Why are autism diagnoses up? - The Saturday Story

自闭症确诊20年涨9倍,是误诊还是终于被看见?

The Story

2026-09-05

19 分钟
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Autism diagnoses in England have shot up in recent years from 700,000 three years ago to around 1.1 million today. It's led to a backlash, with some suggesting the condition is being over-diagnosed. Not so, says Dr Mary Doherty, a top doctor who founded Autistic Doctors International. She says she knows why diagnoses are up.  This podcast was brought to you thanks to the support of readers of The Times and The Sunday Times. Subscribe today: http://thetimes.com/thestory Read by: Andrew Billen, feature writer, The Times. Producer: Olivia Case.   We want to hear from you - email: thestory@thetimes.com Read more: I’m a top doctor and I’m autistic. I know why diagnoses are up Photo: Tom Jackson for The Times magazine This podcast was brought to you thanks to subscribers of The Times and The Sunday Times. To enjoy unlimited digital access to all our journalism subscribe here. Hosted on Acast. See acast.com/privacy for more information.
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  • From The Times and The Sunday Times, this is the story on Saturday.

  • I'm Manveen Rana.

  • We've seen the diagnoses of autism shoot up in recent years,

  • from 700,000 3 years ago to around 1.1 million today.

  • And that's just in England.

  • It's led to a bit of a backlash, with some suggesting the condition is being overdiagnosed.

  • "Not so," says Dr. Mary Doherty.

  • Autistic herself, she launched Autistic Doctors International 7 years ago,

  • and she says she knows why the numbers are up, and they're not being inflated.

  • Feature writer at The Times, Andrew Billen, went to meet her.

  • Here he is reading his piece from the paper.

  • When she entertained me there earlier this month with coffee and a home-baked cake,

  • Dame Uta Frith's bookish home in North London did not seem easily mistaken for a hornets' nest.

  • Frith, who is 85 and is one of the country's pioneers of autism research,

  • was in the news for something she had said before,

  • but never with such clarity as in her new essay for the journal Psychological Medicine.

  • She claimed that far too many people were being diagnosed, or, as she would say, misdiagnosed, as autistic.

  • A ninefold increase in the 20 years since 1998, according to one study.

  • The autistic spectrum, a theoretical concept Frith helped to construct, had, she said, collapsed to the point of diagnostic meaninglessness.

  • To illustrate this, she told me that Chris Packham,