Understanding Autism and ADHD: Insights for Parents and Teachers in Birmingham
June 9, 2025

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A new UK study highlights how the school environment can deeply affect autistic students. Researchers asked autistic secondary pupils (ages 12–16) to photograph places at school that felt good or bad for their senses, then interviewed them. The students’ own words are revealing: one said “It just feels unnatural being here… everything in school is kind of a given, and it feels… kind of humiliating”, while another reported that the loud, busy setting “hurts my brain.”


These quotes underscore how noise, lighting and crowds in a typical classroom can overwhelm autistic children. The study found that quiet spaces, understanding teachers, and simple accommodations (like clear written instructions and dimmed lights) made a big difference to the students. However, many still felt misunderstood or stigmatized, highlighting that schools often lack the supports autistic children need.


The research identified three main themes from these interviews:

  1. the impact of the school environment on wellbeing,
  2. the importance of safe/quiet spaces, and
  3. levels of support and understanding. In short, autistic students were often overstimulated or overwhelmed by the unpredictable, multi-sensory nature of school.


They routinely described feeling drained or exhausted, which made learning difficult. Importantly, they want acceptance and understanding. As the study’s authors note, participants “desired acceptance and understanding of their autistic identity” and called for teachers and schools to adapt and be more aware. For example, changing noisy fluorescent lights or allowing ear defenders are low-cost changes that could reduce stress and help these children learn better.

Sensory Challenges in School: What Research Shows

The study’s findings remind us that many autistic children find busy school environments very challenging. Sensory overload can affect behaviour and learning. For instance, an overcrowded corridor might cause anxiety, or a sudden loud noise could trigger a meltdown. In the 2025 study, all six autistic students interviewed talked about how school overstimulated them. They wanted more quiet breaks, calmer classrooms, and teachers who understood that covering ears or taking a break isn’t misbehaviour but a response to feeling overwhelmed. The research team even points out that autistic pupils often feel pressured to “mask” or hide their discomfort, which leads to frustration and exhaustion. One parent described this as the “coke bottle effect”: children hold in stress all day at school and then “release pent-up frustrations” at home.


These insights are backed by other evidence: autistic students tend to have poorer wellbeing and outcomes in mainstream schools, partly because their sensory needs aren’t met. The study reinforces that listening to autistic children’s own experiences is crucial. It found that even simple supports – a quiet room for lunch, seating choices, or a trusted teacher to check in – made a noticeable difference to students’ comfort and attention in class.


What this means for identifying needs: Early signs of autism and ADHD

For parents and teachers, the study’s findings translate into practical clues. If a child frequently covers their ears, avoids crowded hallways, or seems drained after school, these could be early signs of sensory sensitivity and autism. Children may not tell us they are overwhelmed, but their behaviour can give hints. For example:


  • Covering ears or eyes, seeming sensitive to normal noise or light levels. These are common sensory coping reactions (the study’s students valued quiet spaces to “recharge”).
  • Meltdowns or shutdowns at home after a day at school (the “coke bottle” effect). A child who behaves well at school but suddenly melts down at home may have been masking all day.
  • Avoidance of certain activities or places (e.g., refusing the lunchroom, covering face in gym class). These avoidances often point to sensory overwhelm.
  • Hyper-focus or distraction in class. (This can occur in both autism and ADHD.) For example, difficulty switching tasks or becoming either hyperactive or inattentive under sensory stress.
  • Social and emotional cues: Difficulty with eye contact, understanding social cues, or making friends can also accompany sensory issues.
  • “Masking” behaviours: Children who seem exhausted but insist they’re “fine,” or who mimic peers’ actions to blend in. This hiding of discomfort leads to stress.


Many of these signs overlap with ADHD symptoms (fidgeting, impulsivity, daydreaming) and co-occurrence is common. If a child shows attention or activity differences, plus these sensory/social clues, both autism and ADHD assessments should be considered. In short, unusual struggles with concentration, behaviour, or social interaction – especially if linked to sensory triggers – warrant a closer look.

Why diagnosis and support matter in school

Getting a formal assessment for autism or ADHD is not just about labels; it helps schools and families know how to help. An official diagnosis tells teachers to make accommodations. For example, the UK’s guidelines explain that once a child is known to be autistic, teachers can provide extra time on tests, allow sensory breaks, or use visual schedules. AG & Co Health’s experts note that diagnosis is essential for schools to support autistic students’ needs. Without it, a child’s coping behaviours (covering ears, avoiding work) might be misunderstood as defiance or lack of effort. But with understanding, teachers can see these as signs of sensory overload or anxiety and adjust their approach


The benefits of early support are clear: when schools offer quiet corners, consistent routines, or simplified instructions, autistic and ADHD children can focus, learn, and feel happier at school. As one recent review suggests, empowering neurodiverse students and training staff in neurodiversity can greatly improve outcomes. This means parents and teachers working together: sharing observations (at home and in class) and requesting adjustments. For example, a child might not realise why fluorescent lights hurt their eyes; a parent can mention this in an assessment interview, and a school can consider replacing bulbs.
 

Identifying and supporting signs: Tips for parents and teachers

Early spotting makes a big difference. Here are some signs and steps:

  • Listen and observe: Notice if a child flinches at noise, closes eyes in bright light, or requests to sit in a specific area. These sensory cues are important.
  • Look for patterns: Does homework sit undone because the child “had a long day” or refuses certain tasks? That might signal fatigue from managing stimuli all day.
  • Encourage communication: Let kids express discomfort (e.g., “Too loud!”). Validate these feelings rather than dismissing them.
  • Create small adjustments: Offer noise-cancelling headphones, let children step outside if overwhelmed, or give clear, written instructions (many autistic students benefit from visual supports).
  • Monitor social behaviour: Be aware if a child seems lonely, bullied, or exhausted from pretending to “fit in.” Some autistic students may not seem distressed at school but then cry at home. Open dialogue with teachers to share such observations.
  • Seek professional input early: If multiple signs are present, consider a screening. A specialist can help determine if a full autism/ADHD assessment is needed. Early evaluation means support (like school adaptations or behavioural strategies) can start sooner.


Parents and teachers are usually the first to notice when a child is struggling. By paying attention to sensory and social red flags – as highlighted by this new research – adults can intervene before problems escalate. Remember, behaviours have meaning: a “meltdown” or “refusal” is often the only way a child can show distress when they lack better coping tools.

Autism and ADHD assessments in Birmingham and Telford

At AG & Co Health, we understand how critical these early signs are. We provide specialized autism and ADHD assessments for children in Birmingham, Telford, and the surrounding areas. Our services follow the UK’s NICE guidelines, which means we use best-practice methods to evaluate your child. For autism, this typically includes:


  • Step 1: Clinical Interview (ADI-R) – We talk with parents to gather the child’s developmental history and current behaviour across communication, play, friendships and more. This is a detailed session (usually 2–3 hours) that helps us understand how and when symptoms began.
  • Step 2: Observational Assessment (ADOS-2) – We interact with the child in structured activities to see how they communicate, play, and respond to social cues. The clinician observes for signs of autism during this session.
  • Step 3: Multidisciplinary Review – A team of specialists (often including psychologists and a paediatrician) reviews all information using DSM-5 criteria to decide if the child meets autism criteria. We discuss behaviour in context, including any sensory or attention difficulties noted.
  • Step 4: Feedback and Support Plan – We meet with you to explain the results and provide a written report. If a diagnosis is given, we outline specific recommendations (therapies, school accommodations, etc.). With your permission, we can send this report to your GP or school.


Similarly, our ADHD assessments use established rating scales and interviews to evaluate attention, hyperactivity and impulsivity. As our Birmingham service page notes, if “you suspect your child has ADHD, a private assessment can give you peace of mind”. In practice, we gather information from parents and teachers about the child’s concentration and activity levels, conduct cognitive testing if needed, and review medical history.


Our goal is to give parents and teachers clear answers. In Birmingham and Telford, our experienced clinicians explain everything in plain language. We make sure you understand your child’s strengths as well as their challenges. Every child is unique – “autism is unique to every individual,” as our autism services page reminds us – so we tailor our process to each family.


When children struggle, the difference between frustration and success can be simple adjustments and understanding. AG & Co Health’s Telford clinic serves Shropshire, and our Birmingham office serves the West Midlands. We offer a free initial consultation to discuss concerns and the assessment process. We know that receiving an autism or ADHD diagnosis can be emotional, so we work sensitively with families. By getting a formal assessment, you gain clarity and can access support – whether that’s additional time at school, therapy, or simply having an explanation that makes sense for your child’s behaviour.


In summary, this new research reinforces what many parents already suspect: the right environment and support are crucial for autistic students. By recognizing early signs and pursuing a professional assessment, families in Birmingham, Telford, and beyond can ensure their child’s needs are understood. AG & Co Health is here to help on that journey with thorough ADHD and autism assessments and guidance every step of the way.


Similarly, our ADHD assessments use established rating scales and interviews to evaluate attention, hyperactivity and impulsivity. As our Birmingham service page notes, if “you suspect your child has ADHD, a private assessment can give you peace of mind”. In practice, we gather information from parents and teachers about the child’s concentration and activity levels, conduct cognitive testing if needed, and review medical history.


Our goal is to give parents and teachers clear answers. In Birmingham and Telford, our experienced clinicians explain everything in plain language. We make sure you understand your child’s strengths as well as their challenges. Every child is unique – “autism is unique to every individual,” as our autism services page reminds us – so we tailor our process to each family.


When children struggle, the difference between frustration and success can be simple adjustments and understanding. AG & Co Health’s Telford clinic serves Shropshire, and our Birmingham office serves the West Midlands. We offer a free initial consultation to discuss concerns and the assessment process. We know that receiving an autism or ADHD diagnosis can be emotional, so we work sensitively with families. By getting a formal assessment, you gain clarity and can access support – whether that’s additional time at school, therapy, or simply having an explanation that makes sense for your child’s behaviour.



In summary, this new research reinforces what many parents already suspect: the right environment and support are crucial for autistic students. By recognising early signs and pursuing a professional assessment, families in Birmingham, Telford, and beyond can ensure their child’s needs are understood. AG & Co Health is here to help on that journey with thorough ADHD and autism assessments and guidance every step of the way.

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