In this conversation, Shawn Sullivan and Dr. Jami Heyting delve into the complexities of autism diagnosis, sharing personal experiences and professional insights. They discuss the importance of neuroaffirming assessment tools, the challenges of accessibility and affordability in autism assessments, and the nuances of communication and social interactions for autistic individuals. The conversation highlights the need for a more inclusive approach to autism diagnosis and the role of special interests in understanding autistic experiences. In this conversation, Dr. Jami Heyting and Shawn Sullivan delve into the complexities of autism diagnosis, focusing on the criteria outlined in the DSM, the challenges faced by individuals in social communication, and the importance of neuroaffirming practices in assessment. They discuss the nuances of social interactions, sensory processing issues, and the impact of support needs on mental health, particularly in adulthood. The conversation highlights the need for a more compassionate and understanding approach to neurodiversity, emphasizing that autism is not a static condition but one that can evolve over time.