Why choice is not optional:
Autonomy, Trauma, and Neurodivergence: Why Choice Is Not Optional Autonomy is often discussed as a personal preference or a lifestyle value, but for trauma survivors and neurodivergent people it is far more than that. It is a clinical, psychological, and ethical necessity. Research across trauma studies, neuroscience, and disability scholarship consistently shows that a sense of control over one’s body, environment, and decisions is central to nervous system regulation, mental wellbeing, and long‑term recovery. Without autonomy, even well‑intentioned support can unintentionally cause harm. This article explores why freedom of choice is so critical for trauma‑affected and neurodivergent individuals, how the loss of agency impacts the nervous system, and why respecting autonomy is a core principle of trauma‑informed and neurodiversity‑affirming practice. It also draws on the social model of disability, which recognises that many of the barriers disabled and neurodivergent people face are...