
The Hidden 20% Ex-NHS Autism Psychiatrist Speaks Out: Diagnosis, Waitlists & Why She Left
Oct 22, 2025
Dr. Alison Lennox, a late-diagnosed autistic psychiatrist and former NHS clinical lead, reveals the complexities of autism diagnosis in the UK. She discusses the significant waitlist issues post-pandemic and shares essential advice for those seeking assessments, emphasizing the differences between NHS and private practices. Alison also highlights why many autistic women are misdiagnosed and delves into the need for better training among general practitioners. Her insights on the unique strengths of autistic individuals and the systemic changes needed in healthcare are thought-provoking.
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Leaving NHS Over Waitlist Transparency
- Dr Alison Lennox left the NHS after feeling complicit in hiding long autism waiting lists.
- She felt pressured to be unemotional when she raised concerns about the situation.
Severe Shortage Of Specialist Psychiatrists
- There are very few specialist neurodevelopmental psychiatrists in the UK, roughly fifteen.
- This scarcity contributes to long waits and limited specialist capacity.
Assessment Roles Are Diverse But Impractical
- Autism assessments can be done by many disciplines and either by individuals or teams.
- The original team-based guideline is rarely feasible due to resource limits.
