Updated July 2026
Welcome
If you are listed here, or thinking about joining us, it is good to have you here. This page was written to support you: your practice, your listing, and through them the neurodivergent people who come looking for someone who understands. None of us arrived knowing all of this language. We are all learning and unlearning together, and this guide holds what we have learned so far.
This guide is about the words we use on directory listings, the words a client meets when they are deciding whether to reach out to you. We made it public so the standard is easy to find and easy to follow. It sits alongside our Shared Commitments, which set out our core principles of neuroaffirming practice.
The guide is evolving, and we want to be honest about the size of the task. Our community already spans 28 countries, and how people describe themselves is shaped by culture, history, and language. We are an English-language directory at present, and we have no wish to impose a Western view on anyone. So if you practise in a culture that speaks about neurodivergence differently, please educate us. We will listen, and we will keep adapting this guide so it serves the people of your culture and region well.
This guide is also available as an Easy Read version and as a PDF you can download.
Prefer an easier-to-read version?
Why these words matter
A few convictions sit under this guide, and we want to share them openly, because the guidance here is designed to support rights-based, neuroaffirming practice. The words make more sense once you can see where they come from.
We start from the social model of disability. Much of what makes life hard for us as neurodivergent people comes from environments built without us in mind: the open-plan office nobody can think in, the interview that requires eye contact, the form with no way to say what you actually need. The barriers are in the world, and the world can change. The UN Convention on the Rights of Persons with Disabilities sets out rights that matter here: to be included, to be spoken about with dignity, and above all the right to define ourselves in our own terms. Regional human-rights instruments carry the same commitments into their own contexts, among them the African Disability Protocol (2018). “Nothing about us without us,” a demand we owe to the disability rights activists whose work we stand on, means the people being described should shape the language, and it is how the language in this guide was gathered.
Human minds vary widely. Neurodivergence is a broad term for those that work differently from what a society treats as standard, whether from birth or acquired later in life, for example after a brain injury.
Alongside the social model, we also hold a biopsychosocial view, and we want to be precise about what this means. Neurodivergent people lose people they love, burn out, and go through hard seasons, as people of every neurotype do, and many also carry what living in an unaccommodating world has already cost them. Supporting someone through those is good practice, and it does not make their neurodivergence the problem.
Some experience also lives in the body and mind themselves: intrusive thoughts can be exhausting in the calmest room, hypersensitive hearing can make even your own heartbeat loud, and an acquired neurodivergence, after a brain injury or with dementia, can bring real grief for what has changed. There is no barrier to remove in those moments, and the experience is still real and still deserves support. A rights-based, affirmative approach says all of this plainly: the world creates much of disability, some difficulty is not made by the world, and people deserve support with both.
The words in this guide matter because they shape how a person is met. They are not there for performance. They should point to something real in the way a practitioner listens, describes difficulty, respects self-definition, and offers support. A listing should sound like the practice behind it.
What this guide covers
This guide is about your public listing. The principles behind it reach further than that, because a practitioner’s worldview travels into everything they write. So wherever possible, a rights-based practitioner writes clinical notes and reports from the same social and biopsychosocial frame, describing a person rather than listing deficits. There are times when a report for an insurer, a medical body, or a public health service requires deficit-based language to do its job. When that is necessary, we recommend explaining it to your client openly and with care, so the relationship stays protected and they are never left wondering whether that language is how you truly see them. If you would like support writing notes and reports this way, you will find resources at the foot of this page.
The short version
If you take one thing from this guide, let it be this: use the words each community uses about itself, and you will be right far more often than not.
For Autistic people, that means identity-first language: “Autistic person,” “Autistic clients,” “an Autistic practitioner.” We hold this as our standard because it is what Autistic communities have most consistently told researchers they want. In a UK study, 61% of Autistic adults endorsed “Autistic.” In a US study, 87% preferred identity-first language. A study of English speakers across many countries found the same leaning, alongside real variation from place to place and no single global consensus.
Preference is shaped by language and by culture, and it is not settled the same way everywhere. A study of Dutch Autistic adults, for instance, found that most preferred person-first wording. So we hold identity-first as the standard for this English-language directory, grounded in that evidence and in each person’s right to be named as they ask, while staying honest that it rests on where the research is strongest rather than on a claim that every Autistic person agrees.
This directory is for the whole neurodivergence umbrella. So far, much of the community-led research on language has come from the Autistic community, which is why Autistic examples appear most often in this guide. As lived-experience research and community guidance from other communities become available to us, we will fold their preferences in. For now, for OCD, PTSD and Tourette’s, person-first wording usually reads best: “people with OCD,” “people with PTSD,” “people with Tourette’s.”
The words, at a glance
On listings here, these are the words we reach for, and the ones we leave off.
Words we use
Words we don’t use
Below, we explain the thinking behind the terms we’re most often asked about.
A note on capitals: we write “Autistic” with a capital A, as a marker of identity and culture, in the way “Deaf” is capitalised. On your own listing the choice is yours: lowercase is just as welcome. We neither require the capital nor correct it.
A note on “neurodivergent” and “neurodiverse”: a person is neurodivergent, and a group or a society is neurodiverse. It works the way biodiversity does: just as biodiversity describes the variety of all living things and no single plant is biodiverse, neurodiversity includes all human minds and no single person is neurodiverse. So we write “a neurodivergent person,” not “a neurodiverse person,” and “neurodivergent people” rather than “people with neurodiversity.”
“Autistic,” not “ASD”
On this directory, write “Autistic.” The Autistic community has strongly and consistently asserted this preference, and honouring it is part of rights-based, neuroaffirming practice. Clinical labels like “ASD” and “Autism Spectrum Disorder” may still appear in diagnostic paperwork, but they have no place on a listing here, and we do not list practices that describe the people they serve this way. For example: “therapy for Autistic adults,” not “therapy for adults with ASD.”
Functioning labels
This is the change practitioners ask us about most, so we felt it was worth discussing explicitly. We leave “high functioning,” “low functioning,” “mild,” “severe” and “profound” off listings, because they flatten people rather than describe them. “High functioning” tends to make real support needs easy to miss, and “low functioning” tends to bury someone’s strengths, their autonomy, and the ways they communicate. The research bears this out, finding that IQ is an imprecise proxy for how someone actually manages day to day.
What works far better is to describe the actual support you offer:
- “I support Autistic adults with burnout, transitions, and sensory overwhelm.”
- “I work with clients who need clear structure, slower pacing, and practical planning.”
- “My practice is suitable for clients who use AAC or need extra processing time.”
“Asperger’s”
We do not use “Asperger’s” on listings, and the reason matters. In recent years, historical research has shown that Hans Asperger’s work was bound up with Nazi-era race hygiene and the child euthanasia programme, including referrals to the Am Spiegelgrund clinic. The diagnosis that carries his name grew out of a system that measured children’s worth by their usefulness, and a person’s worth is not their usefulness. On this directory, we say “Autistic.”
At the same time, we know that many people were given “Asperger’s” by a clinician, sometimes decades ago, and have carried it as part of their story ever since. Letting go of a word that once helped you make sense of yourself is not small. If a client uses it about themselves, we recommend you meet that with gentleness: honour what the word has held for them, and when the moment is right, share why the community, and this directory, have moved to “Autistic.”
Part two
Writing a good listing
The guide above is about the words. This part is about the rest of your listing: what to include, and how much of yourself to share.
Sharing your own neurodivergence
You are welcome here whether your neurodivergence is self-identified or formally diagnosed. Your listing is public, so share at the level you would be comfortable with anyone reading. A single plain sentence is usually enough:
- “I am an Autistic therapist.”
- “I bring lived experience of ADHD to my coaching work.”
- “I am a neurodivergent practitioner.”
- “I work from lived experience as well as professional training.”
There is no need to offer up your diagnostic history, medical detail, or private context unless you genuinely want to. What you hold back is yours to hold back, and if you would rather not name your own neurodivergence(s) publicly at all, that is completely fine too.
Describing your actual practice
Most clients arrive at a listing scanning quickly for whether you are the right fit, so the concrete beats the general almost every time. Rather than broad claims, name the actual work:
- “support with burnout”
- “therapy for late-identified Autistic adults”
- “ADHD coaching for planning, task initiation, and overwhelm”
- “study support for dyslexic and dyspraxic students”
- “counselling for people with OCD or Tourette’s”
- “support for adults adjusting to life after a brain injury”
- “support for sensory needs, transitions, and workplace stress”
- “counselling for trauma, masking, grief, and identity”
Plain language is enough, and it tends to be easier to trust. This is also where the words meet the practice. The terms on your listing signal how you work; our Shared Commitments are the practice itself. We want to promote practitioners whose listings are true to how they actually work, not anyone who can pass a vocabulary test.
Who you are here for
Neurodivergent people are never only neurodivergent. Race, gender, sexuality, faith, migration and class all shape a person’s life and how they are met, or missed, by services. If your practice is a place where multiply-marginalised people are genuinely understood, your listing can say so. Naming who you are for helps the right person feel they can reach out to you.
Resources for respectful assessment and reports
If you want support writing assessments and reports in a neurodiversity-affirmative way, these two handbooks are a good place to start, both co-authored by our founder, Tara O’Donnell-Killen:
- The Neurodiversity Affirmative Child Autism Assessment Handbook (Jessica Kingsley Publishers)
- The Adult Autism Assessment Handbook (Jessica Kingsley Publishers)
Community voices worth reading
The standards here were gathered from the neurodivergent community. A few voices and resources worth your time:
Writers and self-advocates
- Jim Sinclair, “Why I Dislike ‘Person First’ Language” (1999)
- Lydia X. Z. Brown, writer and disability justice advocate (Autistic Hoya)
- Nick Walker, Neuroqueer Heresies (2021)
- Kassiane Asasumasu, who coined “neurodivergent”
- Robert Chapman, on the neurodiversity paradigm across neurotypes
- Finn Gardiner, on functioning labels, race and self-definition
- Touretteshero (Jess Thom), on Tourette’s from lived experience
Organisations and collectives
- ASAN, the Autistic Self Advocacy Network
- Autistic Women & Nonbinary Network (AWN)
- Autistic People of Color Fund
- Sins Invalid, and their 10 Principles of Disability Justice
- Reframing Autism (Australia), I CAN Network (Australia), Autistics for Autistics Ontario (Canada)
- Made By Dyslexia, and Succeed With Dyslexia
On language, identity and culture
- Leah Lakshmi Piepzna-Samarasinha, Care Work: Dreaming Disability Justice (2018)
- All the Weight of Our Dreams: On Living Racialized Autism (2017)
- Keri Opai, on “Takiwātanga,” a te reo Māori word for autism meaning being “in their own time and space,” a reminder that autism language is culturally situated
Sources
- Oliver, M. (1990). The Politics of Disablement. Macmillan.
- United Nations (2006). Convention on the Rights of Persons with Disabilities (CRPD).
- African Union (2018). Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Persons with Disabilities in Africa.
- World Health Organization (2001). International Classification of Functioning, Disability and Health (ICF), the biopsychosocial model.
- Kenny, L. et al. (2016). Which terms should be used to describe autism? Autism 20(4). doi:10.1177/1362361315588200
- Taboas, A., Doepke, K. & Zimmerman, C. (2023). Preferences for identity-first versus person-first language in a US sample. Autism 27(2). doi:10.1177/13623613221130845
- Keating, C. T. et al. (2023). Autism-related language preferences of English-speaking individuals across the globe. Autism Research 16(2). doi:10.1002/aur.2864
- Buijsman, R., Begeer, S. & Scheeren, A. M. (2023). ‘Autistic person’ or ‘person with autism’? Person-first language preference in Dutch adults. Autism 27(3). doi:10.1177/13623613221117914
- Kapp, S. K. (2023). Profound Concerns about ‘Profound Autism’. Education Sciences 13(2):106. doi:10.3390/educsci13020106
- Alvares, G. A. et al. (2020). The misnomer of ‘high functioning autism’. Autism 24(1). doi:10.1177/1362361319852831
- Czech, H. (2018). Hans Asperger, National Socialism, and ‘race hygiene’ in Nazi-era Vienna. Molecular Autism 9:29. doi:10.1186/s13229-018-0208-6
On “Nothing about us without us,” see James I. Charlton, Nothing About Us Without Us: Disability Oppression and Empowerment (University of California Press, 1998), which documents the phrase in disability-rights use.
Further reading on language preference across cultures, including the French-speaking (Geelhand et al. 2023) and Australian (Bury et al. 2020, 2023) studies, is held in our full source library.
Want a copy to keep or print?
Version 2, 12 July 2026. Maintained by Neurodivergent Practitioners and reviewed as community language changes. If a term here reads wrong to you, or you know a source or a regional guide we should add, please email us at support@neurodivergentpractitioners.org.