The Hidden 20%

Ex-NHS Autism Psychiatrist Speaks Out: Diagnosis, Waitlists & Why She Left

17 snips
Oct 22, 2025
Dr. Alison Lennox, a late-diagnosed autistic psychiatrist and former NHS clinical lead, reveals the complexities of autism diagnosis in the UK. She discusses the significant waitlist issues post-pandemic and shares essential advice for those seeking assessments, emphasizing the differences between NHS and private practices. Alison also highlights why many autistic women are misdiagnosed and delves into the need for better training among general practitioners. Her insights on the unique strengths of autistic individuals and the systemic changes needed in healthcare are thought-provoking.
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ANECDOTE

Leaving NHS Over Waitlist Transparency

  • Dr Alison Lennox left the NHS after feeling complicit in hiding long autism waiting lists.
  • She felt pressured to be unemotional when she raised concerns about the situation.
ANECDOTE

Late Self-Discovery While Assessing Others

  • Alison discovered her own autism gradually while working in autism services and through cohabitation.
  • She realised masking had hidden traits despite professional experience.
INSIGHT

Autism Act Vs Finite NHS Budget

  • Universal entitlement to autism assessment (Autism Act) clashes with finite NHS budgets.
  • Realistic commissioning will force hard choices about who accesses specialist assessments.
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