S1 E5 To diagnose or not to diagnose: how working with children has changed with Helen Kirkaldie episode artwork

EPISODE · Apr 8, 2026 · 1H 1M

S1 E5 To diagnose or not to diagnose: how working with children has changed with Helen Kirkaldie

from Let's Talk Neurosense: the psychology of neurodiversity · host Dr Naomi Fisher

Dr Helen Kirkaldie is a clinical psychologist who specialises in working with adopted children and their families. She has extensive experience in working with developmental trauma and attachment. In this conversation, she tells us how working with children has changed over her nineteen years of clinical experience, and how, as a society, we seem to have moved towards a more diagnostic framing of children’s differences and difficulties. She talks about how the question of autism or ADHD is now frequently part of her work, when previously it would not have been. We talk about how children’s behaviour and distress can always be viewed through different lenses, depending on the perspective of the adults around them. We discuss the way that professionals try to help, and how a diagnosis can be essential for children and families in accessing support. We talk about the many different roles that a diagnosis plays, and the dilemmas that this creates for professionals and families. This is an honest conversation about the real-life tensions of clinical practice with distressed children and their families. We hope you enjoy it. Thanks for listening to Let's Talk Neurosense: the Psychology of Neurodiversity. Subscribe for free to receive new episodes as they are released. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit neurosense.substack.com

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S1 E5 To diagnose or not to diagnose: how working with children has changed with Helen Kirkaldie

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