Adults over 60 are a 'neglected generation' regarding neurodiversity support, with up to 97% of autistic people in this age group potentially undiagnosed. This article explores why traits become more apparent in later life, the benefits of seeking a diagnosis, how to approach the topic, and pathways to support, emphasizing that understanding and adapting can significantly improve their quality of life.
This article highlights the significant lack of neurodiversity awareness and support for adults over 60, labeling them a 'neglected generation' with an estimated 89-97% of autistic individuals in this age group remaining undiagnosed. While neurodiversity awareness has grown for children and middle-aged women, older adults face unique challenges. Retirement, with its disruption of established routines and increased loneliness, can make neurodivergent traits, such as those associated with autism or ADHD, more pronounced or unmanageable. Experts advise looking for traits that cause significant distress or disruption, not just preferences, and note that decades of masking can lead to increased stress and health issues later in life. The article strongly advocates for seeking a diagnosis, even for those in their 80s, as it can provide profound self-understanding, explain past struggles, relieve trauma, and improve family relationships. It also offers physical health benefits, addressing chronic stress and potentially allowing for beneficial treatments like ADHD medication. Broaching the subject with older adults requires sensitivity, suggesting methods like 'drip-feeding' information, connecting through shared traits (if a child is also neurodivergent), or discussing neurodivergent celebrities. It also notes that many older neurodivergent individuals may have received previous misdiagnoses for co-occurring mental health conditions or symptoms mistaken for dementia. For those considering a diagnosis, the GP is the first step, though private providers are a common alternative, requiring careful selection of regulated clinicians offering in-person assessments. Crucially, the article emphasizes that adapting environments and providing support (e.g., routines, clear communication, sensory protection) can be beneficial even without a formal diagnosis. It encourages leaning into hobbies and special interests in retirement, allowing older adults to unmask and live more authentically, highlighting that neurodiversity brings valuable strengths and contributions.