Abstract
Fetal alcohol spectrum disorder (FASD) is a common disorder, yet one that is still under recognised in the UK. Both the public and professionals in the UK have a limited amount of knowledge about the subject, with the neuropsychological profiles and subtleties of presentation causing confusion. This often means that many people are mislabelled or not diagnosed. We report findings from the UK National FASD behavioural clinic and how these presentations lead to challenges in improving the clinical and research situation in the UK. The UK has the potential to improve research, recognition, provision and behavioural management strategies for this group quickly; however, this will need a more structured approach than is currently in existence.