In this insightful blog, Dr Caz Nahman—child and adolescent psychiatrist and teaching lead at Oxford University—shares a composite case study based on her real-world experience supporting Autistic athletes. Through the story of Katie, a national-level swimmer navigating university life, we see how missed communication, misunderstanding, and well-intentioned coaching can impact a neurodivergent athlete’s wellbeing and performance. The blog offers practical guidance on building trust, improving communication, and creating inclusive environments where Autistic athletes can thrive.