October Health – 2025 Report

Neurodiversity in United Kingdom

- Leading cause: Inadequate accommodations and inconsistent understanding of neurodiversity in UK workplaces and education, including inconsistent implementation of reasonable adjustments under the Equality Act 2010. - Contributing factor: Stigma and discrimination. - Contributing factor: Environmental overload and rigid processes in typical work/learning environments.

Neurodiversity Prevalence
14.02%
Affected people
7,711,000

Impact on the people of United Kingdom

Effects of high neurodiversity-related stress on health and personal life

  • Physical health: chronic fatigue, sleep problems, headaches, digestive issues; stress can temporarily weaken immunity and worsen overall wellbeing.
  • Mental health: heightened anxiety, depressive symptoms, burnout; irritability, mood swings, and increased emotional overwhelm; masking can drain emotional resources.
  • Cognitive/functional: difficulties with concentration, memory, and executive functioning; decision fatigue and slower processing under pressure.
  • Relationships and social life: masking and withdrawal can lead to isolation; miscommunications or conflicts with partners, family, or friends; reduced social support.
  • Work and finances: lower job satisfaction, higher risk of burnout, presenteeism or absenteeism; potential impact on career progression and financial stability.
  • Long-term risk and resilience: chronic stress can raise risk for health problems; however, with appropriate supports, neurodiverse strengths (creativity, perseverance) can flourish when workloads and environments are accommodating.

What helps (quick actions)

  • Personal strategies: regular sleep routine, grounding or mindfulness practices, paced routines, sensory regulation tools (noise-cancelling headphones, fidget items), and clear boundaries.
  • Workplace adjustments: flexible hours or remote options, a quiet/low-sensory workspace, clear written instructions, predictable routines, and regular check-ins with a supportive supervisor or HR.
  • Professional support: access to therapy or counselling, and neurodiversity-focused groups or coaching; NHS IAPT services in the UK can help with anxiety/depression and stress management.
  • Digital resources: October offers digital group sessions, assessments, and content about mental health and neurodiversity, which can be helpful for workplace-related stress when appropriate.

When to seek urgent help

  • Thoughts of self-harm or suicide, severe panic attacks, or inability to cope despite coping strategies. Contact emergency services or Samaritans (116 123) in the UK.

UK resources to consider

  • NHS mental health services; IAPT; ADHD/Autism UK groups; local mental health charities and employee wellbeing services via your employer.

If you’d like, I can tailor these suggestions to your specific situation (work context, symptoms, and support network) or explore a short plan you can start this week.

Impact on the United Kingdom Economy

  • Productivity losses: high neurodiversity-related stress increases presenteeism and sickness absence, lowers cognitive performance, and raises error rates, dampening overall productivity and GDP growth in the UK.

  • Talent retention and recruitment costs: stress can drive neurodiverse employees to leave or underperform, increasing recruitment/training costs and leading to skill gaps that slow economic growth.

  • Health and welfare system costs: greater demand for mental health services and possible higher welfare benefits, placing additional strain and cost on NHS and public finances.

  • Innovation and competitiveness risk: when stress is high, the unique strengths of neurodiverse individuals are underutilized, potentially reducing new ideas, problem-solving capacity, and long-run productivity.

  • Mitigation returns: investing in inclusive practices and mental health support (e.g., flexible work, clear communication, reasonable adjustments) can reduce costs and boost labour force participation and tax revenue. Resources like October’s digital group sessions, assessments, and content can support this in UK workplaces.

What can government do to assist?

  • Early identification and NHS-supported pathways

    • Ensure timely diagnostic access for autism, ADHD, dyslexia, and other neurodivergent profiles; fund regional diagnostic services and clear referral routes; provide post-diagnostic supports and accommodations.
  • Neurodiversity-friendly education and employment

    • Strengthen and enforce reasonable adjustments under equality legislation; mandate neurodiversity training for educators and managers; ensure accessible recruitment, flexible schedules, quiet spaces, and sensory-friendly work environments.
  • Public awareness and stigma reduction

    • Run nationwide campaigns that promote neurodiversity understanding; involve neurodivergent individuals in policy design; integrate neurodiversity education into schools and workplace training; enforce strong anti-bullying protections.
  • Integrated mental health support and networks

    • Expand fast-track mental health services for neurodivergent people; fund community and peer-support networks; provide accessible digital resources and programmes (e.g., group sessions, assessments) such as October where appropriate.
  • Data-driven policy, research, and infrastructure

    • Collect anonymized neurodiversity stress indicators across sectors; publish progress reports; incentivize inclusive practices in employers; invest in accessible public services and infrastructure (transport, digital government, healthcare).

What can businesses do to assist their employees?

  • Policy and training: Implement a clear neurodiversity policy and provide manager training on recognising needs, avoiding stereotypes, and signposting supports (aligned with the Equality Act 2010 in the UK).

  • Reasonable adjustments and flexibility: Offer individualized adjustments (flexible hours, hybrid options, quiet spaces, reduced sensory exposure) and access to assistive tech without stigma.

  • Sensory-friendly environments and routines: Create quiet zones, adjustable lighting, calm work areas, and predictable daily routines to reduce sensory overload and uncertainty.

  • Clear communication and workload management: Use multi-format instructions (written/visual), pre-briefs, chunked tasks, and regular 1:1s; minimise last-minute changes and sudden deadlines.

  • Mental health resources and ongoing feedback: Provide accessible mental health supports (EAP, ND-friendly materials) and consider digital programs (e.g., October for group sessions and assessments) with channels for anonymous feedback to track progress.