ALT ADHD & Autism prevalence has remained stable over past 20 yrs ADHD may still be underdiagnosed rather than overdiagnosed, especially in older adults Conversion from ADHD diagnosis to medication prescribing has roughly halved in post-pandemic period among children & young people Evidence that under-recognition of Autism persists, particularly among older adults For ADHD & Autism there is an absence of reliable routine measures of impairment & functional need A single label may encompass groups with markedly different levels of impairment Common Mental Health Conditions have risen over past 30 yrs (notable increases from early 2010s) Reduction in stigma does not explain increased prevalence Evidence that public attitude is, in fact, going backwards Evidence that increasing distress is accompanied by increasing impairment, suggesting the rise in distress is 'genuine' Poverty & material deprivation remain strong predictors of poor mental health