Beyond Diagnosis: Neurodivergent Voices in Needs-Led Mental Health Psychology and Neuroscience Friday Seminar: Dr Hollie Burnett (St Andrews)

Scotland's neurodevelopmental strategy signals a pivotal transformation, shifting from diagnosis-dependent pathways toward needs-led, inclusive mental health care (Scottish Government, 2021; NAIT, 2022). With autism and ADHD referrals rising by more than 500% since 2020 (NAIT, 2022) and waiting lists reaching unprecedented lengths, it is increasingly evident that access to psychological support cannot be contingent on formal diagnosis alone. National policy now advocates for adapting existing services to ensure neurodivergent adults, whether diagnosed or self-identifying, can receive timely, appropriate care.

This evaluation, led by Dr Hollie Burnett, examines how NHS Fife's Adult Mental Health therapy groups and brief interventions currently meet the needs of neurodivergent participants. Through direct patient feedback, it explores feasibility, therapeutic benefit and common barriers such as sensory demands, communication styles, session pacing and the impact of masking. Rather than developing parallel specialist services, this work aligns with Scotland's strategic ambition to embed neurodevelopmental understanding within mainstream provision, supporting earlier intervention, equity and sustainable service delivery.

By centring lived experience, the evaluation aims to inform practical adaptations that enhance accessibility and effectiveness within groups such as Step on Stress, Mindfulness, and Compassion Focused Therapy. In doing so, it contributes to a national shift toward mental health services designed around need, not label.

Key references
Scottish Government (2021). Neurodevelopmental Specification: Principles and Standards for Support
NAIT (2022 & 2023). Adult Neurodevelopmental Pathways Reports
National Autistic Society (2022). The Autism Act: 10 Years On
Cassidy et al. (2018). Suicidality and mental health in autistic adults
Hull et al. (2020). Camouflaging Autistic Traits Questionnaire (CAT-Q) — implications for clinical support