ADHD and Autism at Work

A+ Brain and NeurA+ research briefing   |   23 October 2026

From Burnout to Brilliance

The employee who looks committed may still feel they do not belong

A recognisable workplace experience: someone delivers consistently, avoids the social rituals of the office and depends heavily on one manager who communicates clearly. Their commitment may be real even when their sense of belonging is fragile.

A new survey of 2,742 employees in Ireland found that neurodivergent employees reported a lower sense of belonging. Their organisational commitment was associated mainly with how they viewed line managers and senior management, rather than with team relationships. This is association, not proof of cause, but it gives leaders a practical place to look. [2]

The message for leaders

Do not mistake visible sociability for commitment. Dependable management, clear expectations, workable environments and a safe route to request support may matter more than another team-bonding exercise.

Five sources new to this series

This edition combines one new systematic review, a large workplace survey, an ADHD-focused scoping review, a 92-person autism disclosure study and a UK employer-toolkit pilot. Three sources examine workplace experience directly; two review or test how support can be designed. None establishes a single solution for every neurodivergent employee.

Evidence strength at a glance

Stronger synthesis: A review of 34 workplace studies gives the broadest view, although the underlying research is varied.

Large workplace sample: The Irish survey offers useful scale, but its cross-sectional design cannot show what caused commitment or belonging.

Direct lived experience: The disclosure study includes 92 autistic adults; it explains patterns and decisions rather than measuring intervention outcomes.

Early practical evidence: The employer-toolkit trial is UK-based and co-developed, but has only 20 employers and no control group.

Important evidence gap: The ADHD office review found 22 sources but little robust empirical research specifically on ADHD employees in open-plan workplaces.

1  Work design and wellbeing need to be considered together

SYSTEMATIC AND INTEGRATIVE REVIEW   |   Published 14 October 2026

Title: Neurodivergence and occupational well-being: a systematic and integrative review

Van Rijswijk and Curşeu synthesised 34 studies of neurodivergence and wellbeing at work. Across the literature, stress, burnout, anxiety and depression were linked with workplaces built around neurotypical norms. The authors argue for moving beyond isolated adjustments towards connected changes in tasks, relationships and workplace systems. [1]

Limitations: This is the strongest overview in this edition, but it combines different neurotypes, settings and study designs. A review can identify a pattern; it cannot tell a particular organisation which intervention will work or prove that workplace design alone caused an individual’s distress.

For the individual: Notice where effort is being spent on managing interruptions, ambiguity, sensory pressure or social interpretation. Bring one repeated barrier into a support conversation.

For the manager: Review the work before assuming the worker is the problem. Clarify priorities, decision rights, communication routes and the recovery cost of current working patterns.

Content angle: Burnout may be partly a person-environment mismatch, not a failure of resilience.

Discussion question: Which part of your working environment repeatedly asks neurodivergent people to spend energy appearing unaffected?

[1] Original paper   |   DOI 10.1080/13548506.2026.2743437

2  For neurodivergent employees managers may shape commitment

LARGE WORKPLACE SURVEY IN IRELAND   |   Published 26 August 2026

Title: The Role of Neurodivergence in the Relationships Between Attitudes Towards Workplace Culture, Sense of Belonging and Commitment to Organisation

Researchers surveyed 2,742 employees in several large financial-services firms in the Republic of Ireland. The analysis compared 203 neurodivergent with 2,256 neurotypical employees. Neurodivergent employees reported slightly lower belonging. Their organisational commitment was predicted by perceptions of line managers and senior management, whereas the neurotypical group’s commitment was also linked with teams and belonging. [2]

Limitations: The data are self-reported and cross-sectional, so they show associations rather than causation. The neurodivergent group includes different neurotypes, and the paper did not test differences by role, seniority or career stage. Financial services may not represent smaller businesses or other sectors.

For the individual: If team culture feels effortful, identify the management behaviours that help you work well: dependable follow-through, fair decisions, clarity or psychological safety.

For the manager: Do not outsource inclusion to the team. Your consistency, clarity and response to requests may directly shape whether someone sees a future in the organisation.

Content angle: A good manager may matter more than forced belonging.

Discussion question: What would your neurodivergent employees say happens after they ask a manager for clarity or support?

[2] Original paper   |   DOI 10.1177/27546330261481550

3  Open plan does not mean equally accessible

ADHD-FOCUSED SCOPING REVIEW   |   Published 14 May 2026

Title: Don’t disable me: A scoping review of ADHD employees’ experiences of working in open-plan offices

Sanders and Le Rossignol searched four databases and reviewed 22 pieces of literature. The available work suggests that noise, movement, interruptions and limited control in open-plan spaces may undermine focus, creativity and productivity for employees with ADHD. The most important finding is how little direct empirical workplace research exists. [3]

Limitations: Much of the evidence was anecdotal, professional opinion or broader literature rather than controlled research with ADHD employees. The review supports cautious design questions, not a claim that open-plan work harms every employee with ADHD or that remote work is always better.

For the individual: Describe the exact environmental demand and its effect: for example, unplanned interruptions delaying task re-entry. Ask to test a specific change and agree how it will be reviewed.

For the manager: Offer choice where possible: quieter zones, headphones, protected focus blocks or hybrid patterns. Measure work quality and sustainable effort, not desk visibility.

Content angle: Your open-plan office may be open to everyone but accessible to fewer people.

Discussion question: Which feature of your workplace creates the greatest avoidable cognitive load?

[3] Original review   |   DOI 10.1177/10519815261449927

4  Disclosure is not one decision with one purpose

QUALITATIVE STUDY OF 92 AUTISTIC ADULTS   |   Published online 21 July 2026

Title: That Would Impact how They View me and how They View my Ability: Understanding Workplace Structures That Facilitate and Hinder Autistic Employees’ Disclosure of Their Diagnosis

Researchers analysed interviews from 92 autistic adults and identified three forms of disclosure: instrumental disclosure to obtain support, explanatory disclosure to help others understand a situation, and identity-mediated disclosure connected with being known more fully. This shows why a single organisational question such as “have you disclosed?” misses the purpose, audience and risk involved. [4]

Limitations: Qualitative interviews explain experience but do not estimate how common each form is or which disclosure route produces better employment outcomes. The analysis came from the first timepoint of a larger study and cannot show change over time. The findings should not be used to pressure anyone to disclose.

For the individual: Decide what outcome you want before deciding what to share. You may be able to request a work change by describing the barrier, whether or not you disclose a diagnosis.

For the manager: Make the route to adjustments clear, confidential and consistent. Ask what the person wants you to understand and who has permission to know.

Content angle: Disclosure is not a confession. It is a decision shaped by purpose and safety.

Discussion question: Could an employee obtain useful support in your organisation without telling their story repeatedly?

[4] Original paper   |   DOI 10.1177/10522263261467031

5  Practical resources can improve employer confidence

UK PRE-REGISTERED PILOT TRIAL   |   Published 7 September 2026

A pilot evaluation of a web-based intervention aiming to improve employer confidence in hiring autistic people

A UK team co-developed the AWARE toolkit with information, checklists, templates and videos. Twenty employers responsible for recruitment used it for one hour over two weeks. They rated the toolkit highly acceptable and its usability “excellent”; preliminary results showed greater reported knowledge of adjustments and less worry about hiring autistic people. [5]

Limitations: This was a small single-arm pre-post pilot with no control group. It measured employer knowledge, worry, acceptability and usability—not actual hiring, retention or autistic employee outcomes. Results may also reflect who volunteered to take part.

For the individual: When recruitment feels inaccessible, ask for a practical change such as questions in advance, clearer task instructions or an alternative way to demonstrate competence.

For the manager: Give recruiters usable tools, not awareness alone. Add adjustment prompts, structured scoring and clear examples to the actual hiring process, then evaluate candidate experience.

Content angle: Inclusion becomes real when a recruiter has the right checklist at the right moment.

Discussion question: What does your recruitment team have in front of them when a candidate requests a different process?

[5] Original paper and open repository record   |   DOI 10.1177/13623613261480736

A practical experiment for this week

Choose one recurring task or meeting and review it through the five pillars. This is a practitioner framework, not an outcome tested by these studies.

Physical wellbeing: What sensory or recovery cost follows this part of the working day?

Mental wellbeing: What uncertainty or self-monitoring is adding avoidable pressure?

Emotional regulation: What happens when priorities change or communication is ambiguous?

Working patterns: Would protected focus time, a written brief or fewer handovers help?

Boundaries: What work is being completed invisibly after hours to preserve performance?

Action: Agree one change for two weeks. Track output, effort and recovery, then review together. The aim is not to prove a diagnosis or create a permanent exception; it is to learn which conditions support sustainable performance.

Ready to use LinkedIn post

A neurodivergent employee can be committed to the organisation and still feel they do not belong.

A new survey of 2,742 employees in Ireland found that neurodivergent employees reported a lower sense of belonging than their neurotypical colleagues.

There was another important difference. For neurodivergent employees, organisational commitment was associated mainly with how they viewed line managers and senior management. For the neurotypical group, team relationships and belonging also played a role.

This does not prove that a good manager solves everything. It does suggest that dependable leadership may be especially important when the social life of work is effortful or exclusionary.

For a manager, the practical question is not simply: “Do they join in?”

It is: “Am I clear, fair and consistent—and what happens when this person asks me for support?”

One action this week: choose one recurring task and ask what would make it clearer or less effortful. Agree one change for two weeks, then review the quality of the work, the effort involved and the recovery needed afterwards.

Sustainable performance is not about lowering expectations. It is about creating conditions in which people can meet them without paying an invisible price.

If you want to explore what this could look like in your leadership or organisation, you are welcome to talk with me at NeurA+.

Book a discovery call

Previous
Previous

ADHD and Autism at Work

Next
Next

IT IS NOT WHAT YOU SAID IT IS WHAT THEY HEARD