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They cannot undo years of being told you are lazy, difficult, or not trying hard enough. But they can change something important: how someone begins to understand their own story. For many people — particularly those who reach assessment as adults, after decades of confusion and self-doubt — a diagnostic report is a document they will return to many times. It may be the first place their experience has been formally named, and named well. That is not a small thing. It is an opportunity that belongs to every clinician who writes one. We cannot always change the system. But we can change what someone hears when they read about themselves for the first time. That is not a small thing. It is an opportunity that belongs to every clinician. I have started sharing a neuro-affirmative language table with other clinicians who are equally aware of this quiet responsibility. Our understanding and language continues to evolve. 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