Exploring the experiences of autistic transgender adults with or without intellectual disabilities

Objectives: Evidence indicates that there are elevated rates of autistic traits and other neurodevelopmental conditions in the population of trans people. Trans people are more likely to experience barriers and restrictions to the expression of anything other than normative cisgender identity. Evidence exists as to the life experiences of autistic people; however, this was not the case for people with intellectual disabilities. This study sought to understand the intersectional experiences of autistic transgender adults with or without intellectual disabilities in the UK relating to health, care and education. Methods: This study used interpretative phenomenological analysis to analyse four semi-structured interviews. Results: Interviews were conducted with people in their 30s with a mixture of abilities and genders. Five themes were constructed, related to the participant’s journey. Further analysis provides a set of recommendations for service providers and a presents an intersectional care model for autistic transgender people who may have an intellectual disability. Conclusions: Family plays an important role in the participants’ journey; however, these experiences were variable as such alternative support systems play a vital part in the process. Those working in Health, Care and Education will benefit from intellectual disability and autism education that includes a greater examination and consideration of gender diversity.