Demand for autism care is soaring. The system is struggling to cope

Autism care has become a $4bn-$5bn business in America as diagnoses have quintupled over 20 years, straining state budgets and raising concerns about treatment quality.

The Economist
I have SchizoAffective Disorder, I also have a Major Mood disorder, and depression. When I was 5, they thought I had autism, but I did an IQ test and had the mental age of 12, and said autism didn't apply to me because I have a high IQ. They didn't know about high-functioning autism back then. So I think I was misdiagnosed. I think I am on the spectrum somewhere on the high end. I learn fast, but sometimes forget what I learned. I am 57 now.

I’m 42 but British. I was a weird kid, but over in Blighty autism wasn’t something that was even considered back then - just “how much more do we need to cane him until he’s normal?!”.

It turns out, no amount. Now I’m just a weird adult with an ironclad distrust of all authority.

I am a bit older and i grew up in New Jersey, and it wasn't much different. My teacher once told me she was going to cut my finger off because i always counted with them . Punk rock saved my life .

Earlier this week, the NYT also published this (to me, very moving) account of a nonverbal autistic man going to graduate school and publishing a novel: https://www.nytimes.com/2026/03/30/books/review/woody-brown-...

It's amazing how much we continue to learn about these conditions.

Doctors Believed Woody Brown Would Never Understand Language. He’s Publishing a Novel.

Doctors believed that Woody Brown would never be able to speak or process language. He went to graduate school and is publishing his debut novel.

The New York Times

This UK government posted a report recently, which I guess prompted this article.

Review into mental health conditions, ADHD and autism: interim report (gov.uk).
https://www.gov.uk/government/publications/independent-revie...

Independent review into mental health conditions, ADHD and autism: interim report

Interim report outlining progress on the independent review into the prevalence and support for mental health conditions, ADHD and autism.

GOV.UK
This is just for England not the whole UK. Just saying. In Scotland, there has been a move to have an autism commissioner as if that's going to benefit the lives of most autistic people. Don't know about Wales and Northern Ireland.
Are the soaring diagnosis because the frequency of autism in the general population is increasing? Or just increasing education and diagnosis
This is almost not even up for debate anymore. At this point there is myriad evidence of it being the latter. For example, autism in women was all but ignored until recently, and is still under-diagnosed. Remember Grandma and her lifelong fixation on china saucers or whatever?
Yes, I do remember. That was a latent effect of the great depression mixed with grandma not having to work so that was her hobby. Pretty tired of having a hobby or specific domain knowledge being labeled as "lol autism".
Autism as a contemporary identity and autism as a DSM-V diagnosis seem to have diverged in the past few years.
More diagnosis for sure
It is primarily driven by the expansion of the diagnosis itself. DSM-3 Autism (1980) is quite different from DSM-5 Autism (today). Today's autism includes things that used to have totally different names. It also "allows" for a diagnosis much later in life. Autism used to be something very specific and discreet. From another perspective, the diagnosis rate may not be soaring. That is, many more people in the 1980s and 1990s would be autistic by today's new standard.

> Once diagnosed, many children receive Applied Behaviour Analysis (aba)

Shameless plug but to see ABA progress better, I built a site with the Observable Framework[1] that analyzes session data at: https://behavior.today

[1] https://github.com/observablehq/framework

Behavior.today - ABA Parent Portal and Clinician Dashboard for Parents & Therapists

Unlock the full value of your ABA data with our parent portal and clinicial dashboards

Behavior.today
nice, that's genius. great idea!