People often choose not to disclose their ADHD or autism diagnoses due to societal stigma and fear of being judged, misunderstood, or even discriminated against. Here are a few key reasons why individuals may withhold this information:
- 1. Negative Stereotypes: ADHD and autism are frequently misunderstood and misrepresented. Some people associate ADHD with laziness or irresponsibility and may label individuals with autism as overly rigid or lacking empathy. These stereotypes make people hesitant to disclose for fear of being unfairly categorised.

- 2. Fear of Professional Consequences: In workplaces or academic settings, individuals may fear that revealing their diagnosis will limit their opportunities, as some employers may worry about productivity or assume accommodations will be costly. This can lead people to worry about missing out on promotions, raises, or even job offers.
- 3. Social Isolation: Many people fear that others will treat them differently or even distance themselves upon learning about a neurodevelopmental diagnosis. This fear of social rejection is particularly strong if people have previously experienced negative reactions from friends or family.

- 4. Internalised Stigma: Often, individuals internalise societal prejudices, believing that their diagnosis means they are less capable or valuable. This self-stigma can make it challenging for people to accept and discuss their diagnosis openly, even with close connections.
- 5. Limited Understanding and Support: Because ADHD and autism exist on a spectrum and vary widely in presentation, many people struggle to understand them in nuanced ways. When someone is open about their diagnosis, they may feel responsible for educating others, which can be exhausting and sometimes isolating.
- 6. Fear of Pity or Infantilisation: Some people worry that others will view them as helpless or incapable if they disclose, rather than respecting their autonomy and strengths. They may fear being treated with excessive sympathy rather than understanding and acceptance.

Reducing stigma around ADHD and autism involves increasing awareness, education, and understanding about neurodiversity. When society values and embraces diverse ways of thinking, individuals can feel more comfortable sharing their experiences without fear of judgment or discrimination.
Jane Lambert
11.11.24