Autism diagnosis in a complex systemic and cultural landscape: A clinical perspective

ObjectiveThe purpose of this perspective is to provide a critical reflection on the current systemic and sociocultural influences on autism diagnostic practice, which create clinical challenges for specialists in autism diagnosis.ConclusionsMany people are being referred for autism diagnostic assessments for increasingly non-specific emotional, behavioural or academic difficulties or concerns about functioning. The widespread availability of information about autism online, especially on social media platforms, is often unreliable or misrepresentative, adding complexity both to the clinical landscape and for those individuals presenting for assessment who are trying to make sense of their personal experiences in these forums. In such an environment, adherence to evidence-based diagnostic practices is essential, within a context that recognises the importance of establishing a history of typical versus atypical development and differential diagnosis, to ensure diagnostic accuracy and facilitate access to tailored and timely support.