Embracing neurodiversity: Diagnosis v Self-Identification

by | Mar 17, 2025

As we mark Neurodiversity Awareness Week, it’s only fitting for our team to contribute to this important conversation. We’re thrilled to see more people embracing and championing neurodiversity. 

Workplaces are increasingly appointing neurodiversity champions and utilizing our services to better understand reasonable adjustments. 

This growing awareness brings us closer to fostering inclusive environments for everyone.

In this blog, our associate Marjolein delves into a significant topic within neurodiversity: the distinction between having a formal diagnosis and self-identifying as neurodiverse. If you know someone who is neurodiverse, you may have noticed that some individuals have an official diagnosis, while others prefer to self-identify. Let’s unpack what this means.

To learn more about the term “neurodiversity,” please refer to our previous Blog

Understanding Neurodevelopmental Conditions

Deciding whether to pursue a formal diagnosis is deeply personal and influenced by individual circumstances. Conditions such as autism, ADHD, and dyslexia are neurodevelopmental*, meaning they are present from an early age and evolve as the individual grows. Receiving a diagnosis is essentially a medical confirmation of the presence these conditions. It does not mean that the person’s identity changes on the day of diagnosis—they’ve always been neurodiverse. For many, a diagnosis provides vital clarity and validation, aiding in self-understanding and acceptance.

On the other hand, some individuals prioritize understanding their unique set of traits and challenges over obtaining a formal diagnosis. Diagnoses can be costly and time-consuming, especially when privately funded. These individuals may choose to self-identify, recognizing that they have traits associated with conditions like ADHD or dyslexia, and they will focus on finding strategies available to support themselves through any resulting challenges. However, it’s important to note that while one can describe having “traits,” claiming a diagnosis without formal assessment is inaccurate.

The Role of Self-Identification

So, does this mean anyone can assign themselves a diagnosis? Not exactly. Self-identification serves as a tool for understanding one’s strengths and challenges, promoting self-awareness and empowerment. This shift in thinking encourages a culture of support and understanding rather than blame. For example, instead of asking, “Why don’t they try harder?” or “Why can’t they do […]?” we can explore how to break down tasks to become more manageable through tailored support.

How We Can Help

As occupational therapists (OTs), we believe in empowering individuals with the skills and strategies they need, regardless of any formal diagnosis. If someone exhibits traits of autism, we can provide sensory supports and daily strategies beneficial to autistic individuals. Similarly, those with traits of dyslexia or dyspraxia may find our reading aids or study techniques helpful. For individuals struggling with time management or work deadlines, we can collaborate to identify barriers and develop practical solutions to reduce stress and increase productivity.

Whether you choose to pursue a formal diagnosis or self-identify, you can count on our non-judgmental, supportive approach to address the challenges you face. Our OTs will work with you to understand your barriers and find ways of overcoming them, so you can focus on getting on with the things you are best at.

*Please note: This blog focuses on neurodevelopmental conditions. While other circumstances, such as brain injury or illness, may lead to similar challenges, those topics are beyond the scope of this piece.

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