Embracing neurodiversity affirmative practice: A path to inclusive support for autistic people
Published on 11 August 2025
Author: Helen Edgar and Tanya Adkin
The idea of neurodiversity affirmative practice is gaining a lot of attention among educators, therapists and caregivers. Rooted in the neurodiversity paradigm, this approach recognises neurological differences, such as being Autistic, ADHD and other types of neurodivergence, as natural variations of the human experience rather than deficits to be corrected or cured from.
By shifting the focus from ‘fixing’ individuals to understanding and supporting their unique needs, neuroaffirmative practice fosters inclusive, adaptable environments where everyone can thrive.
Understanding Neurodiversity and Neuroaffirmative Practice
The neurodiversity paradigm (Walker, 2021) challenges traditional views that pathologise neurological differences. Shifting the narrative away from a deficit view of autism emphasises the value of diverse cognitive styles and advocates for political and societal changes to accommodate these differences.
Everyone is part of the natural spectrum of diversity, we need to celebrate that while providing support for the very real difficulties many autistic, neurodivergent and disabled people experience.
Neuro-affirmative practice means recognising the strengths as well as the challenges associated with different neurotypes and creating inclusive environments that respect fluctuating individual needs and preferences.
Core Principles of Neuroaffirmative Practice
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Reframing neurodivergence: Instead of viewing neurodivergences as disorders, we can see these as differences through a neuro-affirmative lens. Each overlapping neurotype has its own dynamic and unique trajectory. This reframing helps reduce stigma and promotes a more inclusive understanding and acceptance of neurological differences.
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Challenging pathologisation: Traditional diagnostic models of autism often pathologise autistic experiences. By embracing neuroaffirmative practice, we can challenge outdated views that emphasise autistic behaviours and ways of being as inherently problematic and deficit-based, and instead see how autistic differences may be misunderstood due to societal norms.
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Promoting agency and autonomy: Central to neuroaffirmative practice is the belief that all individuals, including autistic people, should have control over their lives. This involves listening to and believing in the stories and experiences autistic people share. We need to be flexible and make accommodations, support choices and respect all communication styles so people are involved in their decision-making processes.
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Creating inclusive environments: Rather than expecting autistic or otherwise neurodivergent individuals to adapt to existing structures, neuroaffirmative practice advocates for modifying environments to meet diverse and fluctuating needs and spiky profiles. This includes sensory-friendly spaces, flexible communication methods and personalised support strategies for home, workplaces and in educational, health and social care settings. This includes bridging the Double Empathy gap (Milton, 2012), which further explains the frequent misunderstandings and difficulties that can arise between autistic and non-autistic people.
Implementing Neuroaffirmative Strategies
In my personal blog, Top 5 Neurodivergent-Informed Strategies (2024), I (Helen Edgar) suggested several strategies to support neurodivergent individuals effectively:
- Be kind: Prioritise empathy and understanding. Take time to listen and engage meaningfully. Recognise that building trust and safety is essential.
- Be curious: Be open and willing to learn from others. Avoid making assumptions and instead seek to understand each individual's unique perspective.
- Be responsive: Adapt your approach and frameworks based on individuals' needs and preferences. This may involve adjusting communication methods or providing sensory and time-factored accommodations to support people’s wellbeing.
- Be flexible: Be willing to change routines, expectations, and environments to create more inclusive spaces and accommodate fluctuating sensory needs and people’s energy and capacity.
- Be collaborative: Work with neurodivergent individuals, listen to what they have to say, and involve them in decision-making processes. Not in a tokenistic, neurodiversity-lite way, but genuinely respect and listen. This collaborative approach fosters empowerment, mutual respect and a sense of belonging. You may need to be more creative and provide additional support for those with learning disabilities so their voices are heard and they have equal autonomy.
The Importance of Neuroaffirmative Practice
Adopting a neuro-affirmative approach has profound implications for the wellbeing of neurodivergent individuals and society as a whole. By acknowledging and validating everyone’s experiences, we can reduce the psychological distress often caused by systemic and societal pressures for autistic people to conform to neuro-normative expectations.
Inclusive practices can lead to better educational and work outcomes and improved well-being. In educational, work, health and social care settings, neuroaffirmative practice encourages professionals to move beyond deficit-based language and strategies and instead focus on strengths and individual goals.
This shift can enhance trusting relationships and lead to more effective support strategies, create a better sense of shared meaning and understanding and enhance empathy. Neuroaffirmative practice increases the potential for everyone to succeed.
Conclusion
Embracing neuroaffirmative practice is a crucial step toward creating a more inclusive and compassionate society. By recognising and validating the diverse ways in which all people experience the world, we can foster environments that not only accommodate but celebrate everyone’s differences.
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- British Psychological Society (2024). What does it mean to be neurodiversity affirmative? bps.org.uk/psychologist/what-does-it-mean-be-neurodiversity-affirmative
- Edgar, H. (2024). Top 5 Neurodivergent-Informed Strategies. Autistic Realms. autisticrealms.com/top-5-neurodivergent-informed-strategies
- Hartman, D., Kavanagh, M., Azevedo, J., O’Donnell-Killen, T., Doyle, J.K. and Day, A. (2023). The adult autism assessment handbook: A neurodiversity affirmative approach. Jessica Kingsley Publishers.
- Kavanagh, M., Day, A., Hartman, D., O’Donnell-Killen, T. and Doyle, J.K. (2025). The neurodiversity affirmative child autism assessment handbook. Jessica Kingsley Publishers.
- Milton, D.E. (2012). On the ontological status of autism: the ‘double empathy problem.’ Disability & Society, 27(6), 883–887. doi.org/10.1080/09687599.2012.710008
- Walker, N. (2021). Neuroqueer heresies: Notes on the neurodiversity paradigm, autistic empowerment, and postnormal possibilities. Autonomous Press.
- British Psychological Society (2024). What does it mean to be neurodiversity affirmative? bps.org.uk/psychologist/what-does-it-mean-be-neurodiversity-affirmative