There Are 8 Key Autism Terms – It’s Time You Learned Them

Recent studies reveal that about 700,000 people in the UK are autistic, which works out as around one in every 100 people in the population. Research also indicates that the numbers could be twice as high, as there are so many people still undiagnosed.

With this in mind, Dr Selina Warlow, a clinical psychologist and owner of The Nook Neurodevelopmental Clinic, has shared a glossary of terms that give insights into some of the traits of autism, providing support when it comes to recognising symptoms.

She says: “Conversation around neurodiversity is becoming normalised, and that’s so positive to see.

“But the figures show a need for more awareness to help people identify whether they [are autistic], so they can start their assessment journey. Receiving a diagnosis can open access to expert resources that support autistic people to thrive in society.”

From masking to autistic burnout – a psychologist explains 8 traits of autism

Stimming (Self-Stimulatory Behaviour)

Stimming is a term that refers to repetitive movements or sounds often associated with autism to manage sensory overload. This includes rocking, tapping, hand-flapping and spinning”, explains Dr Warlow.

While these aren’t exclusive to autistic people, autistic people are more likely to use them as tools of self-regulation.

Masking is behaviour autistic people may use to hide their true characteristics to match those of neurotypical individuals”, says Dr Warlow.

“This could involve copying facial expressions, planning conversations in advance, or holding in ‘stimming’, for example swapping hand clapping, with playing with a pen.”

Autistic burnout

“Autistic burnout – being extremely tired both mentally and physically – can be associated with the act of ‘masking’ (concealing autistic behaviours) for a long period of time, or sensory or social overload.”

Dr Warlow shares that some of theymptoms of autistic burnout include withdrawal from social life, reduced performance, and increased sensitivity to certain stimuli.

Literal thinking

For some autistic people, language is always very literal, which can result in confusion with figures of speech, irony or indirect requests.

“For instance”, Dr Warlow adds, “being told to ‘pull your socks up’ might be understood literally, not as a motivational phrase, so using exact words may be more helpful during conversations.”

Assessment

Prior to diagnosis, a person showing signs of being autistic may choose to be assessed. This process can either happen through the NHS by visiting your GP or you can seek a private assessment.

Dr Warlow says that a diagnosis can be both “an emotional, but also empowering time”, while you learn about autism and adjust your lives to cater for its strengths and needs.

Hyperfocus

Hyperfocus is where an autistic person is able to focus intensely on an activity, and can become absorbed in it to the point of forgetting about the time. This is useful in work or hobbies but can result in neglect of other aspects of life such as food or rest.

Dr Warlow advises: “If it is possible to identify hyperfocus patterns, alarms can be used to help keep tasks moving.”

Special interests

Autistic people can have a particular interest which they find fascinating and dedicate lots of time to learning about. Special interests usually begin presenting in childhood but can also form as an adult. Special interests could include anything from dinosaurs or superheroes to hobbies like gardening.

Dr Warlow adds: “Chris Packham is an example of a person with autism who turned his childhood special interest in animals into a successful career, becoming one of the UK’s best-loved natural world TV presenters.”

Dr Warlow reveals that the term AuDHD – a combination of Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) – is gaining traction in the neurodiverse community, with over 12,000 monthly Google searches, 375,000 posts on TikTok and 172,000 hashtags on Instagram.

“Many autistic people also have ADHD, which can bring certain benefits and difficulties at the same time. While autism is characterised by a desire for sameness and a focus on details, ADHD is defined by impulsivity and difficulty focusing.”

If you think you may be autistic, speak to your GP for a referral.

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Is Self-Diagnosing ADHD From TikTok So Bad? I Asked A Psychotherapist

A recent headline about ADHD (attention deficit hyperactivity disorder), which more and more UK adults have received treatment for over the past couple of years, said the condition is being “wildly overdiagnosed”.

The article’s author adds the condition “has become a scam” because so many people say they have it.

Some worry that apps like TikTok are giving people misinformation that leads them to inaccurately “self-diagnose” the condition, too.

But, perhaps down in part to long and highly variable NHS ADHD assessment wait times, ADHD UK says roughly two million cases are still undiagnosed in the UK.

So, we spoke to psychotherapist and founder of Philadelphia Talk Therapy Matt Sosnowsky about what he thinks about the increase in diagnoses, including self-diagnosis, from social media videos.

Sosnowsky doesn’t think regular people are mental health experts, but that’s not always the point

Sosnowsky says that he works with people of all ages, and says “very few clients” have a professional-level understanding of mental health diagnoses.

But they are, he told us, “the authority on how they feel and what they’re experiencing – which is critical.”

“Perhaps surprisingly, I’m not against folks using media and social media to get a sense of what might be troubling them,” the therapist added.

After all, he points out, “Mental illness remains disproportionately unrecognised and underdiagnosed” (2024 research from the UK Longitudinal Household Study found 12 times as many people in the ‘undiagnosed distress’ category than those considered ‘overdiagnosed’).

“Further, many mental health issues are quite subtle,” Sosnowsky adds.

“Pure ‘O’ OCD, for example, involves constant mental checking – a version of OCD different from what we see in movies, and not dissimilar to regular old rumination. Yet, I’ve had clients suffer from this for decades with absolutely no idea that they had a very treatable diagnosis.

“If seeing your own struggles mirrored back to you in a TikTok video prompts one [person] to seek help, that’s a win to me.”

That’s not to say actual diagnoses should be left to non-professionals, though

“Of course, the devil is in the details and moderation is key,” Sosnowsky said.

He doesn’t, for instance, think identifying with a social media clip amounts to a formal diagnosis or anything like it.

“If you suspect you have a diagnosis, that’s your cue to get it checked out with a professional,” he told HuffPost UK.

“In the interim, avoid jumping to conclusions or catastrophising as neither is likely to give you good data or the help you need.”

That’s not to say you should ignore any signs of ADHD you think are worth exploring completely, he writes.

“Instead, consider doing some light-touch research from responsible sources to educate yourself.

“Not only will this empower you, but it will improve your ability to convey concrete symptoms to your future therapist or psychiatrist.”

Help and support:

  • Mind, open Monday to Friday, 9am-6pm on 0300 123 3393.
  • Samaritans offers a listening service which is open 24 hours a day, on 116 123 (UK and ROI – this number is FREE to call and will not appear on your phone bill).
  • CALM (the Campaign Against Living Miserably) offer a helpline open 5pm-midnight, 365 days a year, on 0800 58 58 58, and a webchat service.
  • The Mix is a free support service for people under 25. Call 0808 808 4994 or email help@themix.org.uk
  • Rethink Mental Illness offers practical help through its advice line which can be reached on 0808 801 0525 (Monday to Friday 10am-4pm). More info can be found on rethink.org.
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I’m An ADHD Assessor — These 2 Signs In Adults Show It’s ‘Not Just Disorganisation’

We’ve recently written at HuffPost UK about how to spot the signs of autism in adult women and young girls.

Autism diagnoses in the UK have risen; alongside that, more and more adults have received treatment for attention deficit hyperactivity disorder (ADHD).

Still, ADHD UK says over 80% of cases go undiagnosed. That’s partly because, a 2014 paper says, people often get treated for conditions associated with ADHD (like oppositional defiance disorder and depression), but not ADHD itself.

Additionally, ADHD “was, until recently, erroneously perceived as only present in young people, with little or no impact later in life,” according to a review of literature on the topic, despite persisting into adulthood in roughly a third to two-thirds of cases.

So, we reached out to Dr Mikki Lee Elembaby, a Manhattan-based psychologist from Clarity Therapy NYC, who specialises in autism and ADHD assessment, to find out how to tell “regular” disorganisation from ADHD in adults.

What are the signs?

It can be hard to draw a distinction between non-clinical disorganisation and ADHD, the expert told HuffPost UK, “because disorganisation can look different for different people and manifest differently in various areas of life”.

It may affect how tidy people’s homes are, how focused they can stay in conversation, how well they can stick to routines, and how often they lose things.

But two signs that distinguish one from the other, the psychologist told us, are:

1. Intensity

“One key sign to look for is the level of disorganisation,” Dr Elembaby advised.

“If it’s chronic and pervasive, meaning it persists despite your best efforts and significantly impacts your work, relationships, or daily life, it could be a sign of ADHD.”

2. Accompanying symptoms

Signs of ADHD may appear in disorganised people, the expert told us, but ADHD is “a pattern of persistent struggles with attention, impulse control, and self-regulation across multiple areas of life”.

That means it involves a series of concurrent symptoms, including:

  • Difficulty focusing or staying on task
  • Impulsivity (acting without thinking)
  • Poor time management
  • Forgetfulness
  • Hyperactivity.

“To meet the clinical criteria for ADHD, these symptoms must show up in multiple settings, like work, school, and home, and have been present before age 12 (even if they weren’t obvious at the time, especially in girls),” Dr Elembaby said.

What if I think I have ADHD?

The assessor says it’s time to speak to an expert if “your attentional challenges are negatively impacting your quality of life and if you are experiencing a pattern of difficulties with organisation and time management, attention and focus, impulse control, emotional regulation, or work, school, or home responsibilities”.

The NHS says your GP might refer you for an assessment if they think you have ADHD.

The health service adds that while ADHD diagnosis is trickier for adults because not all professionals agree on what counts as an adult case, they say that sometimes “an adult may be diagnosed with ADHD if they have 5 or more of the symptoms of inattentiveness, or 5 or more of hyperactivity and impulsiveness, listed in diagnostic criteria for children with ADHD”.

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People With Suspected ADHD Are Facing A Crisis In The UK

While the UK ADHD population is still grappling with ongoing medication shortages, new research from Mamedica has found that not only are the 2.6 million people diagnosed being left behind but a further 4.5 million Brits believe that they have undiagnosed ADHD.

Undiagnosed ADHD can come with a myriad of complications which leads to a reduction in quality of life for neurodivergent people. According to ADDitude Magazine, undiagnosed ADHD can lead to impulsivity, emotional instability ,and feelings of anger and worthlessness.

How long are NHS waiting lists for ADHD diagnosis?

Of course, throughout the UK, waiting list times differ but a report by ITV released in October found that in some areas of the UK, adults could be waiting up to 10 years for a diagnosis.

Speaking to ITV, a Department of Health and Social Care spokesperson said: “We know how vital it is to have timely diagnoses for ADHD, and we are committed to reducing diagnosis delays and improving access to support.”

Additionally, Sheffield magazine Now Then has reported that in the 12 months between June 2022 and June 2023, only 21 adults received an assessment from The Sheffield Adult Autism and Neurodevelopmental Service (SAANS), which resulted in nine diagnoses.

Now Then stated that with 5,481 service users on the waiting list at the end of the same period, with current assessment rates, it would take 261 years to get through the current waiting list.

How this crisis is affecting women

According to the ADHD Foundation, 50-75% of the women in the UK with ADHD are undiagnosed, and as a result may be experiencing poor health and socio-economic outcomes.

While awareness of ADHD in women and girls has improved in recent years, ADDitude Magazine warns that there is still a lot of information gaps with professionals such as teachers and gynaecologists.

They said: “We now know that fluctuating female hormones worsen ADHD symptoms, yet this important issue is largely neglected. Gynaecologists are not educated about ADHD; psychiatrists don’t study the effects of female hormones on the condition; and many females feel minimised and mistreated.”

How is the ADHD diagnosis crisis being tackled?

The shortage in medication has led to doctors in England being told to not prescribe new patients with ADHD medication but this is expected to be resolved by December. From there, it is up to individual health boards to tackle backlogs.

However, back in May of this year, MPs on the All Party Parliamentary Group (APPG) for Attention Deficit Hyperactivity Disorder (ADHD) called on the government to prioritise tackling NHS waiting lists to assess people who could have the disorder.

Tory MP James Sunderland, a vice chair on the APPG, said to PoliticsHome that he wants the government to “throw the kitchen sink” at tackling NHS backlogs relating to ADHD, particularly for school-aged children.

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I’m An ADHD Coach – Here Are The 3 Time Management Hacks I Swear By

Have you ever been told to ‘just try time management’? If you’ve got ADHD, it’s likely that you’ve tried every time management hack in the world, but none of them seem to work.

We often know what to do, we just can’t do it. Having a brain that only experiences time as ‘now’ or ‘not now’ can make it extremely difficult to plan ahead, organise our time, or prioritise our work. This is linked with the 30% developmental delay in executive functioning skills such as memory, self-awareness, and motivation – it is not your fault.

Having a Ferrari brain with bicycle brakes means that we might zoom ahead on the things we’re interested in, but crash into walls when we need to slow down. At work, this can be extremely difficult as we try to juggle endless competing demands.

As neurotypical solutions don’t work for neurodivergent brains, here’s 3 ADHD-friendly time management hacks to thrive at work:

1) Hack your interest based nervous system

People with ADHD have interest based nervous systems, which means we thrive off interest, adrenaline, and novelty. By understanding what interests you, and how you can incorporate gamification and fun into planning ahead, you can stay one step ahead of procrastination by planning ahead.

As an ADHD Coach, I’m constantly supporting clients to figure out the ways that work best for them to manage their time – from colour blocking their work in their calendar in advance and wearing watches, to setting up calendar reminders and arranging weekly body doubling sessions to focus on the things they don’t want to do. You can also never have too many clocks around you!

As we have a limited number of ‘spoons’ of energy, it’s also sensible to hack your days by doing something you don’t want to do first thing in the morning. For me, this is going to the gym – I incorporate my interest based nervous system by sleeping in my gym clothes and finding accountability buddies!

2) Turn marathons into sprints

As our brains are constantly seeking dopamine and stimulation, we can turn long term projects into sprints by incorporating artificial deadlines and accountability. It’s much easier to work with short term goals that feel immediate and urgent, which can be harnessed with regular 1:1 meetings and dopamine boosts such as positive feedback celebrating our ‘wins’.

For example, I break down long term objectives into three month goals. Setting short term priorities can help us to break these down further, such as by setting weekly or daily goals, and to share these with another person for accountability, checking in on how it went at the end of the day.

Instead of trying to do everything on your to do list, picking just one thing to get done can help you to get started, overcoming the common challenge of ADHD decision paralysis.

Having visual reminders of short term sprints can be highly effective and motivate us to get them done, such as by visualising our progress with trackers. This also helps us remember what to not do – if something isn’t one of our sprint goals, it’s a ‘not now’! Writing down distractions or ideas in a notebook enables us to return to these when we review our next set of sprints.

3) Ask for help

Asking for help at work may feel overwhelming for people with ADHD, but it’s important to remember that you deserve to be supported – and this helps everybody! One highly effective technique for time management at work is by asking your team to use a briefing document for new work.

This sets out in a shared document what a project will involve, breaking objectives into short term actions, and scheduling any check ins with colleagues as needed. In general, it can be very helpful to have written instructions for everything in the workplace, and to regularly ask your manager what you should prioritise and how you will know when a piece of work is complete.

Having additional check ins is a common reasonable adjustment employers can implement to help employees with ADHD to manage their time effectively. This could be with a colleague, or externally with an ADHD Coach, for example.

Ultimately, it’s important to have a foundation of psychological safety at work to empower you to feel safe enough to focus on the ‘not now’. Having colleagues who clearly set out expectations and support you to ‘do what you know’ empowers you to use your super whizzy brain within a structure of safety and support.

It might feel like we’re surviving from day to day, but creating an environment tailored to our brains can enable us to use these unique traits to thrive at work because of our ADHD, not in spite of it.

Leanne Maskell is an ADHD Coach, the Founder of ADHD Works, and author of new book ADHD Works at Work

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What It’s Really Like To Parent When You Have ADHD

ADHD is one of the most common neurodevelopmental disorders in children. According to the charity ADHD UK, it’s thought to impact around 3.62% of boys and 0.85% of girls between the ages of five and 15.

As a result, there’s a lot of helpful research and literature to guide parents who find themselves raising a child with ADHD. However, less is written about parents who themselves have ADHD.

The demographic certainly exists. In fact, while some children no longer display signs of ADHD as adults, it’s estimated that 3.5% of adults in the UK experience ADHD. A small study published in 2016 also found that, of 79 children with ADHD, 41% of their mothers and 51% of their fathers also had the disorder.

To shed some light on the experience of parenting with ADHD, HuffPost spoke to experts about the challenges that parents with ADHD face as they raise children while trying to manage their own symptoms.

ADHD is underdiagnosed in parents.

“Parents are absolutely under or misdiagnosed, as are many adults in general, because there’s still this misunderstanding that ADHD is a ‘kid’ disorder,” said Michigan-based psychotherapist and ADHD coach Terry Matlen, who herself is a parent with the disorder.

Although the perception has been shifting, we still have a long way to go in giving parents and other adults better access to evaluations and treatments. A number of factors contribute to this issue.

“Many ADHD symptoms overlap with the common experience of parenting,” said therapist Rachael Bloom, who practices in Los Angeles. “All parents talk about dealing with being distracted, overwhelmed, overstimulated, etc. Parents who in fact do meet the criteria for a clinical diagnosis of ADHD often talk themselves out of seeking a diagnosis by telling themselves that what they’re experiencing is normal.”

“The executive function challenges of ADHD and the tasks of parenting are like a double whammy, a setup for overwhelm.”

– Dr. Lidia Zylowska, author and psychiatrist

Someone who grew up in the ’80s, ’90s or earlier was less likely to get a proper diagnosis when they were a child than kids are today. So over time, parents with undiagnosed ADHD likely learned ways to compensate for their symptoms or make themselves seem more “normal” to others.

“A lot of adults have learned to ‘mask’ their ADHD symptoms and often function ‘well enough’ on the outside to have symptoms overlooked,” said Billy Roberts, a therapist at Focused Mind ADHD Counselling in Columbus, Ohio. “In addition, ADHD is challenging to diagnose in adulthood, especially if someone is seen by a provider who does not specialise in adult ADHD. Commonly occurring mental health conditions such as depression and anxiety can mimic symptoms of ADHD and often a thorough testing process is needed to confirm the diagnosis.”

As a result, it’s quite common for parents to receive an ADHD evaluation after their child is diagnosed, as they often recognise their own struggles in their kid’s experience.

Parents with ADHD often don't receive a diagnosis until their children are evaluated.

Catherine Ledner via Getty Images

Parents with ADHD often don’t receive a diagnosis until their children are evaluated.

Parents with ADHD may feel like they have to work harder to hold it all together.

“Adults with ADHD can struggle with planning, organisation, prioritising, and focusing in the moment,” Roberts said. “However, for most parents, they find that there isn’t a day that goes by in which they do not need to plan, organise, or problem-solve at a moment’s notice. Consequently, adults with ADHD often feel like they have to work ten times harder to ‘hold it all together,’ as they must compensate for the frustrating parts of ADHD.”

People with ADHD generally have problems with executive function ― the skills related to planning, organisation, time management, decision-making and all the other things it takes to get stuff done.

“As all parents know, having children means managing not just yourself but also your children, often with increased stress or sleep deprivation,” said Dr. Lidia Zylowska, a psychiatrist with the University of Minnesota Medical School and author of “Mindfulness Prescription for Adult ADHD.” “The executive function challenges of ADHD and the tasks of parenting are like a double whammy, a setup for overwhelm.”

In addition to feeling generally underwater, parents with ADHD may feel like they’re unable to pass on organisational skills to their children or teach other lessons.

“Parents tell me, ‘How in the world do I help my child if I can’t help myself?’” Matlen said. “That could include difficulties with their child getting homework done, paying attention in class, etc. The parents suffer the same problems but in a different setting. For example, a mom with ADHD may forget to sign her child’s permission slip for a field trip, while her child may forget to hand in homework.”

They may struggle with emotional regulation.

“The biggest challenge parents with ADHD face are challenges regulating their emotions,” said Cristina Louk, a clinical psychologist based in Washington state who also has ADHD.

She compared the experience to a snow globe. When your emotions run high, things are a bit like a snow globe that has been shaken.

“The image is hidden,” Louk explained. “You can’t see clearly. Things are cloudy. This is what it’s like for ADHDers to experience ‘overwhelm.’ When emotions are high, our brains get cloudy, we can’t see things clearly. This can be really challenging as a parent when we need to tend to our child who may be acting out or experiencing their own emotion dysregulation.”

Reaching this point of overwhelm means you struggle to be fully present and at full capacity. The situation is especially tough if you have a child with ADHD and you both experience this dysregulation at the same time.

“If the child is having a meltdown, the ADHD parent may lose patience quickly or join in the meltdown,” Matlen said. “Patience runs thin.”

“Many ADHD symptoms overlap with the common experience of parenting,” according to therapist Rachael Bloom, including feeling "distracted, overwhelmed, overstimulated, etc."

FG Trade via Getty Images

“Many ADHD symptoms overlap with the common experience of parenting,” according to therapist Rachael Bloom, including feeling “distracted, overwhelmed, overstimulated, etc.”

Sensory overload can be an issue.

“Another area where parents often struggle is sensory overload ― feeling overstimulated, ‘touched out’ ― experiences that are common for all parents, but the severity and impact on a parent with ADHD is much more significant,” Bloom said.

Researchers have started looking into the connection between sensory processing disorder and adults with ADHD. The conditions of living with children can present extra challenges to these adults.

“Many with ADHD are hypersensitive to noise and chaos,” Matlen said. “How does a parent with ADHD manage with a chaotic disorganised house with hyperactive, loud children?”

These struggles bring up feelings of guilt and shame.

“Parents often have a lot of guilt about how their ADHD impacts their children,” Bloom noted.

Being late to school drop-off or pick-up, forgetting to sign a field trip permission slip or otherwise not being organised can affect kids and make parents feel terrible.

“Parents with ADHD may find many aspects of parenting difficult and may not always meet the expectations of what ‘good parent’ is,” Zylowska said. “Such moments can bring up feelings of self-criticism, shame or blame for parents with ADHD and overall increase stress and negative emotions in the family.”

Parents with ADHD may have additional sleep challenges.

Parenthood isn’t typically associated with healthy sleep patterns, but ADHD can make it worse.

“Since I am a parent with ADHD of a now young adult child with ADHD, I can attest to the problems experienced in such families,” Matlen said. “I could write quite a bit about that, and my heart goes out to these families. It is exhausting, which brings me to another topic: sleep issues. We tend to see exhausted parents and children.”

Indeed, studies have suggested that adults with ADHD might be predisposed to sleep issues. They may have problems with the nerve pathways that regulate wakefulness and sleep-wake transitions or biological disruptions to their circadian rhythm. These issues can lead to trouble falling asleep, frequent waking in the night, difficulty waking up and other struggles.

Sleep issues are also common for parents with ADHD.

Davin G Photography via Getty Images

Sleep issues are also common for parents with ADHD.

Conflicts with partners might arise more frequently.

Parenthood presents a whole new set of obstacles for couples to navigate together. When one parent has ADHD, however, this new chapter can feel particularly complicated.

“Conflict over household responsibilities or different parenting styles can arise between the ADHD and the non-ADHD partner,” Zylowska said.

You may take different approaches that feel imbalanced or have trouble understanding your partner’s mindset at times. That’s why it’s extra important to have big conversations about parenting, your shared goals and values, and logistical approaches to raising children together.

Parents with ADHD aren’t always able to take their medication.

Many adults with ADHD have found that medication is an effective way to manage their symptoms and live a more well-balanced life. But this treatment generally isn’t an option for expectant parents.

“Most of that drugs that help people manage their ADHD are contraindicated for pregnancy and breastfeeding,” Bloom said. “So from the minute someone finds out that they’re pregnant, they have to stop taking the medication that they might’ve been on for years and figure out how to manage without any type of pharmacological intervention.”

If you suspect you have ADHD, here’s what to do.

“ADHD is a heritable condition. There is a 50% chance that one of the parents of a child with ADHD also has ADHD,” Louk said. “So, if your child was diagnosed, I would also consider getting an evaluation. I would also advise getting siblings evaluated.”

Even if your child doesn’t have ADHD, talk to your primary care physician if you suspect you might. Look at the signs of ADHD in adults and see how many feel familiar to you.

A full evaluation of your symptoms, family history and other relevant data, as well as psychological testing, can help lead to a diagnosis. And when it comes to ADHD, the diagnosis is a major step toward taking back control of your life.

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