In this special conference edition of the Autism Learning Lab podcast, recorded during the Autism Symposium in Georgia, host Chris Blankenship is joined by Tony Meiners and Trish Ruggles for a conversation about “lazy diagnosing,” autism misdiagnosis, and the long-term impact of mismatched mental health treatment—especially for autistic women and high-masking adults. Together, they discuss how autistic individuals are often misunderstood within traditional mental health systems, leading to misdiagnoses, burnout, masking, and medical trauma. The episode also explores the importance of neurodiversity-affirming care, adapting therapy to the individual, and rebuilding trust after harmful treatment experiences.