Recently, the conversation about how we refer to individuals on the autism spectrum has resurfaced. Why is this?
So which should we use? “Autistic person” or “person with autism”?
The difference lies in the structure of the language. “Person with autism” is person-first language—it places the individual before the diagnosis. It implies that autism is something a person has, separate from who they are. This phrasing is rooted in a medical model of disability, which often focuses on treatment, intervention, or "fixing" perceived deficits.
On the other hand, “autistic person” is identity-first language. It acknowledges autism as an integral part of a person’s identity—something that shapes how they experience and interact with the world. For many, it’s a source of pride and community, not something to be separated from who they are.
A growing number of autistic individuals and their allies advocate for identity-first language as part of a broader movement toward neurodiversity-affirming perspectives. That said, language is personal, and preferences vary. Some people still prefer person-first language, and that’s valid too.
For this blog, I’ll be using identity-first language, as it aligns with the preferences of many autistic self-advocates. In my work with clients and students, I always check in to see what language each individual prefers. When someone isn’t yet able to communicate their preference, I ask those who know them best—and remain open to changing that as the individual continues to grow and find their own voice.
The cardinal rule? Always ask first. Language should reflect respect, not assumptions.
In this video, IndyAndy breaks down the differences and shares his personal preference.
There’s no one-size-fits-all answer. Language is powerful, but it should always begin with respect—because every individual deserves to be seen, heard, and valued on their own terms.
~Chloe