Self-Diagnosis of Autism: What Is the Speech-Language Pathologist's Role?

Purpose: Given serious barriers to formal diagnosis of autism, especially for adults, many members of the autistic community recognize and accept self-diagnosis as a valid means of determining autistic identity. Speech-language pathologists (SLPs) have responsibilities to support communication between individuals and groups, regardless of neurotype, identity, or diagnostic status. Therefore, SLPs should be familiar with the phenomenon of autism self-diagnosis and consider how it relates to our obligations to act with professional integrity and cultural humility. This article aims to address a gap in the SLP evidence base by summarizing research findings and illuminating client and cultural perspectives. The article outlines challenges and opportunities for SLP clinical practice and clinical education. Professional, legal, and cultural considerations are included. Conclusions: SLPs must understand self-diagnosis of autism as a matter of professional responsibility and cultural humility, as described in our Scope of Practice and Code of Ethics. Despite the barriers to support presented by the lack of a formal autism diagnosis, SLPs are responsible for providing communication supports to people who need them, regardless of the etiology of those communication needs.