London Daily

Focus on the big picture.
Tuesday, Jan 06, 2026

The NHS consultant who was diagnosed with autism at 46

The NHS consultant who was diagnosed with autism at 46

An autistic ICU consultant believes stigma and fear of discrimination is delaying some health professionals from seeking help and diagnosis.

Dr Rosie Baruah, who works for NHS Lothian, was diagnosed in December at the age of 46.

Earlier this year she took to social media in a bid to raise awareness of neurodiversity.

Dr Baruah believes better education and support should be made available to help autistic people in the workplace.

The consultant was diagnosed at the same time as her 16-year-old daughter and said the news allowed her to make sense of her life.

But she understands why others in her profession may be less willing to share their experiences.

Dr Baruah told BBC Radio Scotland's Drivetime: "Since I was open about my diagnosis of autism on Twitter I have had messages from people who either strongly suspect they are autistic or have been diagnosed formally as autistic but they do not feel safe to be open about it because they fear discrimination.

"They fear that people will not think they are safe to be a clinician."

Dr Baruah, who is based at Edinburgh's Western General Infirmary, said said it was a "great shame" that some people did not feel confident about sharing their own diagnosis.

She added: "I think there is still a huge amount of fear and stigma, particularly people who are early in their careers and are depending on approval of people who are more established to progress.

"The more 'normal' you make yourself look the less likely you are to risk being discriminated against by people who simply don't understand what being autistic is like and how it can affect you.

"It still means you can be a completely safe doctor."

Dr Baruah was diagnosed with autism last December


Dr Baruah also called for more investment and a sharper focus on raising awareness.

She explained: "Until fairly recently I had a narrow stereotypical view of what autistic people were like.

"I also had the very great privilege that my daughter and I could pursue a private diagnosis because the waiting times for diagnosis on the NHS are, as you can imagine, horrifically long.

"I think there is a huge amount that could be done in terms of both funding as well as education to allow destigmatising of conditions and neurotypes, like autism, that I think really hold people back from being able to live their lives."

Autism is not defined as an illness or a disease, according to the NHS. Instead, an autistic person's brain works differently than other people.

And it's a spectrum, meaning every autistic person is different. Some common characteristics might include finding it hard to communicate and interact with others, getting anxious about unfamiliar situations or doing the same thing repeatedly.


'That's how I have always felt'


Dr Baruah suspected she may be autistic after reading an interview in The Times with author Holly Smale, who was diagnosed at the age of 39.

The creator of the bestselling series of children's books, Geek Girl, later spoke about her experiences for BBC Radio Four's Room 5.

Describing her lightbulb moment, Dr Baruah recalled the author's description of social interactions always requiring a "degree of rehearsal".

She said: "I just thought 'Oh my goodness. That's how I have always felt.'"

The consultant began to reassess her own life, from her birth in the west of Ireland to an upbringing that took in London, Kirkcaldy, Fort William, Glasgow and Edinburgh.

Women and girls might be overlooked from getting an autism diagnosis because of the historical perception that autism mostly affects men and boys, or because they're adept at "masking" or camouflaging their autistic traits.


'Every lunchtime I would go home'


Dr Baruah recalled that at primary school she could be abrupt, "truthful when it was not appropriate to be truthful" and not very good at imaginative play.

She also said she struggled with forming female friendships.

By the time she reached secondary school the environment was "so much busier and noisier".

Dr Baruah admitted she only had "one or two close friends" built on a shared obsession with the cult US TV drama Twin Peaks.

She said: "Every lunchtime I would go home because I couldn't cope with the entire day at school.

"I retrospect so much of my behaviour was, absolutely, a function of the fact that I am autistic."

Her research also helped explain other aspects of her life.

Dr Baruah added: "The thing that really got me was realising that autism isn't a spectrum in the way that people think its a linear spectrum, from very mild to very severe, its a spectrum more in terms of the different components of it."

The anaesthetist said in her case her communication challenges were very mild but she found social interactions "really challenging".

She said: "Now for instance, at the end of a working day, I am in bed by half eight with the lights down really low and no noise.

"I need that time to decompress after a day of interacting because its incredibly demanding."

Dr Baruah also revealed she didn't realise when she studied medicine at the University of Edinburgh how well suited she was to her chosen career.


'A lot of it was a relief'


She said: "Autistic people generally thrive on routine and intensive care medicine generally involves a lot of routine."

For example, we spend a lot of time paying very close attention to detail such as going through checklists with patients.

She explained professional conversations also follow a similar pattern.

Dr Baruah added: "That's what I have been doing most of my life - rehearsing conversations in advance and using social scripts so from that point of view it really suits autistic people."

But conversely she admitted some aspects of the job, including the noise, smells and dealing with unfamiliar people could be "overwhelming".

In the four months since her diagnosis Dr Baruah has drawn comfort from reinterpreting her life through a different lens and the recognition that her brain works in a different way.

She admitted: "A lot of it was a relief.

"It allows a reinterpretation of the past that is more accurate and makes you feel less broken."

Newsletter

Related Articles

0:00
0:00
Close
Prince Harry Poised to Regain UK Security Cover, Clearing Way for Family Visits
UK Junk Food Advertising Ban Faces Major Loophole Allowing Brand-Only Promotions
Maduro’s Arrest Without The Hague Tests International Law—and Trump’s Willingness to Break It
German Intelligence Secretly Intercepted Obama’s Air Force One Communications
The U.S. State Department’s account in Persian: “President Trump is a man of action. If you didn’t know it until now, now you do—do not play games with President Trump.”
Fake Mainstream Media Double Standard: Elon Musk Versus Mamdani
HSBC Leads 2026 Mortgage Rate Cuts as UK Lending Costs Ease
US Joint Chiefs Chairman Outlines How Operation Absolute Resolve Was Carried Out in Venezuela
Starmer Welcomes End of Maduro Era While Stressing International Law and UK Non-Involvement
Korean Beauty Turns Viral Skincare Into a Global Export Engine
UK Confirms Non-Involvement in U.S. Military Action Against Venezuela
UK Terror Watchdog Calls for Australian-Style Social Media Ban to Protect Teenagers
Iranian Protests Intensify as Another Revolutionary Guard Member Is Killed and Khamenei Blames the West
Delta Force Identified as Unit Behind U.S. Operation That Captured Venezuela’s President
Europe’s Luxury Sanctions Punish Russian Consumers While a Sanctions-Circumvention Industry Thrives
Berkshire’s Buffett-to-Abel Transition Tests Whether a One-Man Trust Model Can Survive as a System
Fraud in European Central Bank: Lagarde’s Hidden Pay Premium Exposes a Transparency Crisis at the European Central Bank
Trump Announces U.S. Large-Scale Strike on Venezuela, Declares President Maduro and Wife Captured
Tesla Loses EV Crown to China’s BYD After Annual Deliveries Decline in 2025
UK Manufacturing Growth Reaches 15-Month Peak as Output and Orders Improve in December
Beijing Threatened to Scrap UK–China Trade Talks After British Minister’s Taiwan Visit
Newly Released Files Reveal Tony Blair Pressured Officials Over Iraq Death Case Involving UK Soldiers
Top Stocks and Themes to Watch in 2026 as Markets Enter New Year with Fresh Momentum
No UK Curfew Ordered as Deepfake TikTok Falsely Attributes Decree to Prime Minister Starmer
Europe’s Largest Defence Groups Set to Return Nearly Five Billion Dollars to Shareholders in Twenty Twenty-Five
Abu Dhabi ‘Capital of Capital’: How Abu Dhabi Rose as a Sovereign Wealth Power
Diamonds Are Powering a New Quantum Revolution
Trump Threatens Strikes Against Iran if Nuclear Programme Is Restarted
Apple Escalates Legal Fight by Appealing £1.5 Billion UK Ruling Over App Store Fees
UK Debt Levels Sit Mid-Range Among Advanced Economies Despite Rising Pressures
UK Plans Royal Diplomacy with King Charles and Prince William to Reinvigorate Trade Talks with US
King Charles and Prince William Poised for Separate 2026 US Visits to Reinforce UK-US Trade and Diplomatic Ties
Apple Moves to Appeal UK Ruling Ordering £1.5 Billion in Customer Overcharge Damages
King Charles’s 2025 Christmas Message Tops UK Television Ratings on Christmas Day
The Battle Over the Internet Explodes: The United States Bars European Officials and Ignites a Diplomatic Crisis
Princesses Beatrice and Eugenie Join Royal Family at Sandringham Christmas Service
Fine Wine Investors Find Little Cheer in Third Year of Falls
UK Mortgage Rates Edge Lower as Bank of England Base Rate Cut Filters Through Lending Market
U.S. Supermarket Gives Customers Free Groceries for Christmas After Computer Glitch
Air India ‘Finds’ a Plane That Vanished 13 Years Ago
Caviar and Foie Gras? China Is Becoming a Luxury Food Powerhouse
Hong Kong Climbs to Second Globally in 2025 Tourism Rankings Behind Bangkok
From Sunniest Year on Record to Terror Plots and Sports Triumphs: The UK’s Defining Stories of 2025
Greta Thunberg Released on Bail After Arrest at London Pro-Palestinian Demonstration
Banksy Unveils New Winter Mural in London Amid Festive Season Excitement
UK Households Face Rising Financial Strain as Tax Increases Bite and Growth Loses Momentum
UK Government Approves Universal Studios Theme Park in Bedford Poised to Rival Disneyland Paris
UK Gambling Shares Slide as Traders Respond to Steep Tax Rises and Sector Uncertainty
Starmer and Trump Coordinate on Ukraine Peace Efforts in Latest Diplomatic Call
The Pilot Barricaded Himself in the Cockpit and Refused to Take Off: "We Are Not Leaving Until I Receive My Salary"
×