Absolutely, there can be challenges accessing accommodations, and that is true even with a formal diagnosis in-hand. Formal diagnoses, as you know, are expensive, intensive (can be re-traumatizing), difficult to access (providers don't often prioritize adults) and not very accurate for adult women. I don't think I would ever recommend someone go through that unless they felt very compelled to do so. Hopefully the formal diagnosis process evolves in the future - what a difference that would make!

I loved Lara's process for a number of reasons:

- It was very thorough and based on the diagnostic process she underwent at NYU;

- She followed up with a signed letter explaining her process and how we arrived at my diagnosis (depending on someone's relationship with their employer, it could be enough to make the case for some accommodations - in my case, I work for myself, as do many autistics);

- And she offered basic coaching on how to begin honoring my neurodivergence in daily life, something a formal diagnosis wouldn't have given me (and was hugely beneficial).

In the end, everyone can choose the diagnostic route that works best for them and their situation. This one was a perfect match for my needs and really transformed my life.

(Sorry for the long response - thanks for reading!)