Comorbidity

Neurodiversity has increased my knowledge and understanding of the many overlaps between different diagnoses. Perhaps the hardest to distinguish are NVLD and autism. Their similarities should be appreciated, and people can identify with both. I also agree with efforts to dismantle a pernicious hierarchical structure that delineates between the supposed “higher functioning” labels, such as the now-defunct Asperger Syndrome, and autism. I can understand the concern that differentiating NVLD from autism could create a category of people who are “not quite autistic,” reinforcing the assumption that there is something “lower functioning” about autism. However, advocating for NVLD as a distinct diagnosis is not about creating an “autism light”; it is about recognizing a label and identity that truly resonate for many people who for too long have been invisible in the learning disability, mental health, and even neurodiversity nomenclature. It is about respect, being counted, and the autonomy to choose one’s identity. I welcome those with NVLD embracing autism if it feels right for them, but forcing it on us is an act of identity erasure. Read More