Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social support

Abstract This paper explores the complex relationship between autism, social connection, and eating disorder recovery, drawing on the lived experiences of two late-diagnosed autistic adults with histories of longstanding and severe eating disorders. Using narrative and autoethnographic methods, we e...

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Main Authors: James Downs, Marissa Adams
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-025-01271-5
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author James Downs
Marissa Adams
author_facet James Downs
Marissa Adams
author_sort James Downs
collection DOAJ
description Abstract This paper explores the complex relationship between autism, social connection, and eating disorder recovery, drawing on the lived experiences of two late-diagnosed autistic adults with histories of longstanding and severe eating disorders. Using narrative and autoethnographic methods, we examine how delayed autism diagnosis intersects with the social dimensions of illness, and the process of treatment and recovery. We identify unique barriers autistic individuals with eating disorders face in building meaningful social connections, navigating support systems, and accessing appropriate care. By integrating personal insights with existing research, we advocate for earlier autism screening and neurodiversity-affirming treatment approaches that embrace and value autistic differences, including the strengths inherent in neurodivergence. This requires a shift in how social support is conceptualised within eating disorder care, prioritising the creation of meaningful connections that address the unique social and emotional needs of autistic individuals. We argue for clinical practices that not only recognise the challenges faced by neurodivergent individuals but also embrace the strengths they bring, fostering environments where autistic individuals can engage authentically in their recovery process. This approach ultimately benefits patients and treatment providers alike, promoting more inclusive, empathetic, and effective care for all.
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spelling doaj-art-69ec9a848ce94a91a6012b371c9e239d2025-08-20T02:37:57ZengBMCJournal of Eating Disorders2050-29742025-06-0113111510.1186/s40337-025-01271-5Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social supportJames Downs0Marissa Adams1Expert by Experience, Independent ResearcherExpert by Experience, Independent ResearcherAbstract This paper explores the complex relationship between autism, social connection, and eating disorder recovery, drawing on the lived experiences of two late-diagnosed autistic adults with histories of longstanding and severe eating disorders. Using narrative and autoethnographic methods, we examine how delayed autism diagnosis intersects with the social dimensions of illness, and the process of treatment and recovery. We identify unique barriers autistic individuals with eating disorders face in building meaningful social connections, navigating support systems, and accessing appropriate care. By integrating personal insights with existing research, we advocate for earlier autism screening and neurodiversity-affirming treatment approaches that embrace and value autistic differences, including the strengths inherent in neurodivergence. This requires a shift in how social support is conceptualised within eating disorder care, prioritising the creation of meaningful connections that address the unique social and emotional needs of autistic individuals. We argue for clinical practices that not only recognise the challenges faced by neurodivergent individuals but also embrace the strengths they bring, fostering environments where autistic individuals can engage authentically in their recovery process. This approach ultimately benefits patients and treatment providers alike, promoting more inclusive, empathetic, and effective care for all.https://doi.org/10.1186/s40337-025-01271-5Eating disordersAutismNeurodiversitySocial supportLived experienceCo-production
spellingShingle James Downs
Marissa Adams
Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social support
Journal of Eating Disorders
Eating disorders
Autism
Neurodiversity
Social support
Lived experience
Co-production
title Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social support
title_full Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social support
title_fullStr Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social support
title_full_unstemmed Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social support
title_short Re-imagining connection: the role of late autism diagnosis in eating disorder recovery and social support
title_sort re imagining connection the role of late autism diagnosis in eating disorder recovery and social support
topic Eating disorders
Autism
Neurodiversity
Social support
Lived experience
Co-production
url https://doi.org/10.1186/s40337-025-01271-5
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