The elephant in the room: neurodivergence in psychiatry.

Critchley, Hugo; Minnis, Helen; Gajwani, Ruchika; Green, Jane; Dew, Rebecca; Dale, Oliver; Davidson, Conor; Müller-Sedgwick, Ulrich et al. · Br J Psychiatry · 2026

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Abstract

Across psychiatry, neurodivergence is highly prevalent yet under-recognised. Psychiatric vulnerability, treatment response and prognosis are critically shaped by co-occurring neurodevelopmental conditions, including attention-deficit hyperactivity disorder, autism and tic disorder. Clinical recognition of neurodivergence and effective management can mitigate mental illness, prevent suicide and reduce societal costs. Services and training should adapt accordingly.