Women and Girls with Autism: Mental Health Support

Jessica Toale Excerpts

Tuesday 15th July 2025 Westminster Hall

[Sir Edward Leigh (in the Chair)]

I will call Jessica Toale to move the motion and then call the Minister to respond. I remind other Members that they may make a speech only with prior permission from the Member in charge of the debate and the Minister. As is the convention for 30-minute debates, there will not be an opportunity for the Member in charge to wind up.

[Jessica Toale (Bournemouth West) (Lab)]

I beg to move,

That this House has considered mental health support for women and girls with autism.

It is a pleasure to serve under your chairmanship, Sir Edward. I am grateful to have secured this debate today to discuss a matter of deep importance for one of my Bournemouth West constituents, Lindsey Bridges, as well as the thousands of families across the country affected by the failings in our mental health and autism care system. I rise today not only as a Member of Parliament, but as a voice for Lindsey and her daughter Lauren, known as Lolly to her friends and family, who is no longer here to speak for herself.

Lauren was just 16 when she died. She was a bright, compassionate young woman, and a straight A student who dreamed of being a doctor or a paediatric nurse. She was also autistic, and like many girls and young women with autism, she faced serious challenges getting the support she needed. In 2021, Lauren was detained under the Mental Health Act 1983. She was placed in an in-patient unit in Manchester six hours from her home in Bournemouth. As a result, her mental health deteriorated severely. In February 2022, Lauren went into cardiac arrest and died in that unit. Her mother Lindsey had begged for her to be moved closer to home, but her pleas went unheeded. This is not an isolated incident. Like too many others, she was let down by a system that promised care but failed in that promise.

[Andrew Cooper (Mid Cheshire) (Lab)]

My heart absolutely breaks hearing the story about Lauren—it is awful. Many autistic women and girls are undiagnosed, misdiagnosed or diagnosed late in life due to the outdated belief that autism mainly affects males. As a result, many women receive mental health treatments for conditions they do not have, including treatments that could be ineffective or even harmful. These diagnostic failures can seriously affect mental wellbeing and may explain high rates of depression in that group. Does my hon. Friend agree that the healthcare system must adapt to better identify and support autistic women and girls early on, prevent misdiagnosis and improve mental health outcomes?

[Jessica Toale]

Absolutely. There are now more than 2,000 people with learning disabilities and/or autism detained across the UK in in-patient units similar to the one that Lauren was held in. They are often far from home, cut off from their families and placed in highly restrictive environments that frequently do more harm than good. Lauren’s case is heartbreaking, but it must also be a turning point, which is why Lindsey is campaigning for Lolly’s law and why I am bringing this campaign to the House today.

Lolly’s law proposes four urgent reforms that could prevent future tragedies. The first is mandatory retraining for psychiatric professionals and support staff so that they have a proper understanding of how autism presents in girls and women. Too often those young women are misdiagnosed with personality disorders or wrongly pathologised.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady for securing this debate. She is absolutely right to highlight the issue. It is very hard to listen to because the particular circumstances are so personal. Numerous studies have shown that girls and women are more likely to internalise the stress and anxieties that come with autism, whereas boys are likely to be more openly tempered or passive-aggressive. That is a statement rather than an observation. Does the hon. Lady agree that we could work more closely with teachers in schools and other individuals to ensure that young girls struggling with autism have support in the educational system to externalise some of their stress?

[Jessica Toale]

It is obvious that women tend to mask symptoms of autism more and that they present very differently from men. Our medical system is not set up to properly diagnose it in women.

The second proposal of Lolly’s law is a reassessment of personality disorder diagnoses where autism might be missed. There needs to be a national reassessment programme to identify cases of misdiagnosis and provide appropriate support for those affected. The evidence already shows that where female in-patients are diagnosed with emotionally unstable personality disorder and/or eating disorders and are reassessed for autism, 100% of them receive a diagnosis for autism.

Thirdly, specialist suicide prevention and self-harm teams must be available in all mental health units for vulnerable young people. These should be multidisciplinary teams trained specifically in females with autism. Finally, anti-ligature doors and safety infrastructure must be mandated across all in-patient mental health facilities. These are basic safeguards that can and do save lives.

Lindsey has set up a petition for Lolly’s law, which has already gathered 225,000 signatures—clear proof of the public demand for action. She has also developed a training course for child and adolescent mental health services professionals, solicitors and others involved in mental health decision making, which has been positively received by those who have seen it.

[Afzal Khan (Manchester Rusholme) (Lab)]

We understand that girls with autism are more likely to be underdiagnosed or misdiagnosed. Without appropriate and tailored support, those girls can face unnecessary distress, particularly in the school setting. Does my hon. Friend agree that we should ensure teachers and other professionals are given the correct training to better understand autism?

[Jessica Toale]

Clearly, we need better training across many of our institutional settings. This is in part where Lindsey has put together the training course, which I hope she will be able to discuss with the Minister at some point. Lindsey is also backed by the Children and Young People’s Mental Health Coalition, Emotional Dysregulation Autism, the Abbey clinic and many other respected voices in this space.

Let me be frank. The current system is failing young people with autism. The number of people in long-term institutional care remains stubbornly high. It fails to distinguish between autism and other mental health illnesses. It overuses restraint and seclusion and separates children from their families, often for extended periods. It is a system that punishes difference rather than supports it. It is indefensible. Families are exhausted. Parents like Lindsey are forced into campaigning roles they never asked for, because they have been let down so completely by the very institutions meant to protect their children.

[Rachel Taylor (North Warwickshire and Bedworth) (Lab)]

One of the toughest challenges that autistic women and girls face is misdiagnosis and late diagnosis, so girls’ problems go unnoticed. Parents in my constituency frequently tell me how frustrating and exhausting it is for them and their families to try to get the support and diagnosis that their daughters need. Does my hon. Friend agree that too often young women get a late diagnosis and are left wondering how life could have been so much different if they had got that support earlier?

[Jessica Toale]

I absolutely agree with my hon. Friend. There are far too many families across the country left fighting for their children and, like Lindsey, having to take up campaigning roles, which are clearly exhausting.

Will the Minister and the Government back Lolly’s law and commit to a formal review of autism diagnosis pathways for girls and women, with particular attention paid to those currently diagnosed with personality disorders? Will the Department of Health and Social Care mandate anti-ligature safety standards across all NHS and private health in-patient units, and develop specialist suicide and self-harm prevention teams in children’s in-patient care? If not, will the Minister consider piloting some of those schemes? Will she agree to meet Lindsey Bridges, hear her proposals directly and consider supporting the formal introduction of Lolly’s law as part of a broader strategy to transform in-patient care? Finally, will the Government review the current use of out-of-area placements and set targets for their reduction?

Lolly’s law is not radical; it is responsible. It is about safeguarding and justice for those families. It is about listening, learning and delivering reform, so that nobody is failed again like this and no more lives are lost. It is within our power to build a system where care means connection, not containment, and one that understands autism rather than punishes or isolates those living with it. It would be a system where families are partners in care, not visitors trying to navigate a maze of red tape, and where features such as anti-ligature doors are not considered nice to have but essential.

Lindsey’s courage in the face of unimaginable loss is truly moving. I am here to stand beside her in calls for change. Lauren should still be here and we owe it to her and every young person like her to build a system that sees, supports and safeguards every child, not just in words but in actions.