OTQualitativeAutism : the international journal of research and practice2026

Grief, Relief, and Belief: A Social Media Study on Late Identification of Neurodivergence.

Ally Pax Arcari Mair, Marina Gonzalez-Figueroa, Doug McConachie and 2 others

PMID 41933478

WHAT IT FOUND

Adults diagnosed late with autism or ADHD described grief for the years and support they missed and for their younger selves, alongside relief and gratitude at finally understanding themselves.

Many also described burnout after assessment, made worse by little support afterwards.

Key findings

01Adults diagnosed later in life described regret, sadness and anger about the education, career and friendships they believed earlier identification and support would have given them.

02Alongside the grief, people described relief and gratitude: the diagnosis gave them a way to understand their past and to stop blaming themselves for difficulties others had blamed them for.

03Many described exhaustion and burnout after the assessment itself, including the toll of recounting past trauma, and said they were left without support once the diagnosis was made.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The researchers deliberately collected only posts that talked about grief, so this study cannot say how common grief is after a late diagnosis, or what people who felt nothing, relief only, or something else experienced. Most posts came from autistic adults and adults with ADHD, typically those with lower support needs who post publicly. Other forms of neurodivergence, such as intellectual disability and Tourette syndrome, barely appear, so the picture is narrower than the title suggests. People who were never diagnosed, were misdiagnosed, or could not get an assessment are not represented at all. The authors say their shame and self-blame may be worse, but this study did not look at them. Each post is one person's account, the researchers could not confirm anyone's diagnosis, and the posts were gathered in a single two-month window in 2023, so the themes are a snapshot of what was being said online at that time.

Declared interests

The study was carried out as part of a PhD funded by the University of Edinburgh's College Research Award. The authors declared no conflicts of interest, and no company selling a treatment or assessment product was involved in the work.

The easy way to misread this

These are public social media posts, not measurements, so do not read them as proof that late diagnosis causes grief or as evidence that any particular support helps. The researchers collected only posts that talked about grief, so the study cannot tell you how common that reaction is, and the people who were never diagnosed or could not get an assessment are missing from it entirely.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →