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Share your dilemmas and get honest opinions from other Mumsnetters.

To find the growing narrative of over diagnosis (autism, adhd and mental health) upsetting and draining

1000 replies

Frazzlesforever · 06/04/2026 08:13

There seems to be a drip drip of press headlines and change in the conversation that too many people are getting diagnosed. And that some parents are being too pushy to get extra help or trying to get be benefits etc.

As the parent of a high masking autistic girl I had to push for diagnosis although the school just saw a highly compliant, quiet anxious child. My daughter is now extremely mentally unwell through not coping in school, has had to drop out of school missing her gcses, emergency CAMHs involvement - devastating for her and us.

She is exactly the type of child who would fall under the radar. Just an anxious child with over anxious parents. Apparently seeming to cope until she just couldn't. Surely if anything we need better understanding and support for these types of children not less. Otherwise we also risk kicking the problem down the road To severe problems in adulthood. - poor mental health/outcomes etc.

OP posts:
Thread gallery
22
x2boys · 06/04/2026 11:03

Monty36 · 06/04/2026 10:53

I wish I was.
Disability Living Allowance, Extra Universal Credit, Carers allowance.
Access to an allowance to pay for services for your child.
Sorry.

Thars bollocks ,DLA goes off NEED not diagnosis.

T0mat0andch33s3 · 06/04/2026 11:03

CostadiMar · 06/04/2026 11:01

I suspect my DH is somewhere on a spectrum, a loner with no friends with almost 0 communication skills, who hates small talk and works from home, but very successful in his nerdy technology field. He accepts he has some traits but refuses diagnosis.
Then there is my older DC, a hyperactive pre-teen. But because he is super-intelligent and in a way gifted with digital memory, he masks so well and is incredibly successful academically, the school has never had any concerns. We are not pursuing diagnosis, because he simply doesn't need it at the moment and he would start worrying too much if we started telling him that something is wrong.
And then there is my anxious 5-year old who needs reassurance in form of hugs that the school thinks is abnormal (prob. cultural difference as it is expected here for small kids to be rather restrained emotionally and very independent and brave), and although he learnt to read and write fine, he often refuses to do much formal work at the desk at school other than art & craft and feels best just playing with lego and watch Peppa-pig. School suggested he is autistic and are supporting him, but because of cultural differences (where I come from kids start school at 7 and formal work is not there at 5), I kind of try the wait and see approach to see whether he'd mature in a year or so.

I am now in my home country in EU where only 6% of kids are officially SEN vs. 20% in the UK and it's just because 1. school starts later and kids play freely more in early years, there is no academic pressure until later and kids are allowed to be kids 2. child's ND traits have to be really clear for the school to flag it .e.g. simply being hyperactive or quiet or throwing an occasional tantrum is accepted as normal child development/character difference 3. FAMILY VALUES culturally figures in authority (parents, teachers) must be respected (+ religious/conservative upbringing), so there is less misbehaviour 4. school day is shorter (4-5 hours a day) until age 12, so there is more time for kids to wind down BUT lots of academic pressure, regular tests, homework, etc. and parents closely monitor the progress and make sure the kid works hard 5. SOCIAL MEDIA - kids do use it but they are not as addicted as kids in the UK mainly due to cultural/parenting differences. Kids here have responsibilities at home, they regularly have to help out parents in housework/gardening/cooking, there is a huge hiking/biking culture and most of teens spend lots of active time outside, families are extended and close-knit so many weekends are spent at family parties or at family hikes in the woods or helping out at the farm or in the church. And from what I've seen in England at least kids/teenagers are not expected to do anything at home/for the family and they boast about it, 'if I don't want to do something, I don't do it, and they cannot force me'. They're rather rot in their beds with TikTok. Lastly, adults here don't spend so much time on SM themselves as other activities are considered more fun, people don't write long text-messages/emails as face-to-face contact is preferred.
Result - we don't have this explosion in MH issues in teenagers and definitely no diagnosis pursuing culture for now... but the state itself is not MH benefit-generous and parenting/culture is quite different.

Edited

ND only takes up a percentage of the 20% SEND.

neverbeenskiing · 06/04/2026 11:04

TheHouse · 06/04/2026 09:44

@x2boys

Some were going private. In my opinion they will absolutely get those diagnoses if they want them.

I have worked with several children who have been assessed privately for Autism/ADHD and told they did not meet the criteria for diagnosis.

It is a myth that if you want a diagnosis and go private you're guaranteed to get one.

Monty36 · 06/04/2026 11:06

T0mat0andch33s3 · 06/04/2026 11:02

That is ignorance and why women and girls have historically flown under the radar. We know better now but some don’t seem to like it.

Not ignorance, but observation from reading and posts.
I was talking about ADHD not autism. Which is quite different.

Soontobesingles · 06/04/2026 11:08

Frazzlesforever · 06/04/2026 08:13

There seems to be a drip drip of press headlines and change in the conversation that too many people are getting diagnosed. And that some parents are being too pushy to get extra help or trying to get be benefits etc.

As the parent of a high masking autistic girl I had to push for diagnosis although the school just saw a highly compliant, quiet anxious child. My daughter is now extremely mentally unwell through not coping in school, has had to drop out of school missing her gcses, emergency CAMHs involvement - devastating for her and us.

She is exactly the type of child who would fall under the radar. Just an anxious child with over anxious parents. Apparently seeming to cope until she just couldn't. Surely if anything we need better understanding and support for these types of children not less. Otherwise we also risk kicking the problem down the road To severe problems in adulthood. - poor mental health/outcomes etc.

There is a limited amount of money. The state cannot pay for everything. If hundreds and thousands of people are neurodiverse to the extent they need state help to one degree or another there will be no money to pay for anything else. We are already seeing this in local authorities where the spending on ECHPs massively outstrips budget. So it is an issue we need to grapple with: if more or less everybody is autistic/adhd these things are no longer disabilities but simply part of the spectrum of human experience we have to navigate.

In my view, the state is not primarily responsible for helping your daughter to manage her anxiety and thrive. Her parents are. I personally think that lumping anxious female teens into the autistic spectrum is doing nobody any favours - least of all the girls in question. These children have issues but they probably aren’t the same as what we previously understood autism to be, and so they need different solutions. I think the massive expansion of social media use that can be directly mapped onto an increase in ND diagnosis is where we should be finger pointing (and where we should be getting the money to address the mental health fallout).

RoyalImpatience · 06/04/2026 11:09

I really dislike this idea that it's pushy middle class parents getting these diagnoses and especially becsuee it's fashionable . Linked article actually said being Asperger's is a badge of honour because many people in history have had it.

Most people want easier lives and just getting on with it they don't went worries and struggles where there are non

x2boys · 06/04/2026 11:09

Monty36 · 06/04/2026 10:42

The sheer volume of children being diagnosed or waiting for an assessment suggests something is very wrong.
People on here and elsewhere diagnosing other peoples children who have never met based on things someone has written a sentence or two about.
Who is going to pay for all the services people want I am not quite sure.
Is this happening in every country ? I very much doubt it.
Problems do exist for some children. Some. Not most.

Yes people on here are always giving armchair diagnoses but that's not the same as hsving an actual diagnosis.

T0mat0andch33s3 · 06/04/2026 11:09

Monty36 · 06/04/2026 11:06

Not ignorance, but observation from reading and posts.
I was talking about ADHD not autism. Which is quite different.

Yes ignorance as the type of posts you’re reading clearly spread misinformation.

There is an overlap between ADHD and autism which can share similar traits. Many like my children and myself often have both so no not quite different.

I think you need to find a better place to read up on the subject.

Monty36 · 06/04/2026 11:14

T0mat0andch33s3 · 06/04/2026 11:09

Yes ignorance as the type of posts you’re reading clearly spread misinformation.

There is an overlap between ADHD and autism which can share similar traits. Many like my children and myself often have both so no not quite different.

I think you need to find a better place to read up on the subject.

I stand corrected !
The observations were from articles in the Times, Mumsnet etc when people described ADHD behaviours, and of course the internet.
All those who wrote such things should take note.

SuzyFandango · 06/04/2026 11:14

The problem with neurodiversity is that if ths diagnostic criteria keep broadening the way they have the last 20 years, an increasingly common range of behavioural traits get included. It becomes harder and harder to distinguish between "neurotypical" and "neurodiverse".

If everyone is "different"....no one is.

Human beings are by nature incredibly diverse & have to make many personal compromises for the benefits we gain through living in large groups. Its normal to struggle, normal to "mask" underlying feelings for social cohesion. Part of childrearing is training children to "fit in" and follow groups rules, socialising them to group behaviours that keep us safe, avoid conflicts, allow us to work collectively to survive difficult periods etc.

For me, the worry about the broadening of diagnostic criteria is the corresponding, rather unpleasant, narrowing of what we consider "normal".

x2boys · 06/04/2026 11:14

Soontobesingles · 06/04/2026 11:08

There is a limited amount of money. The state cannot pay for everything. If hundreds and thousands of people are neurodiverse to the extent they need state help to one degree or another there will be no money to pay for anything else. We are already seeing this in local authorities where the spending on ECHPs massively outstrips budget. So it is an issue we need to grapple with: if more or less everybody is autistic/adhd these things are no longer disabilities but simply part of the spectrum of human experience we have to navigate.

In my view, the state is not primarily responsible for helping your daughter to manage her anxiety and thrive. Her parents are. I personally think that lumping anxious female teens into the autistic spectrum is doing nobody any favours - least of all the girls in question. These children have issues but they probably aren’t the same as what we previously understood autism to be, and so they need different solutions. I think the massive expansion of social media use that can be directly mapped onto an increase in ND diagnosis is where we should be finger pointing (and where we should be getting the money to address the mental health fallout).

The state already limits whsts available
My son gets quite alot of support

He goes to a special school ,gets the highest rates of DLA ,gets respite including 4 overnight a month
But his disabilities are very complex and he needs a high level of support
This kind of support isnt available to most children with a diagnosis of autism.

T0mat0andch33s3 · 06/04/2026 11:20

Soontobesingles · 06/04/2026 11:08

There is a limited amount of money. The state cannot pay for everything. If hundreds and thousands of people are neurodiverse to the extent they need state help to one degree or another there will be no money to pay for anything else. We are already seeing this in local authorities where the spending on ECHPs massively outstrips budget. So it is an issue we need to grapple with: if more or less everybody is autistic/adhd these things are no longer disabilities but simply part of the spectrum of human experience we have to navigate.

In my view, the state is not primarily responsible for helping your daughter to manage her anxiety and thrive. Her parents are. I personally think that lumping anxious female teens into the autistic spectrum is doing nobody any favours - least of all the girls in question. These children have issues but they probably aren’t the same as what we previously understood autism to be, and so they need different solutions. I think the massive expansion of social media use that can be directly mapped onto an increase in ND diagnosis is where we should be finger pointing (and where we should be getting the money to address the mental health fallout).

Only 5% of children have an EHCP and only a third of those are ND.

And what the actual hell-

“In my view, the state is not primarily responsible for helping your daughter to manage her anxiety and thrive. Her parents are. I personally think that lumping anxious female teens into the autistic spectrum is doing nobody any favours - least of all the girls in question. These children have issues but they probably aren’t the same as what we previously understood autism to be, and so they need different solutions. I think the massive expansion of social media use that can be directly mapped onto an increase in ND diagnosis is where we should be finger pointing (and where we should be getting the money to address the mental health fallout).”

You don’t get an autism diagnosis for being an anxious teenage girl!!!

My dc’s MH struggles are not my fault. I’ve been told that by every professions I’ve met. Their ND which is massive and not just a bit of anxiety a parent can erase has caused their struggles the late diagnosis of which has caused the NHS so much more. Masking ND and all its difficulties doesn’t make it go away it makes difficulties worse.

The misogyny and ignorance as regards this subject is massive.

dizzydizzydizzy · 06/04/2026 11:22

Happytaytos · 06/04/2026 08:43

I don't think there's over diagnosis, however I do think there is over expectation for support. ND people aren't a new phenomenon (or if they are, we need to question why) so we need to look at coping mechanisms. People need to be taught how to support themselves (as far as possible, obviously non verbal etc this doesn't apply to). We have more information than ever, yet parents (in some cases) seem to put all responsibility on to school to support their child. I've seen parents in parks insist their child goes next on the swing because they're autistic, instead of modelling waiting and talking through why and how we wait. I know that's one minor example but the compound effect of modelling social stories etc would really help some.

I’m an autistic adult. I would really benefit from some support but as far as I am aware, there isn’t any - at least not affordable support.

tackytriceratops · 06/04/2026 11:23

From the article in the times about the interim review :

We need a system that is more proportionate, more responsive and less dependent on diagnosis alone. One that can offer support earlier, in a wider range of settings, and in ways that are aligned to need rather than determined by labels.

That does not mean abandoning diagnosis. For many people, it remains essential — for understanding, for treatment, for access to support. But it does mean being more precise about what diagnosis is for, and what it is not.

There is another, quieter issue that we must also confront. For all the progress we have made in raising awareness of mental health, we have not always been clear about what that awareness is for. We have encouraged people to recognise distress and seek help. We have been less clear about how to stay well, what different kinds of help are available, when clinical intervention is needed, and when other forms of support might be more effective.

MaidMiriam · 06/04/2026 11:23

dizzydizzydizzy · 06/04/2026 08:29

There is a fundamental misunderstanding here - (1) you can only get an autism or ADHD diagnosis if you have had difficulties all your life (2) intelligent girls and women in particular are excellent at hiding their difficulties.

I was diagnosed with autism in my mid 50s and ADHD in my late 50s. Everybody, even my close family, thinks I have been managing just fine but I haven’t been. For example, the autism in particular makes me very vulnerable to bullying and abuse because I don’t understand body language, can’t read between the lines etc.

An ADHD diagnosis comes with treatment, which has been amazing. And incidentally, falling estrogen levels that come with the menopause make ADHD worse because estrogen has some kind of involvement with dopamine activity in the brain.

@dizzydizzydizzy did you find that things improved post menopause? I have ADHD and autism diagnoses and I am having a terrible time with perimenopause. I feel like my battery is completely f*ed. Zero motivation.

tackytriceratops · 06/04/2026 11:25

One fun fact is that evidence has shown that the brain seeks more distractions when it is distracted. How do we make that into something that works for everyone; diagnosis or not?

Scarfitwere · 06/04/2026 11:25

Monty36 · 06/04/2026 10:53

I wish I was.
Disability Living Allowance, Extra Universal Credit, Carers allowance.
Access to an allowance to pay for services for your child.
Sorry.

Yep. The diagnosis may not get people extra money in itself but once the diagnosis is there, the rest follows and difficulties can be easily exaggerated.

T0mat0andch33s3 · 06/04/2026 11:27

Scarfitwere · 06/04/2026 11:25

Yep. The diagnosis may not get people extra money in itself but once the diagnosis is there, the rest follows and difficulties can be easily exaggerated.

No they can’t, you need proof.

x2boys · 06/04/2026 11:28

Scarfitwere · 06/04/2026 11:25

Yep. The diagnosis may not get people extra money in itself but once the diagnosis is there, the rest follows and difficulties can be easily exaggerated.

You need evidence to back up what you put on the form
And by evidence I mean proper evidence witnessed by professionals working with the child
Not just a Gp,s " mum says" letter.

Thechaseison71 · 06/04/2026 11:30

This reply has been deleted

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RudolphTheReindeer · 06/04/2026 11:34

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I assume you didn't read the part where op said she was diagnosed in her late fifties so very obviously had her children before her diagnosis in your keenness have a pop.

T0mat0andch33s3 · 06/04/2026 11:34

This reply has been deleted

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Wow so the disabled shouldn’t have children now.

A new low, even for MN.

LiviaDrusillaAugusta · 06/04/2026 11:34

This reply has been deleted

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Oh this is going to go down well..

Setting aside the attitude, how would PP know she had an issue when she had children given the fact she didn’t know she had it when she had children - one of the issues of late diagnosis.

Thechaseison71 · 06/04/2026 11:36

LiviaDrusillaAugusta · 06/04/2026 11:34

Oh this is going to go down well..

Setting aside the attitude, how would PP know she had an issue when she had children given the fact she didn’t know she had it when she had children - one of the issues of late diagnosis.

She says it had affected her whole life so obviously knew something was wrong. And child( ren) That suggests there's more than one.

dizzydizzydizzy · 06/04/2026 11:36

Soontobesingles · 06/04/2026 11:08

There is a limited amount of money. The state cannot pay for everything. If hundreds and thousands of people are neurodiverse to the extent they need state help to one degree or another there will be no money to pay for anything else. We are already seeing this in local authorities where the spending on ECHPs massively outstrips budget. So it is an issue we need to grapple with: if more or less everybody is autistic/adhd these things are no longer disabilities but simply part of the spectrum of human experience we have to navigate.

In my view, the state is not primarily responsible for helping your daughter to manage her anxiety and thrive. Her parents are. I personally think that lumping anxious female teens into the autistic spectrum is doing nobody any favours - least of all the girls in question. These children have issues but they probably aren’t the same as what we previously understood autism to be, and so they need different solutions. I think the massive expansion of social media use that can be directly mapped onto an increase in ND diagnosis is where we should be finger pointing (and where we should be getting the money to address the mental health fallout).

It may feel like it but it is not true to say that “nearly everybody” is autistic or has ADHD.

Both of them are extremely significant diagnoses, in the same that diabetes, asthma, heart disease or obesity are. I’m guessing you don’t think that the NHS should stop or limit its diagnoses in these areas.

Neurodivergence, especially when undiagnosed or untreated, usually has a significant outcome on many aspects of life. I have underperformed in my education, career and my ability to manage my finances. It has also impacted on my physical health - I am now too ill to work due to a chronic illness, which was caused by stress (partly the stress of living with neurodivergence).

it is a known fact that prisons have a very high proportion of people with ADHD and the same can be said of gambling, alcohol and drug addicts.

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