Latest / NDV Podcast: Neurodiverse Voices Connect / Exploring Neurodiversity in Mental Health: Simona’s Journey as a Researcher
Transcript
- 0:17Welcome to season 5 of the Neuro Diverse Voices Podcast, the
- 0:22podcast that gives a voice to the neuro divergent community.
- 0:27My name is Andrea Costa and I am your host.
- 0:32I am also the mom to a beautiful 9 year old autistic daughter and
- 0:36she is my world. At the age of 42, I was recently
- 0:41diagnosed with ADHD and through my lived experience I've
- 0:45developed a deep passion for all things neuro diversity.
- 0:51My daughter gave me purpose. My neurodivergence keeps the
- 0:55passion alive. By sharing my journey, I hope to
- 0:59help others feeling seen, understood, and less alone.
- 1:04Through conversations with guests from a wide range of
- 1:08backgrounds and perspectives, my aim is to challenge assumptions,
- 1:12spark curiosity and enlighten all kinds of minds.
- 1:17This is and brings another incredible line up of guests.
- 1:21From comedians and writers to alternative provision leads,
- 1:25therapists, parent advocates and researchers from the University
- 1:29of Oxford, every guest has an inspiring journey and a powerful
- 1:33story to share. This is a space for honesty,
- 1:36connection and celebration where difference is not just accepted
- 1:41but valued. Hi everyone, welcome to the
- 2:05season finale of Season 5 of the Neuro Diverse Voices podcast.
- 2:10This will be the last episode of the season, and today we are
- 2:14going to focus on research with another special guest.
- 2:18I'm going to try to pronounce her name properly this time.
- 2:24She's an Economic and Social Research Council and
- 2:29Administrative Data Research UK Fellow at the University of
- 2:32Oxford's Department of Experimental Psychology, and her
- 2:36name is Simona Skripkowskaita. Welcome, Simona.
- 2:41Yeah, very well done, Very well done.
- 2:44I'm very happy to be here. I'm very happy to to have you
- 2:47here. OK, so why don't we start with
- 2:52you telling us a bit more about your your work.
- 2:57So if you can, introduce yourself and tell us about the
- 3:00work you are currently doing at Experimental Psychology.
- 3:05Great. Yes.
- 3:06So as you said, I'm Doctor Simona Skripkoskaita.
- 3:09I'm an ADRUK Fellow in Department of Experimental
- 3:14Psychology at Oxford as well as a lecturer in clinical
- 3:18Psychology at University of Surrey.
- 3:21And my ADR project in particular sort of focuses on on sort of
- 3:27administration data, as you said.
- 3:29But my research more generally looks at neodiversity informed
- 3:35child and adolescent mental health.
- 3:37So in the administrative data project, I'm looking at linked
- 3:43administrative data, looking at school data as well as NHS data
- 3:51and seeing how young people who develop, who are or or are
- 3:59intrafed for neurodivergence as well as mental health conditions
- 4:03at some point before they turn 12 years old, how they interact
- 4:08with different systems in the run up to that.
- 4:10So how and when do they get yes, funding and support?
- 4:16When do they get special education support and EHCP
- 4:20plans? And if they do as well as how
- 4:25there are or aren't excluded from schools and education, how
- 4:30they present to emergency care, how they interact with social
- 4:35care. So what kind of whether they
- 4:38have child in need plans or child child looked after status.
- 4:44And kind of my main aim is really to look at how these
- 4:48groups of, let's say neurodivergent only
- 4:52neurodivergent and mental health and mental health only referrals
- 4:57for for for mental health support, how that might define
- 5:00the differences and similarities in in those pathways.
- 5:04So the hope is that that will let us see whether there's any
- 5:08gaps in terms of timing or engagement in either of those
- 5:12groups where maybe we need to be putting more efforts for
- 5:17prevention and intervention or making sure that those services
- 5:20are provided better or or less when it comes to things like
- 5:24school exclusion or whether there are particular
- 5:28interactions with the system where all, let's say neuro
- 5:31divergent children who have also Co curing mental health
- 5:35conditions already are. And maybe that's a great space
- 5:38to come in and interact with them and implement early
- 5:43prevention and intervention sort of mouse to make sure that they
- 5:46don't go on developing mental health conditions.
- 5:49Yeah, very, very important and relevant research study that I'm
- 5:54also very happy to be involved, involved with as a member of the
- 6:02Advisory Board. Thank you.
- 6:04Thanks for sharing and thank you for your work.
- 6:06I know I thank you every time we have a meeting, but it's
- 6:10something that we neuro divergent community really,
- 6:15really need. And what has drawn you to
- 6:19researching neuro divergent within child and adolescence
- 6:22mental health? That's a good question.
- 6:27It's, it's been a journey really so, well, I mean, to be fair,
- 6:32let let me address the, the, the previous things you said.
- 6:35So in terms of how grateful I am to have you in my advisory
- 6:39group, it's really, it's really, really nice and extremely
- 6:43important and, and really supportive and, and, and
- 6:48inspiring to, to have you and the, and the other people who
- 6:51are involved there. So thank you for that first,
- 6:53didn't want to like just jump over that.
- 6:56But in terms of, yes, So what inspired me initially, it's,
- 7:01it's quite funny because that's like a long journey and a long
- 7:04time ago really. You know, I think it's quite
- 7:08funny how we sometimes make young people decide what they
- 7:11want to do in life quite early in their journey when they're
- 7:141617 or so and they have to be making different decisions which
- 7:18will determine that. So I went into studying
- 7:21psychology and I thought that I would want to go into corporate
- 7:23psychology and HR and things like that.
- 7:26And really kind of going through the degrees and learning about
- 7:33different populations and learning about different people
- 7:36and learning about the field more generally kind of
- 7:39completely changed that through different experiences.
- 7:42And one of the things that I can really sort of pinpoint that was
- 7:45like very unfortunately at that time called abnormal psychology
- 7:49classes. But what they showed me was it
- 7:55kind of introduced me not really for the first time because I
- 7:58have had kind of neurodevension people in the world around me.
- 8:03But kind of really more formally to sort of showing how people
- 8:09that are born slightly different in some ways from the general
- 8:12population is often kind of maybe seen as unfortunate in
- 8:16some ways. Actually can really thrive when
- 8:19provided the suitable environments and things that,
- 8:23you know, really attend to their strengths rather than focus on
- 8:26their maybe challenges. And that's really kind of
- 8:30completely flipped the switch in my head.
- 8:32And I was like, that is what I want to do.
- 8:34I want to be part of that change that changes how we provide the
- 8:37environments is really change of focus on going like, OK, well,
- 8:42what is suitable for this individual?
- 8:44And that kind of through a longer way led me into neuro
- 8:49diversity as well, where then I conducted my sort of first
- 8:52research projects that neuro divergent children and really
- 8:57quickly saw how that support and the right environments were
- 9:01lacking for both neuro divergent young people and and their
- 9:05families. And that that's something that
- 9:09we need to quickly sort of improve.
- 9:12That's now 20 years ago that you know, so it's been it's been a
- 9:18long journey, but I'd say that's where I would put pinpoint those
- 9:21kind of start of my journey and going like, OK, actually I don't
- 9:25want to go into corporate psychology.
- 9:27I want to I want to do something that allows me to work that is
- 9:32an amazing population of young people and make sure that they
- 9:35are getting best chance in life. Yeah, I think corporate
- 9:38psychology sounds a lot more boring.
- 9:42I think so, yeah. Right choice.
- 9:46I'm sure some people love it, but I don't think it's for me.
- 9:50Great. OK.
- 9:52So one of the big themes of of your work is the gap between
- 9:56diagnostic frameworks and lived experience.
- 9:59From what you've seen so far, where do systems most often miss
- 10:03the mark for neuro divergent young people?
- 10:08Yeah, it's, it's, it's tricky in some ways.
- 10:16I don't know how much I'm looking at diagnostic frameworks
- 10:19in the way I think I've kind of moved away from that.
- 10:22I'm looking at much more trans diagnostic frameworks because
- 10:29things are much more complicated in real life than pure
- 10:31diagnosis. So the diagnosis and and the
- 10:37sort of the standard pathways currently are quite built on
- 10:40sort of standardized diagnostic systems and sort of having a
- 10:46particular diagnosis in mind for, for, for very good
- 10:52historical reasons and generally good resource allocation
- 10:55reasons. But obviously the trajectories
- 10:59and the experiences are much more diverse and they don't
- 11:02always fit within the systems that are defined of you must
- 11:07take one box at the time sort of thing.
- 11:10Because actually we know that people change over time in, in,
- 11:15in, in, in what boxes they might be able to tick or not or take
- 11:20multiple boxes at the same time. And so that's, there's kind of a
- 11:25mismatch in that. There's also, especially in the
- 11:31field like neuro divergent, the diagnosis, you know, and the
- 11:37support is kind of heavily dependent on diagnosis, right,
- 11:40rather than the particular needs.
- 11:42And we know that once you meet one neuro divergent person, you
- 11:44know, you only met one neuro divergent person.
- 11:47The it's, it's, it's such a heterogeneous and broad
- 11:51population that you can't really sort of have really
- 11:56one-size-fits-all kind of approaches.
- 12:00There's a lot of variability. And that does not necessarily
- 12:04fit, again, the systems that we have.
- 12:11And yeah, I think, I think, you know, just historically and the
- 12:15way it's kind of been done, it's not really built to fit the
- 12:20means of neurodivergent young people.
- 12:22Often it's often too quick, too loud, too intense, too focused
- 12:28on changing the young person rather than sort of thinking
- 12:31about how to change their environments against them.
- 12:36But having said all of that, I don't, I don't, you know, I
- 12:39think it's important not to blame the people in the systems
- 12:42in that sense either because it's not coming from people who
- 12:47are working in those places not knowing that that's, that
- 12:51doesn't work or or, or not wanting to help people.
- 12:54It's often kind of systemic and historical and financially
- 12:59driven kind of restriction. That's yeah.
- 13:03It's a learning journey for for everyone.
- 13:06I think you know when you are in the position of being frustrated
- 13:10with the systems, it's, it's very easy to to blame how things
- 13:15how things work. But, you know, the way I try to
- 13:19see it is, is, is through a positive lens as well that, you
- 13:23know, it does take time. And, you know, sadly, we don't
- 13:29see a lot of change because it's been a long time.
- 13:35But I think, yeah, patience is one of those things that we
- 13:40parents have to have a lot. But but I agree with you, it's a
- 13:46learning journey. And it's, you know, only
- 13:48recently we started talking about the shift or this change
- 13:52between the medical model towards the social model and
- 13:57understanding that, you know, the environments or the
- 14:01environments that we have in the systems that we have are
- 14:04actually not fit for, for for the near divergent community.
- 14:09So I think there's still a long way to go.
- 14:12It's great to see so many initiatives and, you know,
- 14:15advancing advancement in research as well.
- 14:19And, you know, amazing researchers like you dedicating
- 14:23your, your career to, to this. But I, I agree with you.
- 14:27It's, it's not about the people. It's, it's the system that needs
- 14:30to change. And I'm, I'm sure it will.
- 14:33Yeah. It's about being patient.
- 14:36And I think, you know, we've already, we've, we've been
- 14:38seeing some positive changes, some of them are frustrating.
- 14:42And you're kind of going, how have we been talking about this
- 14:44for such a long time? And it still hasn't changed.
- 14:46And that kind of it applies for, for, for, for neurodiversity
- 14:49specific sort of systems, but also just child and young
- 14:52people's mental health systems more broadly.
- 14:56You know, UK is in quite a funny space at the moment when it
- 14:59comes to sort of receiving diagnosis or support, you know,
- 15:04and, and long waiting lists and, and we're kind of in slight
- 15:08problematic times with that. But there's also a change in,
- 15:13in, in the conversations that are being had.
- 15:15There's a spread of understanding.
- 15:17There's much better sort of capture that more and more talk
- 15:21that the sort of clinicians and professionals working in that,
- 15:24that space less. I have to sort of explain
- 15:27everything from the beginning. And people go like, Oh yeah, we
- 15:31know this. We see, we see these young
- 15:33people every day and we try to do sort of our best in the
- 15:36systems that are about that. So it's definitely changed.
- 15:39But yes, hardly as any big changes.
- 15:42There's low, they take a while. Yeah, we will get there.
- 15:48We. Will get there, yes.
- 15:51Sure. And from your connection and
- 15:55work with neural divergent young people, how do they describe
- 15:59themselves or make sense of their mental health?
- 16:03And how does that differ from how professionals stand to to
- 16:06frame it? Interesting.
- 16:10I think, well, I mean, for one, the focus, I think, but again,
- 16:15this is based on obviously limited number of of neurotic
- 16:18people that are kind of had the privilege to discuss this.
- 16:21And this might not apply for, for many different people.
- 16:24As I said previously, it's quite a heterogeneous sort of group of
- 16:30people really. So it varies quite a lot.
- 16:35But I'd say the focus is, is on a slightly different part of the
- 16:38process, I think for neurodivergent people,
- 16:44understandably. And you know, I might be wrong,
- 16:47but just kind of from what people told me, it's really more
- 16:52of the focus on support needs and kind of really on, on, on
- 16:55the support that's available and making sure that they get help
- 17:02when they need help with their mental health symptoms and, and
- 17:04things like that. While sadly from the
- 17:09professional side and less so the professionals themselves,
- 17:12again, more of the systems and in, in, in, in in some ways
- 17:16reasonably so. There's much more of like, well,
- 17:21but why do you have this? And, and is that appropriate for
- 17:24you to be in the service, which I understand the sort of
- 17:28thinking of. And often it's, it's founded.
- 17:30So for example, if we have an evidence based intervention that
- 17:34has been shown to be suitable for like let's say children and
- 17:39young people and more generally, but it's not been evidenced yet
- 17:44to, for example, be suitable for autistic people or ADH gears or
- 17:51you know, ADH gears, it's and there's limited spaces the
- 17:57professionals might go like, well, actually we might do harm
- 18:00here. So let's not give the space for
- 18:02this person who might be neurodivirgent and instead let's
- 18:07give it to somebody who we know the chances are that this will
- 18:09help, right? So I understand the sort of the
- 18:12thinking about it in those particular situations, in those
- 18:16particular decisions. But what often seems to happen
- 18:21is that at least I think that's more pronounced than adult
- 18:26populations from the looks of it and the research out there.
- 18:30But what happens then is that the neuro divergent people end
- 18:35up being think point between different services and you know,
- 18:41sort of, let's say autism already reached specific
- 18:45services will go like, well, that's not we don't feel like we
- 18:49can help you with anxiety. This is something beyond our
- 18:52expertise. While, you know, anxiety
- 18:56treatments and and people delivering those will go like,
- 18:59well, this might be your autism instead, or this might be your
- 19:03ADHD instead. And I don't think I can, you
- 19:05know, help with that. And that leaves the people
- 19:08somewhere in the middle falling through the gap and going well,
- 19:13but who do I go to? Because there's no understanding
- 19:16of how these things overlap. I do think like it's, it's a
- 19:21tricky one. There's definitely been like a
- 19:23lot of record and, and research showing that that's definitely
- 19:27as well as, as, as as just sort of anecdotal evidence from
- 19:31conversations that people have had that that's definitely
- 19:34affecting sort of over eighteens quite a lot in, in, in, in, in
- 19:40neuro diversion population. And there is awareness that the
- 19:43transition from cams into adult services is particularly bad.
- 19:47There's been, I'd say that it would probably have slightly
- 19:49less evidence on how that's affecting cams population and,
- 19:53and young people. My own research has sort of
- 19:56shown that actually a lot of young people, neuro divergent
- 20:00young people, this history of self harm.
- 20:04Will be seeking help from a lot of different sources and luckily
- 20:10and reassuringly actually receiving support from those
- 20:13sources as then they're not being refused it.
- 20:16Although this includes a lot of semi formal or informal things
- 20:21like family or friends or online or sort of school services.
- 20:25So they are being given support and their needs are being
- 20:28responded to to a degree. But sadly also they're saying
- 20:32that that support is not appropriate and it's not
- 20:34actually helpful. So there's more of an element as
- 20:37well of not only saying, OK, we'll, we'll, we'll, we'll
- 20:42respond to you asking for help. It's also making sure that we
- 20:45respond appropriately and that that's what we do is actually
- 20:50helpful and not harmful because sadly, that's one of the things
- 20:54we hear a lot about that actually has been discouraging
- 20:58to go and ask for, for, for, for mental health support because
- 21:03people felt misunderstood or not seen or rushed or focused on
- 21:10kind of changing things that they don't feel like they can
- 21:12change in themselves. Yeah.
- 21:15Yeah. Or brushed off.
- 21:20Yeah, I had a bit of an experience with my own when I
- 21:24started seeking my own assessments.
- 21:27Of course, I'm, I'm in my 40s, so I'm not in that phase of the
- 21:33transition to adulthood. But it's, I would agree, you
- 21:37know, with my work with, with the community, that's something
- 21:39I hear very often that, yeah, when you become eighteen, it
- 21:43feels like, OK, your neuro divergent is gone Now you've
- 21:49learned what, what you've what you've had to, to learn.
- 21:53But that that that shouldn't be how it is.
- 21:55And then that's probably young adults in that phase who are
- 22:02also kind of realizing that they may be neuro divergent as well.
- 22:06So you might not even know at this point, Right.
- 22:10So yeah, but again, we can do this better and work like yours,
- 22:16you know, looking at the different pathways, the data we
- 22:19have will hopefully influence the systems and and policy.
- 22:25So when we started talking about the interview in in your, well,
- 22:30my new process of having my guests kind of telling me a bit
- 22:35more about themselves beforehand, you talked about
- 22:40self identification. So I just wanted to ask why is
- 22:44that such an important concept in in the neuro neuro diversity
- 22:49affirming work? I think it's, it's, it's
- 22:54especially important now and especially important in this
- 22:58country for, for particular set of reasons, although I think
- 23:02that expands globally for, for different areas of sort of
- 23:08relevance and, and why that might be sort of particularly
- 23:11important here. But as I've, I've sort of
- 23:14touched upon slightly is there, there is there is currently an
- 23:19issue that I think most people will agree that waiting lists
- 23:24and, and diagnostic pathways via CAMS as well as adults
- 23:31diagnostic pathways and actually getting diagnosis can take years
- 23:36and years, which means that if we're functioning under a kind
- 23:42of model where diagnosis is required to in order to get
- 23:45support. So for example, while that
- 23:49shouldn't necessarily be a case, I think that people say often
- 23:53that, you know, there were a few special education support to
- 23:56school or EHCP plans because they didn't have a diagnosis
- 23:59yet. So with all that in mind, if it
- 24:05takes years and years to receive a diagnosis, it removes a big
- 24:10part of being able to adapt appropriately your sort of your
- 24:17own, our family patterns, reach out and meet other people who
- 24:22might be sort of part of your community really, because you're
- 24:28not explicitly told that that's sort of what's happening, right?
- 24:32So self diagnosis comes in as I think a really important
- 24:36potential step before that where it goes like, well, OK,
- 24:40actually, you know, as far as I can tell from all the
- 24:44information I have gathered, because let's be honest,
- 24:47neurodivergent people and neurodivergent families spend a
- 24:50long time learning a lot about neurodivergence and their
- 24:55potentially suspected diagnosis and what's out there and what
- 24:58that means and whether that responds well to them or not,
- 25:02right? So they can be in a pretty good
- 25:08situation of going a pretty, pretty good state of sort of an
- 25:12ability to go like, yeah, I'm I'm quite sure that this is
- 25:16where we have and that's probably a diagnosis We would
- 25:18be, we would be getting or this is the group of people.
- 25:21I sort of identify this, but I don't require a diagnosis, for
- 25:25example, because I don't feel like I require additional
- 25:28supports like the supports I have in my family, my school,
- 25:32things like that are enough. And actually all I need is kind
- 25:35of identification to go, OK, you know, I am actually autistic.
- 25:40That will help me to give language and explanation to
- 25:46people around me to kind of make sure that they understand where
- 25:49I'm coming from. So sometimes that might be
- 25:52enough, but in other ways, like for me, it's I feel it's as a
- 25:57field, we kind of have to be flexible about the self
- 25:59diagnosis because we were just not providing diagnosis in a
- 26:03good enough time for people to otherwise get that
- 26:08identification. And over the years that all the,
- 26:12you know, neuro divergent young people I have met and, and you
- 26:17know, similarly, as you say, sort of, you know, neuro
- 26:19divergent adults that maybe have gotten diagnosis later in life,
- 26:23especially neuro divergent women kind of thing.
- 26:28I feel like diagnosis of of things like being autistic or at
- 26:34age deer is in its in itself can be really helpful.
- 26:40So similarly, self diagnosis of of kind of having that identity
- 26:46can be really helpful for people to understand where they're
- 26:51coming from and that there's nothing wrong with them.
- 26:53I've heard that a lot from people of going like, well,
- 26:55actually that's removed a lot of weight off my shoulders because
- 26:58I realized that I don't need to push myself to be in situations
- 27:03that are distressing and stressful and things that don't
- 27:07bring me joy because that's just the way I am.
- 27:11And I feel like that's a really important part of the journey to
- 27:15just accept and love yourself rather than necessarily go like,
- 27:20well, actually, I necessarily need a diagnosis on paper and
- 27:24have, you know, somebody medical professional sign for it.
- 27:28So if for the people who maybe don't necessarily need the
- 27:33additional support and only need that identification level, I
- 27:38think that's something like that's just a great way to
- 27:41achieve that in acceptable way, right?
- 27:44I do think when we come to support and requirement for
- 27:47that, we obviously need a better system that allows people to
- 27:50achieve that quicker. And at the moment, I think
- 27:54that's where we really need to listen to people's knowledge and
- 27:56voices and go like, well, actually you're our best
- 28:02judgement that that, that you're part of this community because,
- 28:07you know, we're failing to to sort of assess that in a good
- 28:11enough time. Yeah, it's very, very
- 28:14interesting because I've been having been recently diagnosed
- 28:17with ADHD and also being halfway through my my autism assessment
- 28:21at at this point in time, I actually realized that I think
- 28:28without knowing any of these while growing up and when I
- 28:32started becoming a bit more confident, I, you know, at work,
- 28:36for example, if if I couldn't see something or, you know, if I
- 28:42needed an extra screen or I don't know, or if I, I learned,
- 28:48for example, by practicing. So you show me something, but
- 28:52then I need to do it myself and being open as I am.
- 28:57And again, I think when I was very, very young, probably I
- 29:01wouldn't do it because I would be scared that I would be seen
- 29:04differently or bullied or but then I always kind of advocated
- 29:08for myself to a certain extent. And I think everyone, you know,
- 29:15whatever it is, because for example, with my eyesight, which
- 29:18is really bad, you know, it's not neural divergent, but you
- 29:24know, I know that I have it. I have it since birth.
- 29:28And somehow I felt I started feeling empowered to say, look,
- 29:31I need this, I need an extra screen or, or, you know,
- 29:35whatever I need. And I think you shouldn't need
- 29:39the diagnosis to have to have support.
- 29:42Reasonable adjustments. Regardless of you being neuro
- 29:45divergent or not, you, you will have different needs because we
- 29:50are all different and, and unique.
- 29:53So yeah, it's, it's quite, I think it's also quite tricky
- 29:57because, you know, these new era of influencers, you know, I
- 30:03think there's many people who think that, oh, now everyone is
- 30:07neuro divergent or now everyone is autistic and aren't we all
- 30:10autistic? And I think from my point of
- 30:13view, for example, when I seek the diagnosis and the
- 30:15assessment, think these voices that I had in my head, you know,
- 30:20if I don't have a scientific proof that, you know, I am neuro
- 30:26divergent, people will not believe me, which is very
- 30:29stupid. You know, I shouldn't care about
- 30:31what people think or not, but the truth is that it helps you
- 30:36validating yourself and it empowers you somehow.
- 30:40Yes, it's a bit piece of paper. It's a report that you have, but
- 30:45it shouldn't have to be like this.
- 30:48And hopefully in open conversations, we are also
- 30:51empowering other people to, to advocate for for their needs.
- 30:58Yeah. No, it's, it's an extremely
- 31:01important step in, in I think meaning making and, and
- 31:05identification, self identification and things like
- 31:08that. And, and yeah, and I do think we
- 31:11just need to find a better way of kind of doing that in a way
- 31:17that allows it. Yeah.
- 31:18It's interesting that you, you, you bring up the sort of the
- 31:22influences and things like that because I do think it's, it's,
- 31:25it's, it's a tricky time and it does well.
- 31:29So it's, it's often spreading the message well and things like
- 31:32that. It also kind of kind of
- 31:34backfires in many ways. This is a tricky space to
- 31:36navigate and there are a lot of heated conversations happening,
- 31:40which can sometimes be beneficial and sometimes
- 31:44backfire on the community and community needs.
- 31:47And sometimes even even dangerous.
- 31:49I see many things that I'm like what?
- 31:53Like, I think there's this woman in South America or, or in
- 31:56America, She's what is it? She's she has loads of followers
- 32:04on Instagram and she's saying that a product with bleach cures
- 32:08autism or something. Well, there's also a guy in
- 32:13America that's saying some interesting things.
- 32:16He's very influential. Yes, very true, but let's not
- 32:20even go into that. So yeah, it, it can be, it can
- 32:26be dangerous. But you know, I do a lot of
- 32:29stuff on social media, but the way I see myself is, you know,
- 32:32I'm not an influencer. I don't want to be an
- 32:34influencer. I just want to, you know, be
- 32:37open and bring these voices together who share their lived
- 32:40experiences, which are unique. But yeah, sadly gets in our
- 32:45heads because it's it's a completely new world compared to
- 32:50when we were younger. So indication is brilliant and
- 32:55you know, globalization and all of us being a lot closer
- 32:58together. But then it does have its
- 33:02downsides as well. OK, moving on to Co production
- 33:08and how you center neural divergent voices in in your
- 33:12work. So how what does meaningful Co
- 33:16production actually looks like for you?
- 33:21I think meaningful Co production really means sitting at the same
- 33:27table with the same sort of height of the seats, right?
- 33:33It's not, it's it. I don't think it's Co
- 33:36production, if as as researchers, we kind of only go
- 33:41to our limited experience groups or advisory groups and go, you
- 33:51know, here's what I'm here's what I've done.
- 33:55Can you now clap for me sort of thing like it's, you know,
- 33:59that's more of a dissemination of your findings and things like
- 34:03that rather than working with people.
- 34:06So I think it's, it's kind of really, and it's difficult,
- 34:10right? Because obviously, you know, we
- 34:12spend many years working in particular fields.
- 34:16We, we, we generally put in a lot of effort to make sure that
- 34:19we understand as, as broadly as we can and sort of thing.
- 34:24And, and I can understand how that can be kind of tricky to
- 34:28people to kind of go like, oh, well, but now I'm going to have
- 34:31to, you know, speak to people where I don't really know what
- 34:36their sort of expertise is and why, why, why should I listen to
- 34:39their opinions? But The thing is like lived
- 34:41experience expertise is an important expertise that often
- 34:45we sort of lack as well. And even I think, and that's
- 34:49really personal opinion, but I'd say that even the, you know,
- 34:52divergent researchers strength, while you kind of have a mix of
- 34:55both those experience, expertise and research.
- 34:59There's, you know, there's, there's, there's certain ways of
- 35:03thinking that we learn and certain ways of, of dealing with
- 35:06the research that we learn that can get really into not badly
- 35:10intended, but kind of just formulaic way of conducting
- 35:14things. And sometimes you just need a
- 35:16good outsider perspective of going like, wait, that doesn't
- 35:19make sense. That doesn't make sense in the
- 35:21real world. That doesn't really make sense
- 35:23in how people are kind of thinking about this or just kind
- 35:27of people reminding you that in general, maybe that's your
- 35:31special interest, but actually the population out there doesn't
- 35:34know what you're talking about and why this would be of
- 35:36importance. So just kind of make putting it
- 35:39a bit in the context is really important.
- 35:41But yeah, so I'm rambling a little bit, but as I say, it's
- 35:44really kind of coming to you now for me as a proper roundtable
- 35:48and going like, OK, actually the outcome will probably lead to
- 35:52some things that maybe I wouldn't choose to do or I
- 35:55wouldn't choose to put forward because I have, you know,
- 35:59particular, you know, evidence based or personal opinions that
- 36:03will would probably guide me away from it.
- 36:06But it's kind of accepting that actually if we are Co producing
- 36:10and we are coming to this in equal rights, that means that
- 36:13everybody, this voice does matter to the same degree.
- 36:17And my advisors have just as much right to veto me and
- 36:22challenge me as I have them, sort of thing.
- 36:25And we really want to achieve something at the end that allows
- 36:30for all of those voices to be heard and their views to be
- 36:32incorporated because their expertise is there.
- 36:35It's just coming from different sort of walks of life, really.
- 36:41Yeah, I feel like that's part of the answer.
- 36:43Was there a second part of the question?
- 36:45Yeah, just actually what have neural divergent young people
- 36:50and and the parents you, you work with taught you that has
- 36:55kind of shifted how you approach research and and systems?
- 37:01A lot of things over over over the years really.
- 37:07So I'd say that the actual way of of me currently conducting
- 37:15research, like the questions they raise and things like that
- 37:20really comes from conversations with neurodivergent people and
- 37:25comes from sort of talking with people and learning about how
- 37:30much they're sort of falling through the gaps.
- 37:33It come. You know, that's, that's
- 37:35something, you know, I've been trying to sort of work towards
- 37:39for, for a long time. And, and it's something that
- 37:43wasn't accepted and kind of known when I sort of started
- 37:46having those conversations and often was sort of encounter a
- 37:49bit of like, well, you say that, but like there's no evidence to
- 37:53show that this is happening. And I'm like, well, yes, but
- 37:55there's a bunch of people telling us that that's actually
- 37:58happening. So maybe we should try to see if
- 38:00there's evidence for this, if this is a more global experience
- 38:04and more generalizable experience.
- 38:07So I'd say, you know, I, I do my best to make sure that the
- 38:12insights shape my research. So I guess in terms of the
- 38:14previous question, a part of it is also, so it's making sure
- 38:17that people are at the same roundtable, but it's also making
- 38:19sure that people are involved from early on and that it's not
- 38:25just kind of a thing that you do at the end.
- 38:29So for example, as you know in in the current work with
- 38:33administrative research data. So I realized that I haven't
- 38:36explained to the listeners maybe what administrative research
- 38:38data is. So which might be an important
- 38:42point. Yes, I've always intended to do
- 38:45it at this point get you in the conversation.
- 38:49So administrative data is the data that's that's collected
- 38:55quite on regular basis anytime we interact with with government
- 39:00funded systems really. So for example, anytime we go to
- 39:05a school, anytime we go and interact the social care
- 39:10services, anytime we go for NHS funded help, whether it's mental
- 39:17health support, A&E or or general sort of outpatient or
- 39:24admitted patient care sort of information.
- 39:27So this is not a research data. This is the data that's
- 39:29collected for the purposes of of of running those services and
- 39:37it's a very high order information.
- 39:39So we're not getting much of detail on sort of in depth
- 39:45detail on why, how, what people are doing there.
- 39:48The information that's that, that that's given is quite
- 39:51statutory, which means that the government sets sort of
- 39:55parameters for different local authorities, for different
- 39:58schools of what they should be reporting on, on each different
- 40:02child, what information is important for them to return
- 40:06back to the government. And and that's the data that I'm
- 40:09kind of working in in this project.
- 40:13So because of all of that and because of the way, because this
- 40:18data has to be held extremely securely, because as I say, it's
- 40:21not a very in depth information, it obviously does relate to a
- 40:25lot of people's personal experiences and different
- 40:28interactions with different services.
- 40:30We don't get information like people's names or or anything
- 40:35like that. It's all de identified and based
- 40:37on, on sort of pseudo IDs and anything that could identify
- 40:42people is removed as much as possible.
- 40:44However, still, there's a lot of data and a lot of information.
- 40:47And, and because of that, we need to be extremely secure
- 40:50about how we use it. There's a lot of rules and
- 40:53regulations on how and who can access it under what
- 40:56circumstances, in what ways, right?
- 40:58We, we're, we're trying to be as safe as possible to make sure
- 41:02that the people's identities are protected and that this also
- 41:05that this data is not misused in some ways.
- 41:09So that means that in some ways my hands are quite tight in what
- 41:13I can do in this project because there's a lot of different
- 41:16restrictions and a lot of things have been signed off on, on what
- 41:20can be done. So I did think at the beginning,
- 41:23I did think that that might be a challenge that that was sort of
- 41:26advisory work. But actually I feel it's been so
- 41:30useful and, and really has allowed us to really tap into
- 41:36the kind of interpretations and what's missing in sort of our
- 41:40our consultations and sessions and making sure that the things
- 41:44that the data cannot show are really addressed rather than
- 41:49necessarily thinking of, OK, well, how do I analyze this
- 41:53particular thing sort of thing, right?
- 41:55Because actually that's probably not where it would be a most
- 41:58useful sort of space to spend our discussions anyways.
- 42:03So actually it's been, it's been really helpful to be able to go
- 42:07to a group of people who are invested and understand what I'm
- 42:10talking about and agree this is sort of the importance of the
- 42:15work, but really can challenge things beyond sort of my
- 42:21expertise and going like, well, yes, that actually absolutely
- 42:24makes sense. The power experience or no,
- 42:26doesn't because, you know, that's actually probably an
- 42:29artifact of the data and how that's being recorded.
- 42:33So it's it's it's it's I feel like talking with you guys
- 42:37changes my sort of perspective each time and actually really
- 42:41shapes the research I conduct and the decisions I make.
- 42:45Yeah, we need to arrange the next session because I do have a
- 42:48bunch of questions that I need to ask you guys.
- 42:51We look forward to it. And yeah, it's quite interesting
- 42:54because you know that I'm involved in other research
- 42:56projects and yours is quite unique in, in that sense.
- 43:01So yeah, I always feel like I, I don't contribute much, but I
- 43:05think I also have updates now because we, yeah, we, we just
- 43:08started the process of the ADHD assessment for, for my daughter
- 43:13as well. So yeah, I'll have things to
- 43:16update you one and to help me. OK.
- 43:20And then I think you actually chose the right time to better
- 43:24explain administrative data because now we're moving on to
- 43:27the from research to real world change.
- 43:31So besides, you know, working with, with, with your Advisory
- 43:36Board and, and the public and, and patients, you also work with
- 43:40practitioners and commissioners. So what are the biggest barriers
- 43:46to translating neuro diversity affirming research into
- 43:50practice? Anything that you've faced so
- 43:52far, you might, It could be that you haven't faced any barriers
- 43:55or challenges, but anything you could share?
- 44:00Yes, that would be nice if there were no barriers or challenges.
- 44:03No, yeah, it's, it's, it's, it's a relatively new sort of venture
- 44:09for me sort of getting into the space of policy in particular.
- 44:14But you know, having sort of starting to conduct this work in
- 44:20really systems level and thinking at these bigger
- 44:22pictures. It kind of made me realize that
- 44:25really as we're sitting at this round table and, and, and making
- 44:30sure that we're combining the views of, you know, divergent
- 44:34young people and their families and researchers, that we're
- 44:39really missing an important lever in the sort of the theory
- 44:43of change and the sort of the power dynamics, which is the
- 44:46people who are actually making those decisions and assigning
- 44:50those fundings and, you know, deciding what kind of services
- 44:54are being provided for different people.
- 44:56And things like, I mean, this episode makes them sound like
- 44:59they're very, very powerful and it's just based on their whim.
- 45:01That's not the case. So, but they are really
- 45:05important part of the conversation.
- 45:07And I feel like it's really, it's really important to make
- 45:11sure that we work together with policymakers, both local and,
- 45:15and national level, to make sure that the things that we're
- 45:18actually providing as researchers and the research we
- 45:22produce is something that can be generally, then that sort of
- 45:27happens in the form that can be then taken and used to inform
- 45:32the decision making or, or be implemented in the real world
- 45:36rather than something. I'm not saying that the blue sky
- 45:40researcher trying to just understand things is not
- 45:42important. I love blue sky researcher come
- 45:44from cognitive psychology experimental background.
- 45:46But it's, it's kind of going like, well, OK, actually if you
- 45:52want the change to happen, we need to make sure that those
- 45:55people are also involved from the beginning.
- 45:58But there are a lot of challenges in working in that
- 46:02space. And again, the challenges don't
- 46:04come from people not understanding, not wanting to
- 46:07work together, not really prioritizing this field.
- 46:11I'd say the more I'm more I talk the, the, the different policy
- 46:17people, the more I see that really the heart is in the right
- 46:20place, the expertise is in the right place.
- 46:23And, and really again, they're just their hands are often tied
- 46:27by the timing, by the funding, by the sort of different
- 46:32restrictions on, on, on, on, on different things that they're
- 46:36allowed are not allowed to do or the systems that are there to
- 46:40kind of implement it. So I feel which is, you know,
- 46:44it's good. It's a good change that because
- 46:47I do think it's a change and quite a recent development that
- 46:52people understand the needs and want to make the change.
- 46:56But also there is a bit of everybody's wondering to figure
- 47:01out how we can do it better. So it's a good moment to kind of
- 47:05do that because I feel like there's an interest from both
- 47:07sides from both research perspective and policy
- 47:11perspective to make sure that the there is a more
- 47:14translational pipeline and that we are making sure that that
- 47:18research gets gets implemented. But yeah, so I'd say generally
- 47:22the main challenges are the timing.
- 47:25Things have to happen quite quickly in the policy space and
- 47:29the decisions have to happen quite quickly.
- 47:34The limited funding there are ring fenced pots of money
- 47:40towards mental health sort of supports.
- 47:43There's restrictions on, you know, it's ultimately if you put
- 47:49more money in one area, you're going to have to take it from
- 47:51somewhere else. So making those decisions can be
- 47:54really tricky. And the kind of obviously the
- 48:00control from higher ups. So anytime government changes or
- 48:03things like that, obviously it trickles down in terms of
- 48:06priorities and, and, and all the work that's being done.
- 48:10So, so that can massively undermine the work that's been
- 48:15happening over time. So I'd say that those are sort
- 48:19of main challenges. And then there's like a little
- 48:22challenge of language really and sort of, and I think there's
- 48:28been a challenge between researchers and neuro divergent
- 48:31people for for a longest time. And we're, you know, hopefully
- 48:35bypassing that, that timeline and kind of getting into like,
- 48:39OK, we are now on the same side of, of, of, of, of talking about
- 48:43this. And, and we can make sure that
- 48:45that's done correctly. It's kind of the same with
- 48:48policy people. And not necessarily in terms of,
- 48:50you know, a person first or identity first language or
- 48:53anything like that, or sort of medicalized models.
- 48:56But in general, more of the way that the change is being
- 48:59discussed requires kind of different language.
- 49:01And it's, you know, as any sort of industry, it will have its
- 49:06own specific jargon, which can be hard to then make sure that
- 49:09it's second to incorrect pathways, but that can be quite
- 49:13easily learned. Yeah, and if you could change
- 49:19one thing about child and adolescent mental health
- 49:23services tomorrow, what would it be?
- 49:30In the UK at the moment deal that are waiting this issue I
- 49:35think. I think 1's last adult gift
- 49:40there's there's a lot of trickle down improvements that can be
- 49:44made, as I say, based on, you know, conversations with
- 49:47practitioners, clinicians and conversations that policy
- 49:50people. We are in a good space where
- 49:53most of the people understand what's needed.
- 49:56They just don't feel like they're able to deliver it
- 49:59because of the different constraints that they might
- 50:01have. And so if you like, if people in
- 50:05chem services weren't as restricted in terms of time that
- 50:09they can spend with their young people or when they managed to
- 50:12see them. Because obviously if somebody
- 50:16has to wait from three to 10 years for a diagnosis, by the
- 50:19time they're seen ten years later for a diagnosis, you know,
- 50:23there's the supports they need are probably, you know,
- 50:28escalated quite a bit. So I think just kind of dealing
- 50:34with that would be, would be a major boon to the, the, the
- 50:42supports that might be then made available.
- 50:44So I'd say if I have to choose one thing and if it's
- 50:46specifically in the UK, that would be my priority.
- 50:49Yeah, yeah. And if you could do that, we
- 50:53would all be very, very grateful.
- 50:56Oh sure, I'll get on it tonight. Now I'm quite curious to to hear
- 51:04your answer to the superpower and superhero question later on.
- 51:09So we were you were talking about language and we still use
- 51:15deficit based language in in mental health.
- 51:19So how do you think we can start dismantling that without losing
- 51:24access to to support? Yeah, I, I say, yeah, a lot,
- 51:33don't I? It's, it's a tricky one because
- 51:38as I say, I also understand why the systems are certain ways
- 51:43that they are. So obviously there's limited
- 51:46resources, the supports are there for kind of deficits and
- 51:52distress, right. So it kind of makes sense that
- 51:55in those spaces the focus sometimes is on the distress to
- 52:00a degree, right? Because I understand that, you
- 52:03know, if somebody's not experiencing the stress, then
- 52:07maybe they don't need additional support kind of thing because
- 52:10obviously the supports are there to kind of deal with the
- 52:14consequences of it. There's a whole other
- 52:15conversation of why I think early prevention matters so much
- 52:18because ideally we aren't even getting to the point of
- 52:21distress, but and then, you know, it's all a midpoint and we
- 52:26can just just just focus on strengths because, you know,
- 52:30hopefully we have removed the distress as much as possible.
- 52:34But I do also think it's having said that I don't think that
- 52:42purpose of, of, of dealing with distress in the support systems
- 52:46necessarily means that we, we cannot use neurodiversity
- 52:49affirming or, or strength based language, right?
- 52:53We can still be kind even in situations when and kind of, you
- 52:59know, have a wholesome conversation, wholesome point of
- 53:03view by even recognizing that something can be distressing.
- 53:11So, and having said this as well, like, you know, we
- 53:14obviously talked about deficit language and I kind of jumped to
- 53:18the, the stress element because I think that's a really
- 53:22important distinction because I don't think there should, you
- 53:26know, we really should be having conversations about deficits at
- 53:30all, really, because what is the deficit like, you know, it
- 53:34gives, it moves the focus on to something being wrong with the
- 53:38person. Well, I, you know, personally
- 53:41and, and, and, and based on the research, don't necessarily
- 53:46agree with that point of view, because I do think that often
- 53:49just indicates A mismatch with the environment.
- 53:52And we all are different and we all have differences in how we
- 53:56see the world, how we deal with the world, what we like, what we
- 54:00don't like, what we find challenging, what where our
- 54:03strengths lie. So for example, you know me like
- 54:10I'm not very good swimmer, for example.
- 54:12I wouldn't say that's a deficit. I just avoid being in water.
- 54:15So to think like it's, it's there's probably better
- 54:19examples, but still. So, yeah.
- 54:22So I think moving from the kind of trying to look at what's
- 54:28wrong with the person in this kind of objective, supposedly
- 54:37objective way of going, here's an average person that doesn't
- 54:41exist and here's you, where do you not live up to this average
- 54:46expectation? I don't see much of benefit of
- 54:50that. Where I do see the benefit of
- 54:53even in a bit more of a negatively made word language is
- 54:57going like, OK, well where is actually the stress happening?
- 55:01Where's the impact happening to your functioning in day-to-day
- 55:06life where maybe something should be done?
- 55:09And whether that might be coming from maybe a person's individual
- 55:13differences or maybe it's coming from the mismatch of their
- 55:18environments or just lack of of supporting environments would be
- 55:23a much more useful sort of approach of really identifying
- 55:29modifiable things in their life that are appropriate as the sort
- 55:36of the cause of their distress rather than necessarily
- 55:39something that they're just different and that might not be
- 55:43have got relevance at all. And it's about changing the
- 55:45environment around them. Exactly.
- 55:48The the person themselves. Yeah.
- 55:53And obviously then it's yeah, as you say, you know, and, and
- 55:57using affirmative, affirmative language and including things
- 56:01like strengths and assessments and things like that.
- 56:03That doesn't that no way means that the care should be that the
- 56:07person needs less care. Or So just because we actually
- 56:10remind them also that it's not, you know, and have space to talk
- 56:14about the things that they can use and skills and the
- 56:19environmental benefits that they have and privileges that they
- 56:23have that they could maybe lean onto as a way of support and
- 56:27things like that or generally celebrating their strengths.
- 56:31That doesn't undermine the fact that if there is the stress
- 56:34happening somewhere that needs to be built there.
- 56:35So that shouldn't be the drawing that has.
- 56:37It's kind of, yeah, it's, it's often just kind of giving more
- 56:42space and compassion, I feel like, which at the moment our
- 56:44systems don't always love for. Yeah, I think from the the
- 56:50neural divergent person point of view, of course there are times
- 56:53in your life when, you know, it's very easy for you to forget
- 56:57your strengths and, you know, if you're going through anxiety,
- 57:02depression and all of that. So that I think that imposes a
- 57:05challenge on, you know, bringing the the strengths and, and the
- 57:10affirmative language and, and approach to, to things.
- 57:14But we all have strengths, as you were saying, you know, we
- 57:18will all be good at something and bad at something else.
- 57:23But you know, that's how we complement each other as, you
- 57:28know, as people, as a population, as as groups, as a
- 57:31community. Otherwise we would be very
- 57:34boring individuals. We would all like the same, be
- 57:38good at the same things. And then, you know, there always
- 57:41needs to be, I think about careers as well.
- 57:45You know, we, not everyone can go to university, not everyone.
- 57:49We need people to work in hospitality, we need plumbers,
- 57:52we need electricians. We need all sorts of of careers
- 57:56to, for the world to function, isn't it?
- 58:00So it's, it's quite similar in this sense.
- 58:02We need a combination of different strengths and, and
- 58:05also different, not weaknesses or deficits, but you know, the,
- 58:12the less positive things that we all have as, as human beings, we
- 58:17all need that because often is, you know, when sometimes you
- 58:20actually need to focus a little bit on those to be able to
- 58:24thrive again and get yourself back up.
- 58:27You know, it's like the emotions thing.
- 58:29You, you need sadness to actually, you need to experience
- 58:32sadness to experience joy and happiness.
- 58:35So yeah, it's yeah. And now I'm going on a tangent.
- 58:41I'm sorry, I was just thinking about.
- 58:43No, that's, that's a very, that's that's a very good
- 58:45tangent. And to be fair, I was kind of
- 58:47when I was saying earlier that I was like, oh, if we, if we
- 58:50remove the stress and I'm like, well, at the same time going
- 58:52like, well, actually, we can't really remove the stress per SE
- 58:56fully from a society, right? Because that's actually it's
- 58:59kind of your, you know, mass loss pyramid of needs sort of
- 59:03thing. There's always going to be
- 59:05something that you're striving for and trying to improve and
- 59:09the lack of will be causing a distress.
- 59:12And what were kind of the differences come in on is, is
- 59:16that thing just your, you know, basic rights to education, food
- 59:20and care sort of thing and making sure that you're not
- 59:22neglected and you're not, you know, harming yourself or
- 59:25others? Or it's it's more of the things
- 59:28of self actualization and, you know, being able to be happy
- 59:32with yourself and sort of your identity, right.
- 59:34So there's those kind of different levels of the distress
- 59:37where where that can happen. But there always will probably,
- 59:40you know, always exist at the IT is the human nature.
- 59:44Yeah, great. OK.
- 59:46So, moving on now to future directions, what excites you the
- 59:51most about where neuro diversity for mental health research is
- 59:55heading? Yeah, I think as I said, it's,
- 59:59it's, it's the fact that I actually have been seeing a
- 1:00:03change. I've been seeing a change in,
- 1:00:05in, in the conversations we're having the, the spread of
- 1:00:12understanding, you know? More and more sort of thing, you
- 1:00:17know, if I say, if I say, if I talk about neuro diversity to
- 1:00:20somebody, actually, you know, it's very rare that the person
- 1:00:22will kind of look at me and go like, what what are you going on
- 1:00:25about? What does that mean?
- 1:00:26It's like, oh, is that the poor children sort of thing?
- 1:00:29You know, that's not happening anymore.
- 1:00:32And there's general population there.
- 1:00:33If anything, I'll probably encounter more people who'll be
- 1:00:35like, Oh, well, actually let me tell you about my experiences in
- 1:00:38this. Or, you know, he has, you know,
- 1:00:40you should keep this in mind sort of thing and kind of saying
- 1:00:43their expertise or so. So, you know, I think, I think
- 1:00:48that's an important thing of like a change in sort of
- 1:00:51acceptance and, and it, it normalization in sense of like
- 1:00:57it, it, it is accepted as part of life and part of diversity
- 1:01:02rather than something that's looked down upon.
- 1:01:06And this move towards actually real motivation to work together
- 1:01:13from sort of policy sphere and research sphere and lived
- 1:01:17experience sphere. I feel like it's a really good
- 1:01:21move forward. And as I say, it's, it's, it's,
- 1:01:24you know, this particular research and this particular
- 1:01:27topic of looking at support needs and support gaps is
- 1:01:31something I've been told by neurodivergent people years ago,
- 1:01:35around around 10 years ago probably is when I really
- 1:01:38realized how big a problem it is.
- 1:01:41And, and it has, it has been an uphill sort of battle of, of, of
- 1:01:46making sure that people address that, that question and, and,
- 1:01:49and, and allow for that sort of conversation to happen.
- 1:01:53So the fact that it's like, you know, I'm not the only
- 1:01:55researcher at the moment working on these sort of questions.
- 1:01:57There's quite a few of us across the country and around the world
- 1:02:00looking into these questions from different sides.
- 1:02:02And, and, and, and really questioning where the system
- 1:02:05should be, should be improved or, or, or working on sort of
- 1:02:10more evidence based and population appropriate
- 1:02:13treatments and things like that. So there's a lot of people
- 1:02:15really that have shifted their focus to, to these questions.
- 1:02:18And again, they're being acceptable questions to raise
- 1:02:22and, and, and fundable questions to raise, which is quite
- 1:02:26important in our work. And I feel all of that is
- 1:02:31slowly, but it's moving to the right direction.
- 1:02:35So the fact that we can talk about this, we can question
- 1:02:37this, we can provide the evidence for these different
- 1:02:40things is a really, really strong point because that that
- 1:02:44means people are ready for the change, which hopefully means
- 1:02:48that then the change can happen. Yeah, absolutely, absolutely.
- 1:02:54And do you feel that there are any voices or perspectives that
- 1:02:57are still missing from the conversation?
- 1:02:59Or do you feel like at this point everyone who should be
- 1:03:03involved is definitely involved? No, I think there's there's a
- 1:03:08lot of voices missing from the conversation and I think so.
- 1:03:15I think a few times that then the, you know, our chat so far I
- 1:03:20have qualified things being in the UK or globally, right?
- 1:03:25And that's in part coming from me as listeners can hear, not
- 1:03:29being a native British person and having perspectives of I
- 1:03:35guess that's my difference. That could be perceived as
- 1:03:39deficit by some people, which is obviously not sort of thing,
- 1:03:42right. So it gives me a different
- 1:03:45perspective of sort of slightly looking at things, right.
- 1:03:49And I'd say conversations we're having in UK as well as as as
- 1:03:54issues we're having in UK that the systems don't necessarily
- 1:03:57apply one to one that the there's the different especially
- 1:04:02non-english speaking countries around the world.
- 1:04:05So that varies quite a lot at which stage of the conversation
- 1:04:10those countries and cultures might be how acceptable or not
- 1:04:13acceptable the concept of neuro divergences, the non medical
- 1:04:18model is, how acceptable the diagnosis is.
- 1:04:24And that applies to obviously then particular minority
- 1:04:28populations in the UK and sort of how acceptable or, or, or
- 1:04:37allowed young people might be to be seeking diagnosis or
- 1:04:43identifying the, the, let's say neuro divergent.
- 1:04:49So there, there's a, you know, there's a long history within
- 1:04:53this country of, of, of mistrust in different, different positive
- 1:04:59population and that really effects this field as well.
- 1:05:03And yeah, so I'd say different cultures, different countries,
- 1:05:09perspectives for one. Then there's an element of
- 1:05:13intersectionality as well. So, you know, again, we have had
- 1:05:19a lot of change in movements in the last 10 years on how women's
- 1:05:25neurodivergence is seen. I do remember when I was doing
- 1:05:28my PHDII had, I've been very lucky to have a high number of
- 1:05:36women taking part of my research and that was kind of seen as a
- 1:05:39bit of a surprise. And then the conferences and
- 1:05:41things like that, because that was, you know, we still thought
- 1:05:43that this very buoy driven sort of diagnosis.
- 1:05:50So there's definitely been change in that.
- 1:05:53However, again, when it comes to different cultural backgrounds,
- 1:05:56when it comes to different financial statuses and different
- 1:06:00sort of life experiences, I think that's that's the voices
- 1:06:03that they're definitely missing. And despite the fact that we
- 1:06:07have as a general field, there's been people really working and
- 1:06:12making sure that the nonverbal experiences are taken into
- 1:06:15account. I still feel like we're not good
- 1:06:18enough at making sure that we're providing appropriate spaces for
- 1:06:25nonverbal neurodivergent people to come in and, and and feed
- 1:06:34their point of view and sit at that table and have as rightful
- 1:06:38conversation. Yeah, totally agreed.
- 1:06:42And I relate with with the cultural diversity as well.
- 1:06:46You know, I often think that, you know, there must be, you
- 1:06:49know, being Portuguese as well, European, like, like, like, like
- 1:06:54yourself, We, even though we are still white European, I feel
- 1:06:59like having grown up or being raised in a different country
- 1:07:04definitely brings the, the, the different perspective.
- 1:07:09And yeah, the non speaking. It's one of those things that
- 1:07:13every time I have the opportunity to, to have
- 1:07:16conversations about research. I definitely agree that, you
- 1:07:20know, being the mum to she's not non speaking anymore because her
- 1:07:24speech is developing, but she was at a certain point and it
- 1:07:29can be, it can be challenging to, to communicate until you
- 1:07:36Start learning more about it and, and and you know, you know
- 1:07:41what you know, you might not know what they are thinking, but
- 1:07:47you kind of know your child. But it would be good to have
- 1:07:50more advance in in research definitely for for the non
- 1:07:54speaking autistic or neural divergent children and young
- 1:07:59people and and and adults as well.
- 1:08:03So yeah, it's it's good to see that the thoughts is is there
- 1:08:08and hopefully we'll have those those more included.
- 1:08:15Yeah. OK.
- 1:08:17And what questions do you think we should be asking neuro
- 1:08:22divergent young people that we don't often ask?
- 1:08:28Well, to be fair, I think that probably for me at the moment
- 1:08:32really relates to the, to the deficit sort of this language of
- 1:08:36it's moving away from talking about what doesn't work and
- 1:08:41what's bad and, you know, really kind of wallowing in sort of
- 1:08:48negative experiences only and moving to thinking about I think
- 1:08:53things that are good, right? And obviously that kind of
- 1:08:55involves them more sort of strengths based approaches and
- 1:08:57things like that. But also in this particular
- 1:09:00field of looking at support needs and and systems, it's kind
- 1:09:04of stepping back and thinking like, OK, well, what does
- 1:09:06actually work? Because because some of those
- 1:09:10things will especially when we're kind of thinking about
- 1:09:13prevention and thinking about that kind of influence of
- 1:09:17environment and, and how that can be protective.
- 1:09:20It's kind of really thinking, OK, well, what's what, what is
- 1:09:24needed in the environments to, to, to make the young person
- 1:09:29more resilient to developing mental health conditions, right.
- 1:09:32And developing anxiety or depression or sort of chest
- 1:09:38pains, internal distress and stress sort of things.
- 1:09:42So, yeah, so I think it's kind of, I feel like we're moving to
- 1:09:48the space where, where, where that's the conversations we we
- 1:09:51need to be starting having as well.
- 1:09:53It's actually what, what did work, what was good and, and how
- 1:09:58can we make sure that that's enhanced and available to more
- 1:10:01people rather than necessarily only focusing on where things
- 1:10:05are bad? Because I feel like also it does
- 1:10:08have an element of, of being much more translational in, in
- 1:10:12in a more positive way. So say that's quite important.
- 1:10:16Yeah, definitely. And what do you hope young
- 1:10:24people who might be listening or watching to the podcast, what do
- 1:10:28you hope they take away from from your work?
- 1:10:33I hope that they take away the fact that there's a lot of
- 1:10:36people who care and and a lot of people who are trying to make a
- 1:10:43positive change. While that's change might be
- 1:10:47slow, but I meet a lot of amazing people in my work.
- 1:10:54You know, as I said, sort of the clinicians and policy makers who
- 1:10:59who really have their hearts in the right place and are trying
- 1:11:02to do the best in their in the other than their constraints.
- 1:11:06I understand that there's also bad apples out there, but, you
- 1:11:08know, we're humans. We are all different to the, you
- 1:11:14know, young people and themselves and, and their
- 1:11:18families who are showing such resilience, such inspiration,
- 1:11:22really care for one another. And, you know, I get so many
- 1:11:25people going like, well, I understand this will not benefit
- 1:11:28me because change is low. But I want to make sure that the
- 1:11:33generations after me are doing better, right?
- 1:11:36So there's so many people who care and so many people who are
- 1:11:39trying to improve things and I feel like that's that's
- 1:11:43something that people need to know and accept and hopefully
- 1:11:48that's helpful. Yeah, I think it it, it gives
- 1:11:51people hope. Again, as you said, change might
- 1:11:57be slow, but it's it's happening and it will and it will come for
- 1:12:02sure. OK, so now moving on to the
- 1:12:06inner journey and to talk a bit more about you, if if I'm
- 1:12:10allowed, I'm curious to know who is your biggest support on your
- 1:12:14research journey? I've been very lucky with the
- 1:12:24people I got to work with, from mentors to colleagues to my
- 1:12:31advisors or clients and patients at the different time.
- 1:12:36And I feel that's been really important.
- 1:12:40So having people who believe in you sometimes when you don't
- 1:12:44believe in yourself and believe in your work, when sometimes you
- 1:12:47don't believe in yourself is extremely important.
- 1:12:50And, and the people guiding you through what can be done and how
- 1:12:57to do it is, is for somebody who's a first generation
- 1:13:00academic and doesn't come to it with the sort of the family ties
- 1:13:06of understanding how this world works has been extremely
- 1:13:10important. To have very supportive and
- 1:13:13generous mentors who have taken their time and given me the time
- 1:13:17and, and their expertise in, in going gently and, and patiently
- 1:13:23to pushing me to do, to do things or, or, you know, guiding
- 1:13:27me through the new experiences and, and how to navigate that.
- 1:13:32And then, you know, as I say, people like you, whenever,
- 1:13:35whenever we do talk about it, whenever you tell me how, how
- 1:13:38important you think my research is that, that, that is my heart
- 1:13:41thinking, right. And I, I sort of, you know, kind
- 1:13:45of go like, OK, actually, even on the days when it feels like
- 1:13:48it's not moving anywhere or, you know, when I'm encountering some
- 1:13:51sort of issues or when there's a lot of uncertainty and sort of
- 1:13:55academic curve years or sometimes you feel powerless in
- 1:14:00making much change that that means more than the world's
- 1:14:03words. And that's kind of really makes
- 1:14:06people like me go forward and go like, oh, actually, OK, this is
- 1:14:12not, this is just not just in my head.
- 1:14:15You know, there are people who agree that this is important and
- 1:14:19share the same, the same point of view.
- 1:14:21So, so, you know, so thank you for that.
- 1:14:22So you are one of the people who really support me.
- 1:14:26You're most welcome. It's, it's from the heart and I,
- 1:14:29I really mean it. And it, you know, it's just so
- 1:14:33important to have that community around us, isn't it?
- 1:14:36To reassure you and validate you.
- 1:14:39And one of the things, you know, working with many researchers
- 1:14:43in, in, in my role, one of the things I hear most is the
- 1:14:49imposter syndrome feeling. You know, that's, I think it's a
- 1:14:52constant in the life of a, of a researcher.
- 1:14:57And, and I do understand because I also, I also have it in, in,
- 1:15:01in a different way. So yeah, it's about having the
- 1:15:05right people by your side and mentoring you and guiding you.
- 1:15:10So yeah. But I'm very happy to be one of
- 1:15:14those people. And yeah.
- 1:15:16And I, yeah, I reiterate that your work is very meaningful.
- 1:15:22And yeah, I'm very thrilled to be a part of it and I can't wait
- 1:15:28to when we get to the findings phase for us to see what comes
- 1:15:34out of it. But I have no doubt it will be
- 1:15:36positive. OK.
- 1:15:40And you, I'm sure you are a very busy person with everything that
- 1:15:44you do. Is there anything you do to
- 1:15:46treat yourself with regards to your well-being?
- 1:15:48Any activities or hobbies or? Yeah, I'm probably not as good
- 1:15:55as I should be added. I think one of the the main
- 1:15:59things they focus on and try to impart on my the people I manage
- 1:16:07as well as my students and things like that is, is work
- 1:16:10life balance. Because, you know, as, as we
- 1:16:12have discussed and kind of touched upon a few times, change
- 1:16:19is slow. And this is a long, you know,
- 1:16:22it's the fighting that we're in for a long time rather than,
- 1:16:26than quick sort of gains. And it's extremely important
- 1:16:30that the evidence we produce is are rigorous and and careful and
- 1:16:37that we take time to and sort of take the space to make sure that
- 1:16:41everything we do is as correct and appropriate as possible
- 1:16:45possible. Because let's be honest, if we
- 1:16:47rush in search, we might as well be drawing things that crayon
- 1:16:51and going like, well, this is what, you know, we felt like
- 1:16:54today. And that's what I grant off
- 1:16:56because if we don't triple check and double check our evidence
- 1:17:01can, can have real harm. So we have to be mindful every
- 1:17:06step of the way. And I think for that sort of
- 1:17:08having boundaries and having work life balance and making
- 1:17:12sure that there's rest involved is really important.
- 1:17:17So that's probably #1. And then, you know, I, I, I love
- 1:17:22drawing. I feel like I'm very meditative.
- 1:17:25I just went out for a life drawing activity for a friend of
- 1:17:28mine last night, which has been really exciting.
- 1:17:32I get to through that, get to celebrate diversity in people in
- 1:17:36a, in a different way of, of rather than their minds thinking
- 1:17:39about their bodies, which I think is, is beautiful.
- 1:17:42But then I don't do that often enough.
- 1:17:45I really, I really should, I really should find time to do it
- 1:17:48more often because it is an important part of my well-being.
- 1:17:52Yeah. Yeah, it's difficult, but yeah,
- 1:17:57sometimes we really need to just, you know, be bossy with
- 1:18:01ourselves and, you know, just just do it because otherwise
- 1:18:04you, you don't do it. Do you, Andrea?
- 1:18:11So I'm going to start checking in with you from time to time.
- 1:18:16Have you been drawing? Have you been doing anything?
- 1:18:18I'll, I'll, I'll, I'll be your accountability.
- 1:18:24Well I'll do the same. Make sure you start saying no to
- 1:18:27sometimes. Yeah, which I am very bad at, to
- 1:18:31be honest. I think these days it's not even
- 1:18:34about saying no to or it is, but it's to say no to my brain and
- 1:18:39to all the ideas that I have and that I want to make happen.
- 1:18:44So I need to find that ability. Yeah, no saying no.
- 1:18:48I think it's, you know, it's, it's also about pacing sort of
- 1:18:52things. So it's not necessarily always
- 1:18:53saying now, right? Sometimes it's just, it's just
- 1:18:55putting a pen in something. Yeah.
- 1:18:58Because at the end of the day, if you burn out, none of it's
- 1:19:02going to happen. So yeah, it's that balance.
- 1:19:06At least that's what I could tell myself.
- 1:19:09I know, I know. That's really good advice.
- 1:19:13But yeah, when you're a bit unpatient, well, I'm not a bit
- 1:19:16unpatient. I think I am unpatient.
- 1:19:18And period, Yeah. You just want things to happen
- 1:19:22from one day to another. And then, yeah, so my next
- 1:19:27question is. Who is your biggest inspiration?
- 1:19:31You might not have someone specific.
- 1:19:36Yeah, I don't think there's one person.
- 1:19:38I think, I think, I think it's all the, it's all the neural
- 1:19:42divergent, neural divergent people that I have had the
- 1:19:47privilege of encountering through sort of my career from
- 1:19:52sort of working in psych ward and sort of meeting, you know,
- 1:19:56children in foster care that have sort of not, not, not not
- 1:20:00been given the sort of things that they have rights in, in
- 1:20:04life for like family and love sort of thing.
- 1:20:11To you know, the, you know, the virgin people and, and their
- 1:20:17families that I'm working with currently.
- 1:20:20To, you know, the, the, as I said before, amazing women that
- 1:20:24I found met through, through my research career who have told me
- 1:20:28their stories about being diagnosed later in life and what
- 1:20:32that meant in, in, in their journey and in their life.
- 1:20:37To, you know, all the, all the people who have sat with me for
- 1:20:42four hours and reviewed my very boring cognitive experiments and
- 1:20:48sort of fed back to me to sort of tell me what will work and
- 1:20:51what will not work and how, you know, what maybe should be
- 1:20:56adjusted and to make sure that the experiences are more
- 1:20:59neurodiversity affirming. So all the people who kind of
- 1:21:02supported me in that learning journey and all the stories I
- 1:21:04hear, I feel like that's what inspires me day-to-day.
- 1:21:10Yeah, it's it's very difficult to choose only one.
- 1:21:14Specific person as an inspiration and, and again, it
- 1:21:18goes back to having those different perspectives, isn't
- 1:21:21it? And that, that diverse source
- 1:21:23of, of inspiration that, yeah, just helps you with keeping, you
- 1:21:30know, with going on with, with your work and with, with what
- 1:21:33you do. And we just reached the
- 1:21:37superhero question. So if you had a superpower or if
- 1:21:42you could be a superhero, what would it be or who would that
- 1:21:46be? And how would you change the
- 1:21:48world to be a better place for neuro divergent people?
- 1:21:52That's a such a good and horrible question.
- 1:21:55At the same time, that's one of the ones that I was kind of
- 1:21:58looking at and I was like, I don't know if I have an answer
- 1:22:00to that. You know, when I was younger, I
- 1:22:02always thought I wanted to be like in, you know, having
- 1:22:05visibility or flying or reading people's minds.
- 1:22:09The one, one thing I have to admit, none of those are for the
- 1:22:13purpose of changing the world for better.
- 1:22:16That's more coming from my own insecurities and wanting to know
- 1:22:19what people think about me or things like that or, you know,
- 1:22:23being able to escape or things like that.
- 1:22:24So I don't think any of them are particularly useful.
- 1:22:27And all of them have shortcomings, right?
- 1:22:30You can't really, you kind of have to have invisibility if you
- 1:22:33want to fly. Otherwise your neighbors will
- 1:22:36talk and probably freak out. So do they, you know, then you
- 1:22:42kind of have to have a bit of that carefulness with it as well
- 1:22:48of of of, you know, a lamp and 3 wishes sort of situation because
- 1:22:52you know that the Invisible Man. The book is really good and
- 1:22:56shows how that can backfire of if you, you know, just stay
- 1:23:00invisible forever afterwards. You know, even the the sort of
- 1:23:08the old male gets a movie of like, you know, the what was it
- 1:23:11called? The what women think or
- 1:23:14something like that, like 90s, early 90s.
- 1:23:18It's basically he he goes around, suddenly gets a
- 1:23:20superpower of being able to hear women's thoughts and very
- 1:23:25quickly regrets that sort of thing.
- 1:23:30Yeah. Yeah.
- 1:23:31So that was that was pretty good.
- 1:23:35So. Yeah, so I was thinking about
- 1:23:37that actually quite hard. And I think I landed on, I don't
- 1:23:40want any superpowers. I think I'm happy with the
- 1:23:43superpowers I have. You know, there's a lot of
- 1:23:46things I cannot do in life, but there's there's also things that
- 1:23:49I can that maybe other people can't.
- 1:23:52You know, I do have quite a mathematical and visual mind.
- 1:23:56I can see patterns and data and, and systems that some other
- 1:24:01people might not be able to, and I'm able to communicate that to
- 1:24:06people in a relatively straightforward way.
- 1:24:09And that's the kind of the superpower that I already have
- 1:24:12that I decided to lean into and, and, and try to use to make the
- 1:24:17world hopefully a better place. So, you know, as fun as it would
- 1:24:21be to have something else, I feel like it's probably would
- 1:24:24bring more trouble than good. So I'll stick to what I have.
- 1:24:28Of course. That's, that's a brilliant
- 1:24:30answer. And you are?
- 1:24:32Already, already preparing to change the world anyway.
- 1:24:36So it's about using your strengths as you, as you just
- 1:24:39said, to do it. So yeah, that's totally valid.
- 1:24:46And going on to music, if there was a song that captures your
- 1:24:52journey, again, it might be. Everyone says this is very
- 1:24:55difficult and some people name 2 songs or three.
- 1:24:59Is there a song that resonates with with your journey, with
- 1:25:03your life journey? I'm sure there is, but I don't
- 1:25:07know what what that song is. It's.
- 1:25:09Probably something about persistence and, you know, being
- 1:25:14blown in the wind or something, you know, being afraid of new
- 1:25:17styles. But I have no idea if that song
- 1:25:19exists and what that song would be.
- 1:25:20I'm terrible at like, actually remembering names of songs and
- 1:25:26all, just not one of my strengths.
- 1:25:30So yes, yeah, I will look out for a good song for you, don't
- 1:25:35worry. Yeah.
- 1:25:36Thank you. Might become my new anthem.
- 1:25:42And if you had the chance to go? Back in time, what would you
- 1:25:45tell your younger self to persevere?
- 1:25:51To to to not be afraid and and, you know, own the worst sort of
- 1:26:02thing to kind of carry on really.
- 1:26:07And and and that all will be fine.
- 1:26:12Yeah. I think that's something that we
- 1:26:14would we a lot of. Us would, would tell ourselves,
- 1:26:18yeah, that's absolute sense. And finally, if your heart had a
- 1:26:23voice, what would you tell us? That probably would be it.
- 1:26:34No idea. Like I mean, I, you know, do
- 1:26:39unto others as as you would like to be done unto you.
- 1:26:43I think is a powerful message and something I try to guide my
- 1:26:48life through sort of thing in a way.
- 1:26:50So that's probably what it would parrot back.
- 1:26:54Yeah, yeah. That's one of the first things I
- 1:26:57learned as a child. Actually, and I also obey too.
- 1:27:04Great. Thank you so much, Simona.
- 1:27:06It has been an absolute pleasure to have a chat with you.
- 1:27:09I actually learned a lot more about you today than in the past
- 1:27:13meetings that we've we've had. That was really good.
- 1:27:19Thank you so much. And we'll stay in touch.
- 1:27:21We'll continue working together on research.
- 1:27:26And yeah, I hope it all goes well.
- 1:27:29And yeah, well, thank you so much for having me.
- 1:27:33It's been an absolute. Pleasure.
- 1:27:34I kind of forgot that we're recording this for other people.
- 1:27:40Yeah, yes, it's a it's a lovely chat, so thanks so much.
- 1:27:43Yeah, you're most welcome. I think that's the good thing of
- 1:27:46of the newer Diverse Voices podcast it.
- 1:27:48Always feels more like a a chat and yeah, having a coffee with
- 1:27:53with a friend and than anything else.
- 1:27:55So yeah, that's good to hear. Yeah, good job.
- 1:27:57Good job. I'm crazy in that atmosphere.
- 1:28:00Yeah, I think it's a difficult. Task.
- 1:28:01Yeah, Thank you. Thank you so much.
- 1:28:24watching the Neuro Diverse. Voices Podcast.
- 1:28:27If today's conversation resonated with you, please know
- 1:28:32that you are not alone. Your experience matters, your
- 1:28:36voice matters, and your way of being in the world is valid.
- 1:28:41I'm Andrea Costa, and this podcast exists to celebrate
- 1:28:45neurodivergent lives in all their complexity, strength, and
- 1:28:49individuality. If you enjoy this episode,
- 1:28:52please subscribe, share it, and help these stories reach the
- 1:28:56people who may need them the most.
- 1:28:59Join me again next time for more honest conversations, powerful
- 1:29:03stories, and diverse perspectives.
- 1:29:06Because every neuro divergent journey is different.
- 1:29:10And remember, when you meet one neuro divergent person, you've
- 1:29:13only met one neuro divergent person.
- 1:29:17Until next time, take care, bye.