speaking of professional dx, i think it's important to recognize that professionally dx'd disabled people are at a severe legal disadvantage compared to disabled people who purely self-id; one of the reasons i'm so intensely pro-self-dx and actively advocate for people to self-dx over professional dxing is because professional diagnosis comes with a cavalcade of systemic oppression and violence from the state, no matter what country you're in.
some things that professional diagnosis of a disability might do, depending on what disability and which country you live in:
- bar you from adopting children
- get your preexisting children removed from your care
- bar you from immigration to most countries
- open you up to conservatorship or other form of legal guardianship past the age of majority by your parents or other adults who care for your medical needs, without regard for your consent
- remove your ability to consent to medical procedures or withhold consent for medical procedures
- bar you from accessing gender care (if trans)
obviously, there's plenty of resources that are artificially gatekept behind professional diagnosis, like mobility aids that are only affordable through insurance, prescription medication, testing like blood tests and MRIs, AAC devices, and more. but i think it's important to remember that those of us who need these things aren't necessarily privileged by our professional diagnoses, insomuch as we're forced into a situation where we have to subject ourselves to endless state violence via professional diagnosis in order to have access to those necessary resources.
i think it's particularly important for those of us professionally diagnosed to remember that. there's a tendency in some circles to treat professional diagnosis like it makes us better or more "legitimately disabled" than self-id disabled folks; this isn't true and it's important to remember that we shouldn't feel the need to define ourselves by a thing that actively harms us. plus, just because someone doesn't have a professional diagnosis doesn't mean they don't need the resources that are kept behind it; often it means they can't afford to weather the state violence that comes with the dx, and so instead they have to suffer without medication or aids or testing and have a significantly worse and shorter life because of this. just because they have legal privilege over you doesn't mean they necessarily have social privilege over you or quality-of-life privilege.













