying the reverse 🤦‍♀️

Kuch3n · 12/01/2025 20:44

biscuitsandbooks · 12/01/2025 20:35

In the nicest way, you seem quite misinformed.

You can work, be "successful" in a career and still struggle with all the things on your list.

Being successful in your career doesn’t mean you function well in life. I have family members who had seemingly “successful” careers however they absolutely couldn’t be described as functioning well in life.

Firefly1987 · 12/01/2025 20:47

bradfordisdamned · 12/01/2025 19:45

Of course it's skyrocketed. Parents with autism who have children, are more likely to have kids who also have autism. How is this surprising?

Considering autism is supposed to massively impact social relationships, it is a bit surprising that so many have no trouble with relationships and having children.

biscuitsandbooks · 12/01/2025 20:47

Kuch3n · 12/01/2025 20:44

Being successful in your career doesn’t mean you function well in life. I have family members who had seemingly “successful” careers however they absolutely couldn’t be described as functioning well in life.

How are we defining "functioning"?

Lots of people with autism go to work every single day and get through the week without any (visible) issues. But they then go home and melt down, or shutdown completely. On the surface, those people manage just fine.

Others can't cope with work and will melt down or get too overwhelmed to even make it through an hour or two in the work environment.

The former aren't necessarily coping any better than the latter, they just manage to keep the mask on for a bit longer, that's all.

SquirrelSoShiny · 12/01/2025 20:47

soupfiend · 12/01/2025 20:02

There is a growing openness now within childrens professionals that there isnt enough focus on attachment and trauma impacting on ASD like symptoms which then lead to a diagnosis. Also that the new way of describing ND as all one thing, when the reality is that there are children/adults with autism who are non verbal and non mobile and will never live independently, and the same diagnosis is used to apply to someone with a job in accountancy who functions well in the world.

It goes down like a bucket of sick for some reason on this forum but the reality is there is growing concern about that.

I agree 100% with this. But yes, get your flameproof suit out.

Pelot · 12/01/2025 20:48

@gamerchick That's not true at all. There's a lot of scientific literature to support that spacing DOES significantly impact the chance of a child being autistic. Perhaps educate yourself before being so rude.

This link is fairly easy to read but there are plenty of others and pubmed will give you lots of the articles.

autism.org/pregnancy-spacing-may-affect-odds-of-asd/

OP posts:
Pookypook · 12/01/2025 20:48

Firefly1987 · 12/01/2025 20:47

Considering autism is supposed to massively impact social relationships, it is a bit surprising that so many have no trouble with relationships and having children.

JFC, what a comment. Are you quite alright?!

dermalermalurd · 12/01/2025 20:48

There is a whole lot of uneducated nonsense on this thread.

biscuitsandbooks · 12/01/2025 20:49

Firefly1987 · 12/01/2025 20:47

Considering autism is supposed to massively impact social relationships, it is a bit surprising that so many have no trouble with relationships and having children.

Just because something impacts social relationships, doesn't mean you can't have a marriage and a family, though Confused

There's a reason why lots of ND people end up married to other ND people...