The Hidden 20% Autism Diagnosis vs BPD, CPTSD 'Confusion' & Why 1 in 3 Autistic Women Are Misdiagnosed
Oct 29, 2025
In this engaging discussion, Dr. Alison Lennox, a late-diagnosed autistic psychiatrist and former NHS clinical lead, tackles the pressing issue of autism misdiagnosis. She highlights how conditions like BPD and CPTSD often overshadow true autism, explaining the nuances that lead to confusion. Dr. Lennox shares her insights on how thorough assessments can reveal autistic traits, the importance of tailored therapeutic approaches for autistic patients with eating disorders, and calls for systemic changes in mental health services to better support neurodivergent individuals.
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Misdiagnosis Is Extremely Common
- Misdiagnosis is widespread: autism in adults is often mistaken for many other conditions.
- Borderline personality disorder, CPTSD, OCD, eating disorders and bipolar are common alternative labels.
Typical Woman Referred With Multiple Labels
- Dr Alison Lennox often sees young women labelled with borderline personality disorder plus eating disorders or OCD.
- Those presentations frequently become clearer as autism after longer rapport and assessment.
Check The Assessment Behind A Diagnosis
- Ask to review the assessment that produced your diagnosis to understand its reasoning.
- Seek clarity on how robust the evidence is rather than assuming the label is absolute.