These are the questions I am asked most often, by Autistic people, by parents and carers, and by the professionals who work with us. The answers are short on purpose and each one points to a fuller guide. They come from lived experience as an Autistic ADHD adult and parent, twenty years of teaching, and the research and community that shape my work. They are not medical advice. If you need help now, go straight to support and crisis lines.
Understanding autism and neurodivergence
What is autism?
Autism is a neurotype: a way of thinking, sensing, communicating and relating that is different from the majority. People are either born Autistic or they aren’t; it is not an illness, and it is not something that needs fixing. Many Autistic people find that monotropism, a theory developed by Autistic people, describes it best: attention that goes deep into a few things at a time rather than spreading thinly across many. Everything else, from deep interests to sensory intensity to the cost of interruptions, follows from that. My post Autism is fluid says the rest.
What does neurodivergent mean, and is it the same as Autistic?
Neurodivergent is the umbrella word for anyone whose bodymind diverges from what society treats as typical: Autistic, ADHD, dyslexic, dyspraxic, Tourette’s, OCD and many more. All Autistic people are neurodivergent, but not all neurodivergent people are Autistic. What does neurodivergent mean? is a plain-language guide to the word, who it includes and what it is not.
Is autism a disorder, a disability or a difference?
A difference, and often a disability too. Those are not opposites. The social model of disability says much of what disables Autistic people is the mismatch between our needs and environments never designed with us in mind, so support means changing environments and expectations, not people. Naming yourself as disabled is how you access support, adjustments and community, and nothing to be ashamed of. I do not use the word disorder.
Why do you write Autistic with a capital A?
For the same reason the Deaf community capitalises Deaf: it marks an identity and a culture rather than a medical label. I use identity-first language (an Autistic person, not ‘a person with autism’) because that is what most Autistic adults ask for, and because autism is not something we carry around separately from ourselves. My neuro-affirming glossary explains the words used across this site.
Can you be Autistic without a diagnosis?
Yes. Diagnosis is a gateway to some kinds of support, not a test of whether you are Autistic. Waiting lists run to years, assessments are built around a narrow, often male and child-centred picture, and many adults, women, people of colour and anyone who learned to mask early reach adulthood without one. Self-identification is valid and respected here. Think you or your child might be Autistic? is a gentle place to start.
Autistic adults and late identification
I think I might be Autistic. Where do I start?
Start by reading Autistic adults, not checklists. Think you or your child might be Autistic? walks through the next steps, the Monotropism Questionnaire gives many people their first moment of recognition, and Building a Positive Autistic Identity is a gentle, self-paced course written for exactly this point in the journey.
What is masking, and why is it so exhausting?
Masking is monitoring and suppressing your natural ways of moving, speaking, feeling and reacting so that you pass as neurotypical. It is learned early, often as a survival strategy, and it costs energy every minute it runs. Over years it is one of the main roads into Autistic burnout, and it is linked to anxiety, lost sense of self and internalised ableism. Masking, internalised ableism and imposter syndrome goes deeper, and unmasking safely is a theme across the burnout hub.
What is Autistic burnout, and how is it different from depression?
Autistic burnout is what happens when the demands on an Autistic person exceed their resources for too long: chronic exhaustion, losing skills you used to have, and far less tolerance of sensory and social input. It tends to ease with rest, lower demands and time in flow. Depression is a mood condition that does not usually lift with rest alone, and the two can occur together. Autistic burnout vs depression sets out the differences, the Autistic burnout hub gathers every guide, and I wrote two pieces for the NHS: What is Autistic burnout? and How to support Autistic burnout recovery.
What are glimmers, penguin pebbling and limerence?
Three words the Autistic community has made its own. Glimmers are small moments of joy and safety, the opposite of triggers. Penguin pebbling is showing love by sharing small treasures, links and memes. Limerence is intense, consuming attraction, which monotropic attention can amplify. Read What are glimmers?, Penguin pebbling and Autistic and ADHD limerence.
Is it ever too late to be identified? What about older Autistic people and menopause?
It is never too late. Many people are identified in their forties, fifties, sixties and beyond, often after a child’s diagnosis or after burnout, and most describe relief and grief in equal measure. Menopause and perimenopause can intensify sensory and executive differences and tip people into burnout, which is why they are so often the moment of discovery. My Autistic menopause and perimenopause resources page gathers what exists.
Parents and carers
My child is struggling at school. What should I do first?
Believe them, and look for the reason rather than forcing attendance. There is always one: sensory overload, unmet needs, masking all day, bullying, a demand profile that school cannot see. Ideas for Autistic children who are struggling at school covers the signs, Parent ideas for school attendance what to do next, and Supporting students struggling to attend is written for the school.
How do I know if my child is in Autistic burnout?
Exhaustion that sleep does not fix, losing skills they had (speech, self-care, play), far more sensory overwhelm, withdrawing from people and even from loved interests, more meltdowns or shutdowns, and often school attendance collapsing. It is frequently mistaken for defiance or depression. Autistic burnout in children: a parent guide is the place to start, with the burnout hub behind it, and my Autism Central blog How to support Autistic burnout recovery for the NHS.
What is PDA, and what helps?
PDA (pathological demand avoidance, which many of us prefer to call a persistent drive for autonomy) describes Autistic people for whom everyday demands, including their own wishes, trigger an anxiety and threat response. Pressure makes it worse; autonomy, trust, humour and lower demands make it better. The PDA Space is where I signpost families, the shop has PDA visuals, and the posts tagged low-demand cover the approach.
What is a low-demand approach, and isn’t it just giving in?
No. A low-demand approach strips out the demands that may be causing anxiety or harm, such as neuronormative expectations of eye contact, sitting still, handwriting for its own sake, or a tidy bedroom during a crisis, so that a child has the capacity for the things that matter. It is how you get out of burnout and how you prevent it. Summer rhythms: low-demand parenting and Spoon theory and autism show how it works in a real week.
How can I support my child’s deep interests instead of fighting them?
Treat them as passions, not as obstacles or restricted, obsessive patterns. Deep interests are where monotropic children regulate, recover, learn and connect; time in flow is rest. Join them in their interests, or alongside them, rather than bargaining with them, and build the rest of the day around them. Monotropic flow state, Monotropism and Autistic play and Shared flow are the three posts to read.
Should I tell my child they are Autistic?
Yes, as early and as plainly as you can, in words that fit their age. Children know they are different long before anyone names it; without the word they conclude that they are wrong. With it, they can find their people, their language and their pride. I wrote Telling your child they are Autistic with Jess Garner for GROVE, Re-Storying Autism was written to give families a positive story to tell, and Monotropism: a poem is a small way in for younger children.
What about me? Parent and carer burnout is real too.
It is, and it is far more likely if you are neurodivergent yourself, which many parents of Autistic children are. The same rules apply: lower the demands, protect your own flow and sensory needs, and find people who do not need you to explain. Summer rhythms was written for Autistic parents, and the Parent and carer burnout visual is in the shop.
Schools and professionals
What does neuro-affirming practice actually mean in a classroom?
It means starting from the child’s needs rather than their behaviour: sensory-safe spaces, predictable adults, communication in every form, interests used as the route into learning, and no reward-and-consequence systems that punish being Autistic. What does neuro-affirming mean for Autistic young people?, Neurodivergent-friendly classrooms and Monotropism in the classroom are the practical guides.
Why do you say ABA and PBS are harmful?
Because they train compliance and masking, and the evidence from Autistic adults is of trauma, lost sense of self and burnout. Behaviourism measures the surface and ignores the reason. There are better ways, and they are not vague. Why PBS is harmful, Behaviourism: why it is harmful and Alternatives to ABA and behaviourism set out the case and the alternatives.
A pupil has stopped doing things they could do before. Is that regression?
Usually it is burnout, or monotropic attention being pulled elsewhere by overload, rather than lost ability. The skill is still there; the capacity is not. The answer is to reduce demands and restore safety, not to push harder. Autistic skill regression: burnout or shifting attention? and the teacher guide to Autistic burnout explain.
What is the double empathy problem, and why should professionals know it?
Damian Milton’s theory that communication breakdown between Autistic and non-Autistic people runs both ways: it is a mismatch, not an Autistic deficit. It changes everything about how a school or clinic should listen. The double empathy problem: meaning and examples is the guide I give to staff.
Do you offer training for schools, universities and services?
Yes: bespoke neuro-affirming training, webinars and workshops on monotropism, Autistic burnout, barriers to education and neuro-affirming practice, plus CPD-accredited courses. See training for professionals and upcoming training, or get in touch.
Intersectionality: autism is never the whole story
Does autism look different in girls, women and non-binary people?
Not different underneath, but often hidden better. Anyone raised or read as a girl is taught to mask harder and earlier, so girls and women, and many non-binary and trans Autistic people, are identified later, misdiagnosed with anxiety, eating disorders or personality disorders, and reach burnout before anyone notices. Masking and internalised ableism and the reading list (which has a section of books by Autistic women) are good places to go next.
How do race and racism shape Autistic experience?
Black, Asian and other racialised Autistic people are often more likely to be identified later, are more likely to have their distress read as behaviour or threat rather than need, and are more exposed to restraint, exclusion and behaviourist programmes. Racism and ableism compound each other, and neurodiversity work that ignores race is incomplete. The neurodivergent community standing in solidarity against racism and ableism says where I stand and links to the people leading this work.
Autistic and LGBTQIA+: is there a connection?
Autistic people are several times more likely than the general population to be LGBTQIA+, and many of us describe the two as part of the same refusal to perform a self that does not fit. Neuroqueer theory names that refusal. Weird Pride in a hostile world and the writing on neuroqueering explore it, and my sibling site More Realms goes further.
What about Autistic people with profound and multiple learning disabilities?
Many people with profound and multiple learning disabilities may be Autistic or otherwise neurodivergent and unidentified, for many reasons. They are still, sadly, routinely left out of the neurodiversity conversation, and health and physical needs may have an even deeper impact on some people. Communication happens in every form, not only speech; relationship and sensory safety come first; and the same ideas, from monotropism to Cavendish spaces, apply. Start with my PMLD writing, Total communication, Cavendish spaces for people with PMLD, and my two posts on intensive interaction: Being with people: the value of intensive interaction and Intensive interaction as neuro-affirming relational practice.
Autism alongside ADHD, OCD, PANS/PANDAS or eating differences
Most of us are multiply neurodivergent. AuDHD (Autistic and ADHD) is common and changes how attention and energy work; OCD overlaps with being Autistic in ways that are easy to confuse; a sudden change in a child can be PANS/PANDAS; and food and eating are a whole subject of their own. See Monotropism in ADHD, AuDHD and autism, Autism and OCD: what could help, Could it be PANS/PANDAS? and Being Autistic and eating.
We can’t afford private assessment or therapy. What is there for us?
More than you might think. Nothing on this site needs a diagnosis, everything in the shop is pay what you can and much of it is free, the courses have free preview lessons and guides, and the community spaces I belong to (Stimpunks, NeuroHub, Thriving Autistic, GROVE) are built on mutual aid. Poverty and class shape who gets identified and supported, and that is a reason to share what we have, not to gatekeep it. Check out Building a Positive Autistic Identity, the course David Gray-Hammond and I made, all the resources on Thriving Autistic, and our free Discovery Programme for Autistic adults, which I helped co-write and develop. The support and crisis lines page lists free help.
Where to find help and resources
I, or someone I care for, need help now.
Please go to support and crisis lines, which lists UK and international helplines, including Autistic-led ones. In the UK you can call Samaritans free on 116 123 at any time, or text SHOUT to 85258.
Where are your guides, courses, books and visuals?
The Guides section holds the hubs (monotropism, Autistic burnout) and signposting; the shop has every visual and e-book, pay what you can; Re-Storying Autism and Building a Positive Autistic Identity are the two courses; and the reading list gathers books by Autistic authors. The glossary explains the words you will meet along the way. If a question you have is missing here, ask me and I will add it.

More from Autistic Realms
If this post was useful, these courses, books and resources might help too. Everything in the shop is pay what you can, and many resources are free.
- Building a Positive Autistic Identity: a gentle, self-paced course written for Autistic people.
- Re-Storying Autism course: a video course and workbook with David Gray-Hammond.
- Re-Storying Autism (book): our book, co-written with David Gray-Hammond.
- Neuro-Affirming Glossary (2025 edition): key words for families and professionals.
- Autism and Neurodiversity Starter Pack: free, written with David Gray-Hammond.
- The Autistic Realms shop: over 380 resources, pay what you can and many free.
