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    I’m autistic, I have bipolar disorder: why the words matter

    Should you say “I’m autistic” or “I have autism spectrum disorder”? And should you say “I’m bipolar” or “I have bipolar disorder”? These questions regularly spark debate. Yet over the years, the way I talk about both has changed completely. It evolved alongside the way I came to see them. For years, I said I was bipolar. Today, I say I have bipolar disorder. A subtle but important difference. Likewise, I rarely say I have autism spectrum disorder (ASD). I’m autistic. Another subtle distinction. Behind these different ways of speaking lies a fundamentally different way of viewing two realities: a psychiatric illness and a neurodevelopmental condition. For me, this shift happened gradually and almost naturally.