Comment by frereubu
4 days ago
Totally on board with your comments on disparagement, but there's been a rash of autism diagnoses in my daughter's school to the point where in some classes 20% of students have been diagnosed as autistic. I feel at that point people are diagnosing personality, and it's using the (UK) special educational needs system to force schools to pay attention to different learning styles. (My daughter's school is actually pretty good on that front if you point it out to the staff, so I'm not sure what's triggering it particularly in her school, but it may be to do with releasing government funding for extra classroom assistants).
ADHD and autism are diagnosed based on behaviors. This might work for cases at the more extreme end of the spectrum, but when it comes to trying to identify more mild cases, you are going to start seeing a lot of overlap in behaviors of the larger population. Couple that with extra funding for kids who can be said to have ADHD and autism, and you get a recipe for overdiagnosis.
Maybe it is worth it to try to make sure fewer kids with the issue slip through the cracks at the expense of diagnosing kids who don't actually have it. Maybe it's not, but it makes sense why it can happen.
You and GP make great points, and these are situations that are becoming more common. Luckily, there is some light at the end of the tunnel (at least for ADHD). There's been a lot of study in recent years and medical science is starting to identify physiological markers commonly correlated with ADHD [1][2][3]. The sad thing is that the science hasn't advanced far enough to include these in the diagnostic criteria for ADHD. It's my hope we'll see an updated DSM and medical training within the next decade, but it'll be a long and painful wait.
1. https://www.frontiersin.org/journals/endocrinology/articles/...
2. https://pmc.ncbi.nlm.nih.gov/articles/PMC7461955
3. https://www.frontiersin.org/journals/human-neuroscience/arti...