Please or to access all these features

Feminism: Sex and gender discussions

Fonagy report due this week

66 replies

WarriorN · 21/09/2026 21:13

This is the government review into mental health, ADHD and autism for children in the U.K.

The interim report is here:

https://www.gov.uk/government/publications/independent-review-into-mental-health-conditions-adhd-and-autism-interim-report/independent-review-into-mental-health-conditions-adhd-and-autism-interim-report

bbc report here: https://www.bbc.co.uk/news/articles/cqzrz0z4plk1o?app-referrer=deep-link

There is a clip / interview on Facebook from bbc breakfast with him. I’ve attached the screenshot

This is relevant to this board as it sits alongside the Cass review and mirrors how there has been an explosion of teens referred to GD services in the past decade.

Young woman looks out of her bedroom window

Young people are not snowflakes, head of mental health review says

Speaking exclusively to the BBC, Prof Peter Fonagy says being young is much harder now than it was.

https://www.bbc.co.uk/news/articles/cqzrz0z4plk1o?app-referrer=deep-link

OP posts:
Thread gallery
8
DrBlackbird · 03/10/2026 10:51

Likewise I’d be concerned about asserting that those with dyslexia can overcome it. That someone can learn to read with the right kind of help is indisputable, but that reading takes longer, makes more demands on cognitive processing and working memory and remains a disability when working alongside those without dyslexia is clear. I see this at the university all the time. Highly intelligent but nevertheless still struggling students because of the pace of learning. No time for consolidation, no time to reread complex papers can leave these students feeling they’re falling behind.

And theres a reason why young people aren’t getting enough exercise or enough sleep. Young autistic/adhd people, more males but enough females, are gaming because it provides the stimulation those brains seek. Tech firms are happy to build ever more stimulating and addictive games and technology using neuroscience and A/B testing to keep them online and make £££.

Ultimately, I don’t have faith in this government or Burnham’s cabinet to make the necessary policy changes our children with send need.

ItsPeggyOlson · 03/10/2026 12:37

Thank you so much @DrBlackbird for the hypermobility resources - it is so kind of you to take the time to share these. Much appreciated.

StillSpartacus · 03/10/2026 12:42

WarriorN · 01/10/2026 09:10

I’m confused with this concept.

Are you suggesting that the anxiety is then treated with more drugs?

As anxiety is a very common side effect of these drugs.

It is also entirely possible to overcome anxiety with the right tools, teaching, learning, and support.

I also have taught many autistic children who simply aren’t anxious. They’re very autistic but it doesn’t bother them. They might find sounds too loud but simply walk about with fingers in their ears, until handed ear defenders (which shouldn’t be used all the time.) And a couple who only become anxious on adhd medication. (And I’m not completely against meds; I’ve seen it occasionally be utterly life changing. But only occasionally.)

The episode where Naomi discusses the autism diagnosis of the daughter of a woman who is dyslexic, who’s life’s work is around schizophrenia is very interesting.

i wasn’t aware that the discussion with this condition is one of drugs when needed and complete recovery for some. Not a life long diagnosis.

Similarly, her dyslexia has changed, she’s learned some things but can’t spell. So that element is life long. Not the other issues. At the same time, many children diagnosed with dyslexia can overcome it with the right combination of interventions and support. To the point now that programmes such as rwi say to just teach repeatedly in short fun ways to any child who’s just not picking it up. Some LA dyslexia services have closed.

In that episode they discuss what I knew 30 odd years ago, that some autistic children are able to progress so well with the correct interventions and supports that they wouldn’t pass a diagnosis as an adult. Apparently this is now sacrilege. And seems to also be the idea around adhd - in the past it was always a childhood condition.

Treatment for anxiety would usually begin with non-pharmacological therapy such as CBT, although for some children medication might be appropriate.

However my actual point is that for most children with ADHD and anxiety, medication doesn’t cause their anxiety. The anxiety was always there, but not necessarily picked up until they were calm enough for it to be noticeable.

DrBlackbird · 03/10/2026 13:08

StillSpartacus · 03/10/2026 12:42

Treatment for anxiety would usually begin with non-pharmacological therapy such as CBT, although for some children medication might be appropriate.

However my actual point is that for most children with ADHD and anxiety, medication doesn’t cause their anxiety. The anxiety was always there, but not necessarily picked up until they were calm enough for it to be noticeable.

I would agree with this. And I’d be sceptical that someone with adhd can engage sufficiently with CBT for it to make a difference. If only we could all experience the teaching methods used by Stephen Hawkins’ math teacher, I have no doubt we’d have far fewer struggling adhd/dyslexic students.

DrBlackbird · 03/10/2026 13:12

ItsPeggyOlson · 03/10/2026 12:37

Thank you so much @DrBlackbird for the hypermobility resources - it is so kind of you to take the time to share these. Much appreciated.

And of course there are different subsets of hypermobility, some quite serious so it’s good to get clarity with a formal assessment.

IME, GPs are pretty unaware of this condition as there’s even still dispute within the medical community as to the existence of EDS.

WarriorN · 07/10/2026 09:22

DrBlackbird · 03/10/2026 10:51

Likewise I’d be concerned about asserting that those with dyslexia can overcome it. That someone can learn to read with the right kind of help is indisputable, but that reading takes longer, makes more demands on cognitive processing and working memory and remains a disability when working alongside those without dyslexia is clear. I see this at the university all the time. Highly intelligent but nevertheless still struggling students because of the pace of learning. No time for consolidation, no time to reread complex papers can leave these students feeling they’re falling behind.

And theres a reason why young people aren’t getting enough exercise or enough sleep. Young autistic/adhd people, more males but enough females, are gaming because it provides the stimulation those brains seek. Tech firms are happy to build ever more stimulating and addictive games and technology using neuroscience and A/B testing to keep them online and make £££.

Ultimately, I don’t have faith in this government or Burnham’s cabinet to make the necessary policy changes our children with send need.

that’s the wrong way to frame it. It’s not overcoming.

Some children need to learn in a different way for longer to get to where most people are in reading, writing and maths. Some may not ever manage it but we can use technology and adjustments to support this. This is the approach taken in many (good) schools now for dyslexia, to the point where some children don’t need the diagnosis.

Just because many children CAN read and write and do mental maths at age 6 doesn’t mean they all can nor that really maybe they all should. As they’re not learning other skills such as organisational, emotional regulation, interpersonal relationships and gross physical things etc.

Because a capitalist society values literacy and numeracy above all others, that is how our exam and education system is structured.

OP posts:
WarriorN · 07/10/2026 09:25

The problem doesn’t lie solely in the child.

The system dictates what the child does and how they learn. The system is part of the problem.

all these diagnoses have fuzzy boundaries, the boundaries get re written but environmental factors feed into these boundaries.

these two recent episodes of dr Chris and xand explain it in more detail.

https://www.bbc.co.uk/sounds/play/m003242k?partner=uk.co.bbc&origin=share-mobile

What's Up Docs? - How can we better understand neurodiversity? - BBC Sounds

Drs Chris and Xand van Tulleken explore the conversation around neurodiversity.

https://www.bbc.co.uk/sounds/play/m003242k?partner=uk.co.bbc&origin=share-mobile

OP posts:
OP posts:
WarriorN · 07/10/2026 09:27

I have taught children in a send school (MLD) who have no clear “diagnosis” of any sort.

We still provide the best of what they need.

OP posts:
WarriorN · 07/10/2026 09:55

“Labels aren’t matching the needs.”

The later interview out of those two, around 16 mins in

OP posts:
Wishesandhorses · 07/10/2026 11:35

Really is what it needs to shift to. The diagnosis has its uses, but presenting needs are what should be met. Effectively. It's the 'diagnoses are rubbish now we can ignore the needs' spin and messaging that worries me. It would gel a bit too well with the EOTAS changes etc which are only about money and political beliefs, and not at all about children.

WarriorN · 09/10/2026 11:44

Yes I agree.

Report out today apparently.

The diagnoses are worth nothing without the right system to support it. That’s what’s fucked. But if the system was “right” maybe so many kids wouldn’t need the diagnosis ….

OP posts:
OP posts:
WarriorN · 09/10/2026 12:31

This is what I see over and over again.

Fonagy report due this week
OP posts:
BetweenTheThoughts · 15/10/2026 21:01

This review highlights the need to understand rising referrals while ensuring children receive timely, evidence-based assessments and appropriate individualised support.

Multibarpack · 16/10/2026 09:43

WarriorN · 09/10/2026 12:31

This is what I see over and over again.

Those with the greatest need are often least able to secure timely support

There is not much context in the picture itself but this statement is untrue. It is example of ignoring those who needs are actually greatest. Those with greatest needs DO get timely (though often inadequate) support because their needs are so great. A child with profound disability and high medical needs will have been receiving support from birth or they simply would no longer be alive. They will never receive a caution because they do not have capacity, nor the ability to do anything resulting in a caution.

Ignoring the group that actually have the greatest needs undermines the rest.

New posts on this thread. Refresh page