The elephant in the room: neurodivergence in psychiatry

Across psychiatry, neurodivergence is highly prevalent yet under-recognised. Psychiatric vulnerability, treatment response and prognosis are critically shaped by co-occurring neurodevelopmental conditions, including attention-deficit hyperactivity disorder, autism and tic disorder. Clinical recognition of neurodivergence and effective management can mitigate mental illness, prevent suicide and reduce societal costs. Services and training should adapt accordingly.