From shame to advocacy: a late-diagnosed autistic woman’s journey through self-discovery and systemic barriers

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Viswanathan, P. (2025). From shame to advocacy: a late-diagnosed autistic woman’s journey through self-discovery and systemic barriers. Mental Health and Social Inclusion, 30(3), 380-389. https://doi.org/10.1108/mhsi-08-2025-0236

Publication date: 18 Sep 2025 Added to AutiHub: 26 Oct 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
1
Publication authors identified as autistic
1 / 1 (100.0%)

Abstract

Purpose This paper aims to explore the lived experience of a late-diagnosed autistic woman, traversing the journey from self-blame to self-acceptance and advocacy. It expounds upon the impact of when invisible disabilities interact with rigid systems, and seeks to bridge the gap between personal experience and professional knowledge, calling for systemic changes that support neurodiversity. Design/methodology/approach Using an autoethnographic exploration, this paper draws on diary entries, professional experiences as a therapist, educator and advocate, and self-reflections during and after the diagnostic process. It contextualizes first-person accounts with relevant literature to throw further light on themes such as masking, stigma, environmental sensitivities, safety challenges and the complex relationship between self-awareness and societal barriers. Findings The narrative shows that while late diagnosis can bring relief and clarity, it also exposes systemic inadequacies. Routine activities such as bureaucratic paperwork, seeking safety or engaging in public spaces become overwhelming due to noninclusive processes and highly stimulating environments. Despite professional knowledge, internalized stereotypes delayed recognition. This paper highlights practical changes – quiet hours, multiple communication modes, sensory-friendly spaces – that benefit autistic individuals and others. Practical implications This paper argues that neurodiversity-affirming systems are essential, not optional, and that changes made for autistic individuals improve environments for everyone. Originality/value Women diagnosed later in life remain underrepresented in autism research, particularly those in helping professions. This paper adds a rare insider perspective, showing how lived experience can inform practice, policy and inclusive design.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 28 Oct 2026 01:01.

Cited references
11
With a DOI
6
Without a DOI, from raw bibliography text
5
0 / 11 (0.0%) cited references include at least one author identified as autistic.
References with data to complete
3 / 11 (27.3%)
References with detected author names
8 / 11 (72.7%)
Without detected author names
3
Without a structured title
3
Without a stable identifier
5
References with raw author names still to review
3
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
74
From DOI or external metadata
74
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
3
13 / 74 (17.6%) names are linked to an author already present in AutiHub. 61 / 74 (82.4%) names are not yet linked.
Names linked to a person identified as autistic
0 / 74 (0.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 0 / 13 (0.0%). Distinct people identified as autistic: 0 / 74 (0.0%).
  1. Dori Zener (2019). Journey to diagnosis for women with autism . Advances in Autism, 5(1), 2-13. Emerald.
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  2. Melissa H. Black , Sarah McGarry , Lynn Churchill , Emily D’Arcy , Julia Dalgleish , Isabelle Nash et al. (2022). Considerations of the built environment for autistic individuals: A review of the literature . Autism, 26(8), 1904-1915. SAGE Publications.
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  3. Kelly A. Shaw , Susan Williams , Mary E. Patrick , Miguel Valencia-Prado , Maureen S. Durkin , Ellen M. Howerton et al. (2025). Prevalence and Early Identification of Autism Spectrum Disorder Among Children Aged 4 and 8 Years — Autism and Developmental Disabilities Monitoring Network, 16 Sites, United States, 2022 . MMWR. Surveillance Summaries, 74(2), 1-22. Centers for Disease Control MMWR Office.
    Crossref OpenAlex OpenCitations
  4. Lucy A Livingston , Punit Shah , Francesca Happé (2019). Compensatory strategies below the behavioural surface in autism: a qualitative study . The Lancet Psychiatry, 6(9), 766-777. Elsevier BV.
    Crossref OpenAlex OpenCitations
  5. Brazil, U. S. M. (2025), “Nonimmigrant visas overview”, U. S. Embassy & Consulates in Brazil, available at:Link to the cited article.
    Type: Other
    Crossref
  6. Kate Seers , Rachel Hogg (2023). “Fake it ‘till you make it”: Authenticity and wellbeing in late diagnosed autistic women . Feminism & Psychology, 33(1), 23-41. SAGE Publications.
    Crossref OpenAlex OpenCitations
  7. Gallo (2010). Diagnosing autism: a lifespan perspective .
    Type: Other
    Crossref
  8. Joanna M Tsirgiotis , Robyn L Young , Nathan Weber (2024). A comparison of the presentations of males and females with autism spectrum disorder and those narrowly below the diagnostic threshold . Autism, 28(4), 1029-1044. SAGE Publications.
    Crossref OpenAlex OpenCitations
  9. Miserandino, C. (2013), “The spoon theory written by Christine Miserandino”, But You Dont Look Sick? Support for those with invisible illness or chronic illness, available at:Link to the cited article.
    Type: Other
    Crossref
  10. Price (2022). Unmasking Autism: The Power of Embracing Our Hidden Neurodiversity . Unmasking Autism: The Power of Embracing Our Hidden Neurodiversity.
    Type: Other
    Crossref
  11. Tobago, U. S. E. T. (2024), “Ask the Consul-March 2024”, U. S. Embassy in Trinidad & Tobago, available at:Link to the cited article.
    Type: Other
    Crossref