In this chapter, the author sets out to neatly document a journey from awareness of difference to autistic identity, taking in the landmarks of the post autism diagnosis landscape along the way. A study conducted in Scotland found autistic adults five times more likely than the general population to be in poor health. Intersectionality of autism with age and gender is also noted as the study observes older people and female autistics to be more likely to experience poor health. Research has consistently found autistic people to be more at risk of sexual abuse than their neurotypical peers. Health inequalities are just one example of the many life inequalities faced by autistic people. Autistic people die of epilepsy, suicide, cancer, infections and so on. The significance of self-esteem in relation to suicide ideation in general and specifically with regard to adult autistics has been highlighted.