LGBTQ+ and Neurodiversity

The intersectionality of LGBTQ+ identities and neurodiversity is an important aspect of human diversity and experience. Both LGBTQ+ individuals and those who are neurodivergent face unique challenges and experiences that can intersect in complex ways.

For example, individuals who are both LGBTQ+ and neurodivergent may face additional barriers to acceptance and understanding from society, as well as within their own communities. They may also experience discrimination and stigma from both ableist and heteronormative attitudes.

Furthermore, navigating relationships, social situations, and identity development can be particularly challenging for individuals who are both LGBTQ+ and neurodivergent. It’s essential to recognise and address the specific needs and experiences of individuals at this intersection, ensuring that they have access to supportive and inclusive environments where they can fully express themselves and thrive.

Promoting awareness, acceptance, and inclusivity within both LGBTQ+ and neurodiversity communities is crucial for creating a more equitable and understanding society for all individuals, regardless of their sexual orientation, gender identity, or neurodivergent status.

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Sleep on It: ADHD & Diet

Sarah Osborne

Sarah OsborneSarah Osborne• 2nd• 2ndOwner of So Nutrition. Nutritionist and Clinical Supervisor with a specialism in ADHD and Gut Health, IBS, Mood and Sleep. Personalized nutrition coaching and functional testing .Owner of So Nutrition. Nutritionist and Clinical Supervisor with a specialism in ADHD and Gut Health, IBS, Mood and Sleep. Personalized nutrition coaching and functional testing .

Very excited to announce that the brilliant podcast series, Sleep On It, is now available to tune into!

Vicki Beevers and the team at The Sleep Charity have worked so hard to put this brilliant series together.

I was delighted to talk to host Mark Thompson about the role that diet and nutrition can play in sleep 😴

Hope you enjoy.

Reference: (25) Sarah Osborne | LinkedIn

LGBT+ History Month 2024

LGBT+ History Month 2024 badge design. A heart containing the progress pride flag, a stethoscope wraps around it.
“When I discovered that the theme was medicine, the first thing that came to mind was being protected no matter what and so I expressed this in my badge with the LGBTQ+ flag with a love heart under a stethoscope. This highlights what the LGBTQ+ community has experienced and contributed to throughout history. I am so pleased this design has won, I truly am over the moon” – Alex Gould

What is LGBT+ History Month?

Who is UK LGBT+ History Month for?

LGBT+ History Month is for everyone; whether you work in education, a museum, a library or an art gallery, a business, a service, or are a member of a network/social group or an individual.

When is it celebrated?

It is celebrated every February across the UK and was founded in 2004 by Schools OUT UK co-chairs, Paul Patrick & Professor Emeritus Sue Sanders. It was first celebrated in February 2005.

Why was it founded?

For so long LGBT+ people’s history was hidden, following the repeal of Section 28 (link to Section 28,), UK LGBT+ History Month was created to:

  • claim our past
  • celebrate our present
  • create our future

Reference: LGBT+ History Month 2024 – LGBT+ History Month (lgbtplushistorymonth.co.uk)

Keep your eyes out to see what we are doing at Amethyst Assessment Centre to celebrate LGBT+ history month

“Being autistic is like when a feather falls from the sky. It is something special and beautiful.”


-Millie reflects on what being autistic means for her

In this Stories from the Spectrum feature, we meet Millie who is a member of the England Athletics Club and organises fitness and running classes. Millie explains what she enjoys about exercise and how it has helped her to build her confidence.

When did you first know or start to think you were autistic? 

When I was at nursery, I did not speak much. When I went home, I barely spoke then, just a few words. This is when my family and I knew I might be autistic.  For example, when other children were asked what drink they’d like, they would answer, whereas I would prefer to point as opposed to speak. My parents tried to tell me about autism at age five but I didn’t understand. When I was 13 I started to understand it more, and when I read the characteristics I could see how my personality matched to that. 

If you received a diagnosis, what was the process like for you? If you are self-diagnosed, how did you decide to follow this route? 

I remember the doctor who diagnosed me. It was quite a relief to know the condition, some conditions you can get mixed up with so good to know what I have. After the diagnosis, it was quite emotional too. Thinking about the teachers in the past who did not really understand, it was good to know that this would help in the future. I had my speech and language therapist who would help me with games and would help with my speech, knowing I had an autism diagnosis.

How did you get involved with athletics?  

I have been part of my local running club for a long time and through this I have made a lot of great friends. I first got involved through athletics whilst I was watching cricket at the local athletics club, I saw a sign about joining and I thought to myself ‘why don’t I give it a go?’ – so I did! The first time I went, I thought these were a really nice bunch of people and I have a good judge of character! Since then, I go running two times a week. 

How does exercise help you, and what inspired you to start organising exercise classes? 

I go to training on Thursday and park run on Saturdays, which is great for my mental health and physical wellbeing. I recently completed my first half marathon – Sheffield Half Marathon, within two hours, 46 minutes 10 seconds.  Through my passion for running, I decided to join the England Athletics Club. I wanted to join this, as it’s aimed at coaches and involves lots of different sports, such as javelin. They are based in Birmingham so I join virtually, as well as organising classes face to face.  

Some people find it difficult to do their running activities face to face; if it is busy or crowded, it can be overwhelming. Therefore, I run some of the sessions virtually so they feel more comfortable. I organise warm-ups, a main class with another leader and have group meetings once or twice a week. Planning is important. I use the internet to get ideas and make it engaging, check the weather, carry out health safety checks (slipping etc.) and ensure we have an appropriate setting. This can be challenging, but if I am stressed, exercise helps – sometimes I jump on the spot to relieve my stress or count to ten.  

Through my passion for running, I have been able to meet lots of people and practise mindfulness in really nice ways. You can see a photo of me on one of my runs! Through these experiences, I’ve developed mindfulness techniques and built my confidence with leading a group. All whilst improving my health at the same time! 

 What inspired you to start fundraising? 

In my spare time, I enjoy fundraising. I have volunteered as a health citizen for St John Ambulance, where I raised money for Alzheimer’s Society through a social action programme. I did this by organising a raffle and doing a monthly step challenge of 10,000 steps. I think fundraising has helped with my overall happiness, it is very rewarding to bring awareness and include everybody in the fundraising activity. This is really great for developing my emotions. Sometimes I find it hard to say how I feel, so fundraising helps me to talk to people as well as encourage people to reach out and ask questions. 

What advice would you give to other autistic people who are looking to start a new hobby? 

Be aware of the environment and noisy crowds that you are in. Sensory differences can affect how much you can process.  

What does being autistic mean to you? What impact does it have on your life? 

Being autistic is like when a feather falls from the sky. It is something special and beautiful. Sometimes I do struggle to feel good about myself, or it takes a while for me to realise when I have done something good. This can be hard. Being autistic can also make me more direct, which is good for getting my point across… which also means I have a good sense of humour and means I am always smiling! 

What is one thing you would like more people to understand about autism? 

Our brains are wired differently, so we are unique. We view the world differently to other people. People think autism is just something that is unique to your mental thinking but it can actually also affect you physically, through things like coordination and balance. 

Reference: “Being autistic is like when a feather falls from the sky. It is something special and beautiful.” (autism.org.uk)

Unprecedented demand for ADHD assessments – trust

James Pearson

Political Reporter, BBC Hereford & Worcester

@jamespearson88

  • Published28 January 2024
Corey holds up a picture

Unprecedented demand for ADHD assessments in Worcestershire means people are waiting years to get support.

Herefordshire and Worcestershire Health and Care Trust said the county’s Community Paediatrics service faced an “unsustainable pressure” in referrals.

Nine-year-old Corey has an ADHD diagnosis and his family said medication had helped him at school. But they say they have been waiting five years for an autism assessment.

His dad said the long delay was emotionally draining.

The health and care trust said waiting times for all neurodivergence assessments had been made worse by an “unprecedented demand” for ADHD tests.

Thousands of adults in Worcestershire are currently seeking an assessment.

“People ask us why we’re pushing for [an autism] diagnosis. It’s because Corey’s known as the naughty kid, the disruptive kid, the mad kid… when he’s basically just a kid with extra needs,” said Corey’s father Adrian, of Stourport.

“I really don’t know why the NHS are dragging their feet,” he said.

“Any time you get an appointment, it’s then months before a follow up or letter.

“For the family it’s very hard. We feel with an autism diagnosis, he’ll get more help and more funding when he’s at school; more one-on-one time.”

Adrian Clark
Image caption,Corey’s father Adrian said his son’s ADHD diagnosis and medication had led to a “marked difference”

Corey’s mother Sarah-Jayne said his medication had helped him concentrate better at school.

Many children in Herefordshire and Worcestershire may have to wait up to two years for an ADHD assessment, according to the area’s health and care trust.

At a board meeting this month, trust directors were told 60-70% of children referred to community paediatrics were presenting with a need for assessment for the disorder.

The trust said it was committed to reducing waiting times for all children, by increasing local capacity.

But it said providers across England were experiencing unprecedented demand.

It added children with the greatest need would be offered an appointment within two to eight weeks.

‘I’d never considered it’

Since the pandemic, more and more adults have also sought an assessment for ADHD.

An investigation by the national charity ADHD UK, external in October revealed more than 2,300 adults in Herefordshire and Worcestershire were waiting for assessment, with the longest wait at 108 weeks.

“I’d never considered it in my entire life. I thought ADHD related to children at school who struggled to concentrate. I’m almost 42,” said Neil Lawrenson, a Green city councillor in Worcester who received an ADHD diagnosis this month.

“The more I read, the more I realised the symptoms were applicable to me: struggling to concentrate, timekeeping, receiving verbal instructions,” he said.

Neil Lawrenson
Image caption,Neil Lawrenson, a city councillor for the Green Party in Worcester, has just received an ADHD diagnosis outside of the NHS

Rather than wait up to two years for an NHS assessor, Neil Lawrenson said he had made use of the NHS’s “Right to Choose” programme, external, which allows patients waiting more than 18 weeks for assessment to switch to an alternative provider such as a private or online practice.

“I’m at a point in my life when I feel that I need adjustments made, so that I can cope better in the workplace and [as] an all-round better human being.

“I think that because we’ve got this huge increase in demand for assessments, the NHS needs to think nationally about a different model for how we diagnose and assess people,” said Christine Price, chief officer of Healthwatch Herefordshire.

The patient body has just published research on the challenges of living with ADHD in the county, which highlighted a need for greater advocacy and support for adults and children, including reasonable adjustments from employers.

Christine Price
Image caption,Healthwatch Herefordshire chief officer Christine Price said there was no clear understanding of why the number of people seeking assessment had grown rapidly

“Post diagnosis it’s quite difficult to get the support you need… from a therapeutic point of view… or with reasonable adjustments that people with ADHD would find helpful,” Ms Price said.

The health and care trust said it encouraged families with any concerns about the length of time they had been waiting to contact the service directly, so it could discuss the status of their child’s assessment.

Reference: Unprecedented demand for ADHD assessments – Worcestershire trust – BBC News

“Those who must not be forgotten”: Why the Mental Health Act needs to be reformed.

On Tuesday 7 November 2023, The Government’s promise of a Bill to reform the Mental Health Act was dropped from the King’s Speech. The next day, a four-year long enquiry led by Baroness Hollins was published, condemning the government’s failure to end the “inhumane treatment” of autistic people and people with learning disabilities.

Now, The Independent has highlighted Nicholas’ story. A 28-year-old autistic man, who for more than 10 years was trapped in dementia care units and A&E wards, abused by nurses and held in padded rooms.

Ella Pitt, Campaigns Manager at the National Autistic Society, has written an opinion piece in response to these events:

Those who must not be forgotten

It is Nicholas, and the thousands of autistic people who have been abused and permanently damaged by the failings of our mental health system, who have been most let down by the Government dropping the Mental Health Bill, which failed to be included in Tuesday’s King Speech. Despite enormous consensus behind the desperate need for reform, the 2,045 autistic people and people with a learning disability currently in mental health hospitals have been ignored. 

This is a crushing disappointment. The Mental Health Bill wasn’t a complete solution to the issue of autistic people being locked up in mental health hospitals, but it did represent a big step forward on an urgent issue that we’ve been campaigning about for over a decade. We consistently hear tragic stories of the human rights violations that occur to autistic people being inappropriately detained in hospitals.

It’s hard to see what could be more worthy of Parliamentary time than addressing that autistic people are being inappropriately detained and abused in mental health hospitals, often for years on end. The average length of stay for an autistic person or person with a learning disability in a mental health hospital is five and a half years. Five and a half years of being sensory overwhelmed, miles away from familiarity in inappropriate settings, that provide no therapeutic benefit. Shelving this major piece of legislation makes it clear that the Government do not see the continued abuse of autistic people in these settings as a priority.  

Only the day after the King’s Speech, Baroness Hollins wrote to the Health Secretary Steve Barclay about Independent Care (Education) and Treatment Reviews and highlights the harrowing circumstances that lead to the detention of autistic people and the almost total absence of the right kind of support in the community. It is completely unacceptable that today’s unsupported autistic child at school can so easily become tomorrow’s autistic person in crisis, condemned to solitary confinement within a mental health hospital. The Government knew the evidence, before this letter, and before the King’s Speech but has failed to act. Nearly 20,000 campaigners from the National Autistic Society and Mencap wrote to the Prime Minister just two weeks ago and they have been ignored.

Baroness Hollins’ letter also references the perpetual cycle of one autistic person being discharged from an overly restrictive setting only to be replaced by another. This pattern of continuous human rights violations will continue without the promised legislative reform that has now been abandoned. This cycle is all too familiar for those aware of the complete lack of progress we’ve seen on this issue over the last decade or more. How many more times must we hear about these human rights scandals and tragedies in documentaries and articles before this urgent issue is finally given the Parliamentary time it so desperately deserves? The Government needs to answer Nicholas, who has been in and out of hospitals for 10 years, “Why can’t I have a life? My only crime is being born with autism and a learning disability” .

We won’t let this issue be forgotten.

Reference “Those who must not be forgotten”: Why the Mental Health Act needs to be reformed. (autism.org.uk)

ADHD medication recalled due to labelling mishap

A drug manufacturer is voluntarily recalling one of its medications – Zenzedi – that treats ADHD and narcolepsy due to mislabelled packaging amid a year-and-a-half-long stimulant shortage.

The recall notice, posted on 24 January, stated that Azurity Pharmaceuticals is recalling its 30mg tablets of Zenzedi after a pharmacist in Nebraska discovered that a bottle labelled as containing Zenzedi actually contained an antihistamine called carbinoxamine maleate.

The FDA noted that ADHD or narcolepsy patients who were prescribed Zenzedi and accidentally took the antihistamine “will experience undertreatment of their symptoms”.

While Zenzedi is a stimulant, carbinoxamine maleate could cause drowsiness, sleepiness, central nervous system depression, increased eye pressure, enlarged prostate urinary obstruction, and thyroid disorder, the FDA warned.

The agency said that the 30mg tablets of Zenzedi look like light yellow hexagonal tablets marked with “30” on one side and “MIA” on the other.

The Nebraska pharmacist described the carbinoxamine maleate tablets as white round tablets with imprints of “GL” on one side and “211” on the other side.

The FDA warned consumers who have the recalled medication to stop using it and return the medication to where they obtained it.

Azurity sent recall notification letters to wholesale distributors on 4 January, the agency said, and “arranged for the return of all recalled products at that wholesaler level”.

The recall comes as a stimulant shortage has persisted since October 2022. The shortage has sparked a crisis across the US, affecting millions of adults and children.

Ever since the FDA announced that there was a scarcity of Adderall in October 2022, a domino effect of shortages has ensued. People were forced to switch from Adderall to other medications, leading to shortages in Vyvanse in July 2023 followed by a methylphenidate (Concerta and Ritalin) shortage days later.

Reference: ADHD medication recalled due to labelling mishap | The Independent

ADHD has become an identity, not just a disorder. We need a new way to talk about it | Attention deficit hyperactivity disorder | The Guardian

For many, an attention deficit hyperactivity disorder diagnosis is the thing it took to forgive ourselves and finally start healing

Matilda Boseley

Matilda Boseley

We desperately need to find a new way to talk about attention deficit hyperactivity disorder.

In the past couple of years, we have entered a new age of ADHD awareness. The stereotypical image of a ratbag, hyperactive little boy is falling away and slowly medical professionals, policymakers and regular people are coming to view the diagnosis as a serious, often lifelong and life-altering condition, affecting a huge number of people. Part of this process has been retroactively uncovering the scores of people who slipped under the treatment radar as children.

But, as more and more adults connect the dots and get diagnosed, the way we discuss the condition is changing.

We’ve started viewing ourselves as ADHD-people, not people with ADHD

Rather than being an omen of difficulties to come, for many of us it’s amazing news. A validation that, yes, things actually were as hard as they felt, and no it wasn’t just a personal failing. A diagnosis is the thing that allowed us to forgive ourselves and finally start healing.

We are forming a robust, self-determining community for the first time. And while, of course, we talk about the struggles that come along with the condition, we’re also discussing the neutral and even the positive parts of ADHD too. Like, for example, how a big, broad attentional style can foster amazing ideas, or, conversely, the treasures buried deep within a hyperfocus rabbit hole.

We’ve started viewing ourselves as ADHD-people, not people with ADHD, and we’re learning to view our brain differences as intrinsic to who we are.

ADHD must reduce your quality of life – otherwise, from a legal and medical perspective, you don’t have it

People are now asking the question: what if, as a culture, we started thinking about ADHD more as a category of mind, rather than just “a problem”?

Imagine what society would look like if our educational institutions, workplaces and social systems were flexible enough to adapt to people whose brains work differently, rather than expecting individuals to do all the contortion.

To be clear: better access to treatment, workplace and educational affordances, and government support are still absolutely vital. We aren’t saying it’s incorrect to call ADHD a “disorder”, just that it might be a touch too narrow.

The problem is “ADHD the medical condition” must reduce your quality of life – otherwise, from a legal and medical perspective, you don’t have it. But something about that feels so unfair; that this core part of who we are and how move through the world can only ever be defined by the impairment it causes us.

Matilda Boseley
Matilda Boseley: ‘Better access to treatment, workplace and educational affordances, and government support are all systemic changes required if we want diverse minds to flourish.’ Photograph: Christopher Hopkins

So, how do we resolve this ever growing tension between disorder and identity?

Well, perhaps the root of the issue is how much pressure we are putting on a diagnostic term. Our current definition of ADHD was only ever intended to help determine who would benefit from legal access to highly regulated medications, and additional support services.

In recent years I’ve spent a lot of time trying to explain the ways my brain works differently to the neurotypical people in my life. With practice, I’ve come up with a pretty decent metaphor. It’s the difference between walking and sailing.

Maybe we need to add another, less medical, word to the conversation

For neurotypicals (those without a neurodevelopmental condition), getting things done is like walking on land. You’re taught how to do it basically from birth, and most of the time you can head in a fairly straight line. Sure, there are hills and obstacles to avoid, but you can usually see them coming, and for the most part your speed depends on how much energy you have. It’s not always easy to start running, but it’s usually within your control.

But – at least for me – getting stuff done is much closer to trying to sail a little boat through the sea. If you’ve never been taught to sail, you’re really at the mercy of the winds and the waves. Sometimes they propel you forward at breakneck speed, sometimes the water is so choppy you’re just trying to stay onboard. Perhaps you never learned your boat has a sail, so you’ve been rowing against the waves for years and years, instead of unfurling it.

However, once you learn how to navigate, you can work with the ocean. You can ease your way out of the storms, and find currents to whisk you where you need to go. Sometimes the journey will still be slow and rough, but with the right training and the right gust of wind, you might even find yourself reaching the destination faster than those travelling on foot.

From what I’ve seen of the world, there are plenty of people who have “ocean brains” like I do, whether they meet the criteria for a formal ADHD diagnosis or not.

Having a cultural word for how I think would help me grapple with the interwoven web of my identity and my disorder

So maybe we need to add another, less medical, word to the conversation.

I think education systems could really benefit from talking to children about what kind of internal terrain they are navigating, and adjusting teaching methods to match. It would probably help grown-ups to have some kind of non-stigmatised, non-medicalised language to describe their patterns of productivity too.

The only problem is “ocean brain” sounds a little woo woo to my grown-up ears. Luckily English already has a more sophisticated word we could adopt: “pelagic”, meaning “relating to the open sea”.

Imagine if people with all different varieties and levels of symptoms identified as pelagic, and came together as a community around the shared experiences this kind of brain brings. Then, alongside it, we could continue to use the legal/medical term for those of us experiencing the quality-of-life-reducing disorder commonly associated with pelagism: ADHD.

(Which, by the way, means those of us with the disorder can start saying: “Oh I’m seasick today.” And I think that’s pretty darn cute.)

I don’t know if adding another label will suit everyone’s needs, but having a cultural word for how I think would really help me grapple with the interwoven web of my identity and my disorder.

The Year I Met My Brain cover
 Photograph: Penguin

In a world where we have these two separate words, then yes, I want to cure my ADHD. But that doesn’t mean I don’t want to be pelagic.

I love the ocean that is my brain. I know a lot of other people who love their ocean brains too. We just want help learning to sail, and maybe some seasickness tablets to ease the way.

Reference: ADHD has become an identity, not just a disorder. We need a new way to talk about it | Attention deficit hyperactivity disorder | The Guardian

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