The big picture

If you’ve been feeling like autism and ADHD diagnoses are suddenly everywhere, you aren't the only one. A major new review in England suggests that we might actually be moving from an era of under-diagnosis to a wave of over-diagnosis or misdiagnosis. Experts found that for some younger age groups, the current rates of diagnosis are outstripping what studies typically expect to see in the general population.

What’s the tea?

It’s giving a system under pressure. The review, led by medical experts, highlights that getting a diagnosis has become a "very narrow pathway" to accessing support. Essentially, if you want help in school or the workplace, you’re often forced to get a medical label first. This has led to a situation where people are defined by their "difficulties rather than their strengths," which can honestly do more harm than good for a person's future.

The reality check

Real talk: this doesn't mean your struggles aren't real. The review explicitly states that economic stress and social media are genuinely driving a rise in mental health struggles among young people. Many folks are also being left in limbo by massive waitlists. Take the Watson family, for example—they spent three years waiting for an autism assessment for their son, Atlas, during which time he received zero specialized help. It’s a total L for a system that leaves parents to fend for themselves.

What's next?

The report calls for a few major changes: stricter rules for private assessment firms (including a potential ban on advertising), better prioritisation for those with the highest needs, and a shift toward providing help without always needing a clinical label. The goal is to move away from using a diagnosis as the only door to support.

Why it matters

We’ve been stuck in a cycle where you're either waiting years for a doctor’s note or being labeled in a way that limits your opportunities. If the government follows these recommendations, we could see a future where you get the support you need—like school adjustments or anxiety management—without having to navigate a broken, high-pressure medical system first.