Overcoming barriers to autistic health care: towards autism-friendly practices

Rates of autism diagnosis have increased over the past 20 years,1 reflecting increased awareness and recognition both by patients and by GPs. Indeed, many GPs are discovering autistic traits in themselves2 mirroring the shift towards increased diagnosis among those without co-occurring intellectual disability. While a fall in referrals for autism assessment occurred early in the pandemic, high profile celebrity revelations, media coverage, and perhaps the pandemic itself, continue to track with climbing numbers of referrals (Table 1).3 In fact, the number of referrals in the first quarter of 2021/2022 were more than double that of the corresponding period in 2019/2020.