Clinical Communication Discussing Neurodiversity with Rosi Sexton
Mar 29, 2026
Rosi Sexton, osteopath, former MMA fighter and neurodiversity advocate. She shares her late diagnosis story and why women are often missed. They cover diagnostic change over time and how systems can fail neurodivergent people. Practical clinical topics include communication differences, sensory accommodations, co‑occurring hypermobility, and designing realistic, collaborative care.
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Probe Atypical Symptom Descriptions Not Dismiss Them
- Recognise atypical symptom descriptions as valid and probe further rather than dismissing them as non-problematic.
- Rosi recounts a patient describing an 'odd' shoulder that needed time and movement testing to reach a straightforward MSK diagnosis.
Ultrasound Revealed Missed Rheumatoid Arthritis
- Rosi described a woman with clear rheumatoid arthritis who was told her symptoms were due to mental health, delaying diagnosis.
- Rosi used point-of-care ultrasound to demonstrate inflammation and reverse the dismissal by the specialist.
Prescribe One Thing And Scaffold It
- Simplify rehab plans: give one achievable exercise and scaffold integration into daily routine to improve adherence.
- Rosi emphasises diagnosing barriers, offering one or two tasks and problem-solving how they fit into the patient's life.