Why has autism become one of the most contested diagnoses in medicine — and who is paying the price?

In this episode, we sit down with Dr Sami Timimi, child psychiatrist and fierce critic of mainstream psychiatric diagnosis, to ask a question that doesn't get asked enough: what happens when a diagnostic label expands so far it stops meaning anything — and what does that cost the children who need support most?

This is a conversation that challenges some deeply held beliefs about neurodiversity, identity, and what it actually means to support disabled people.

We cover:

• Why there is no agreed definition of autism — even among 500 leading researchers
• How the expansion of the diagnostic spectrum is diluting resources for severely disabled children
• The neurodiversity movement's origins, its genuine intentions, and its unintended consequences
• Why the concept of "masking" expanded autism into an entirely new population
• ADHD as a consumer brand — and the research showing childhood diagnosis predicts worse long-term outcomes
• The 787% rise in autism diagnoses in the UK, and what the demographics reveal
• Why Sami believes diagnosis should be removed as evidence for services like the Disability Living Allowance — replaced with individualised assessments of real clinical, educational, and social need

If you're a parent of a high-needs child who has ever felt that something has gone badly wrong with how autism is understood, this one is for you.

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