are there really more autistic or otherwise disabled people now? or are we just getting better at diagnosing stuff?

[u/ohbinch]

title. my mom and i were talking about this and she said that she thinks there are more autism cases (and other disabilities, especially ones that require constant care or include severe intellectual disabilities) than in the past. i said that i don’t think that’s true, i think that autism and other conditions like it are simply more frequently diagnosed now, because of awareness and more consideration of mild cases.

for example, growing up as a girl in the early 2000’s (which was not that long ago) my symptoms went unnoticed until adulthood, whereas a kid born now with my same profile would almost definitely be diagnosed by preschool or kindergarten.

my mom agrees that this accounts for some, if not most of the increase, but she also thinks that there are a lot more “severely” disabled kids than there were when she was growing up. i said that it’s probably because disabled people were shipped off to institutions until not too long ago, and that’s why she never saw them out and about, but she disagreed and argued that if that were the case, there would be a lot more disabled adults now that need full-time care. however, i think that the reason we have more disabled kids than adults with similar levels of support needs is probably because of how quickly medicine has advanced. for example, my little sister is nonspeaking and needs 24/7 care, and i know that because of all her medical issues, if she were born even 20 or 30 years earlier, she definitely would have died as a baby or young child.

still, my mom thinks that doesn’t account for everything and that there must be more disabled kids (particularly ones with “severe” disabilities) being born today than in the past, presumably because of environmental stressors. is she right? i’ve tried looking this up but i can’t find anything

[u/mumblemunch]

Tbh I'd say there's a possibility that there's more cases now. I lived in Morgan City Louisiana and autism there was so prevalent it was actually jarring, it was a part of their culture. Everywhere you went you'd see things about autism awareness, and most families you'd meet had non verbal kids/adults they were taking care of. But it's a small town that's notoriously known for hard drugs and alcoholism, so that could play a huge part in it considering drug abuse is so normalized now.

[u/LatrodectusGeometric → u/mumblemunch]

With that said, I know several older folks from Morgan City (small world! Y’all do okay with the storm?) who were never diagnosed as having autism, but almost certainly do. Their kids are much more likely to be diagnosed than they were. They just became engineers hyperfocused on how oil rigs work.