Thriving, Not Just Coping: Neurodiversity and Work

Understanding workplace adjustments, Access to Work, and reaching your full potential

Receiving an ADHD or autism diagnosis as an adult can bring both relief and uncertainty. For many people, experiences that never quite made sense suddenly begin to fit together. At the same time, a diagnosis often raises an important question:

"What do I do with this information now?"

There can be a lot to process. You may find yourself reflecting on your education, career, relationships, and the many strategies you've developed over the years simply to navigate everyday life.

One area that often comes up in therapy is work. Many neurodivergent people are highly capable professionals. They have completed degrees, built successful careers, developed specialist knowledge, and achieved goals they are rightly proud of. Yet what is often invisible to others is the amount of effort required to get there. For some people, a significant amount of energy is spent organising tasks, remembering deadlines, managing distractions, navigating workplace expectations, coping with sensory demands, or adapting to environments that may not naturally fit the way they think and process information.

By the time the actual work begins, a considerable amount of mental energy may already have been used.

Asking for Support Isn't Giving Up

Many people feel uncomfortable asking for support at work. There can be concerns about being judged, treated differently, or viewed as less capable. Some people have spent years hearing messages that they simply need to be more organised, more focused, or work harder.

The reality is that many neurodivergent people are already working incredibly hard. What is often unseen is the amount of planning, adapting, self-management, sensory regulation, and emotional labour taking place behind the scenes. Seeking support is not about lowering expectations.

It is not about special treatment. It is about understanding how you work best and creating conditions that allow you to contribute effectively and sustainably. A helpful way to think about it is: "I'm not asking for support because I can't do my job. I'm asking for support because I want to do my job well."

Understanding Reasonable Adjustments

Reasonable adjustments are changes that help remove barriers and allow people to work more effectively.

Examples may include:

  • Flexible working hours

  • Hybrid or home working arrangements

  • Written summaries following meetings

  • Clear prioritisation of tasks

  • Regular check-ins with managers

  • Noise-cancelling headphones

  • Access to a quieter workspace

  • Alternative communication methods

  • Adjustments to lighting or sensory environments

  • Additional processing time where needed

The most effective adjustments are always individual. What helps one person may not help another. The focus should be on understanding the person rather than simply focusing on the diagnosis.

Starting the Conversation

For many people, starting the conversation with their employer feels like the hardest part. A useful approach is to focus on what helps you work effectively rather than focusing solely on the diagnosis itself, eg. instead of saying: "I have ADHD and need support." You could say: "I work most effectively when priorities are clearly documented. Having written follow-up notes after meetings would help me stay organised and productive."

Or: "I find it easier to concentrate with fewer distractions. Access to a quieter workspace would help me focus and perform at my best."

These conversations tend to be more productive because they focus on practical solutions and outcomes.

The Government's Access to Work Scheme

Many people are unaware of the Government's Access to Work scheme, which provides practical workplace support for people with disabilities and health conditions.

The scheme is designed to help people start work, stay in work, or remain in self-employment. Support is tailored to individual needs and can often make a significant difference to wellbeing and productivity.

Depending on your circumstances, support may include:

  • ADHD coaching

  • Workplace coaching

  • Specialist software and technology

  • Assistive equipment

  • Home-working equipment

  • Mental health support

  • Support workers

  • Travel assistance where appropriate

Importantly, Access to Work does not replace an employer's responsibility to provide reasonable adjustments. Instead, it can offer additional specialist support that helps people work more effectively.

What Does the Process Look Like?

Step 1: Apply. Submit an application through the Access to Work service.

Step 2: Assessment. An adviser will discuss your role, any barriers you experience, and what support may help you work more effectively.

Step 3: Recommendations. Recommendations are made based on your individual circumstances and may include coaching, technology, equipment, or other practical support.

Step 4: Support Is Put in Place. Once approved, funding is provided for agreed support and recommendations.

Like many public services, there can be waiting times, but many people find the process validating because the focus is on identifying solutions and enabling success.

A Practical Workplace Support Checklist

You may find it useful to reflect on whether any of the following would support you:

Organisation and Planning

☐ Clear written priorities

☐ Written instructions after meetings

☐ Project planning support

☐ Regular check-ins

☐ Breaking larger tasks into manageable stages

Focus and Productivity

☐ Noise-cancelling headphones

☐ Quiet workspace

☐ Flexible working arrangements

☐ Protected focus time

☐ Reduced interruptions

Communication

☐ Advance meeting agendas

☐ Written summaries after discussions

☐ Additional processing time

☐ Alternative communication methods

Wellbeing

☐ Flexible working patterns

☐ Workload reviews

☐ ADHD or workplace coaching

☐ Mental health support

Sensory Environment

☐ Reduced background noise

☐ Alternative lighting

☐ Different desk location

☐ Remote participation in meetings

Final Thoughts

Many neurodivergent people spend years adapting to environments that were not designed with their needs in mind. They develop strategies, systems, and ways of working that allow them to succeed. Often, this effort becomes so familiar that it is easy to overlook just how much energy it requires. Seeking support is not about focusing on limitations.

It is about understanding how you work best.

It is about recognising that different minds may need different conditions to flourish.

Whether that involves reasonable adjustments, workplace coaching, assistive technology, or support through Access to Work, the aim is the same: creating an environment where your strengths can be used effectively and sustainably.

Many neurodivergent people bring creativity, innovation, deep focus, problem-solving abilities, empathy, curiosity, and unique perspectives to their workplaces. A diagnosis is not about discovering what is wrong with you.

For many people, it is an opportunity to better understand how you work, what helps you thrive, and what support allows you to be at your best. Because the goal is not simply to fit into the workplace.

The goal is to create workplaces where different ways of thinking, communicating, and contributing are recognised as valuable.

And where people have the opportunity not just to cope, but to thrive.

Lukasz B

Reg.COSRT Psychosexual & Relationship Therapist, Reg. COSRT Relationship Therapist

Acc. IAPC&M Senior Coach, Counsellor, Senior Sexual Health Advisor, Author and Trainer

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