Reasonable Adjustments Series: Autism

Where did it all begin?

On the 15th of June 2023, Donald Gray Triplett died. Who is this Mr Triplett, I hear you ask? Well, he’s the first person ever diagnosed with autism. While it’s almost impossible to summarise a man’s life in a single paragraph, I’ll do my best.

Donald was diagnosed with autism in 1943 and was labelled as “Case 1”. Born in 1933, he was an introverted boy who was institutionalised at the age of 3 because he didn’t respond to standard means of communication. He was called a savant due to his ability to perform rapid mental multiplication and recite Psalm 23 by the age of 2.

Despite his dramatic early years, Donald lived a wonderfully ordinary life — playing golf almost daily, travelling the world, and playing the piano with impressive skill.

So, if autism first appeared in 1943, does that really mean it didn’t exist before then? Of course not. I can promise you that autism is indeed older than the ballpoint pen (1938), the helicopter (1939), and instant coffee (1938). Many would argue that neurodiversity is in fact an evolutionary advantage, so why are we suddenly calling it a trend?

Is an autism diagnosis really considered trendy?

It’s something that I’ve pondered a lot recently. In the last few years, I’ve had the pleasure of holding several neurodiversity‑centric roles here at Medigold, but no matter who I’m talking to, I find myself saying the same thing over and over.

No, autism isn’t a wellness fad, an excuse, or a justification – it’s merely a difference that has always existed.

For decades, autism was narrowly defined: boys who struggle socially and have very specific interests (like being able to recite Psalm 23 as a toddler – am I right, Donald?). Given that it’s 2026, we should understand that autism isn’t as simple as that.

We don’t wake up one day and suddenly have autism; we have always been this way. But a diagnosis can help us name our experiences. And yes – just like discovering a Netflix show that perfectly explains your quirks – it can be a huge relief to finally put words to what’s been happening your whole life.

Are there difficulties with communication and social interactions?

Why not try:

• Providing written instructions alongside verbal explanations — this reduces misunderstandings and provides a clear reference.
• Offering clear expectations for meetings or teamwork — letting people know what’s required helps reduce anxiety and miscommunication.
• Giving notice of changes in routines — sudden changes can be stressful, so a heads‑up allows preparation and adjustment.

Are sensory sensitivities a challenge?

You might want to consider: 

• Offering quiet spaces or noise‑reducing options – this could be a side office, headphones, or flexible seating.
• Allowing flexibility with lighting or workspace setups – small environmental tweaks can make a huge difference.
• Structuring breaks to reduce overwhelm – giving space to recharge can improve focus and wellbeing.

Are there difficulties with processing or executive functioning?

It’s worth looking at: 

• Using visual schedules or task trackers – these provide structure and clarity.
• Breaking tasks into smaller steps – simple but effective in reducing overwhelm.
• Providing predictable routines and deadlines – consistency helps with planning and prioritisation.

Ultimately, supporting autistic employees isn’t about lowering expectations. It’s about removing unnecessary barriers so people can do their best work in ways that suit how their brains function.

So, what happens now?

Autism is a human experience, and we’re all human at the end of the day. As more and more adults recognise their neurodivergence, workplaces have a simple choice: do you continue to misunderstand difference, or do you start responding with curiosity?

The good news is that supporting autistic employees rarely requires radical change. Many barriers can be reduced with thoughtful adjustments, clear communication, and a willingness to listen.

When workplaces get this part right, they don’t just support autistic people – they create environments where everyone can work better and thrive.