Not good.

One of the saddest experiences I've had as an English teacher in Russia was dealing with students on the autistic spectrum. Now, I'm not a psychologist so I can't diagnose people but I have a brother who's a highly-functioning autistic person and it's easy for me to identify people on the spectrum.

Anyway, mental health in Russia is a disaster. Even lesser psychological disorders like ADHD are either stigmatized or ignored. Well-intentioned Russian parents and teachers, I've spoken to simply write off kids as being bad-behaving or late bloomers. This is very sad when dealing with younger children and tweens but it's even worst with older teenagers and adults.

I had a student who was 29 and was my only C-2 level student (basically he spoke like a native English speaker.) He is extremely intelligent and can acquire information in the blink of an eye. He is self-aware of his anti-social behavior and fixation on specific things; both obviously signs of Asperger syndrome which is an autistic disorder. Despite his high intelligence, he is unemployed and doesn't look for work. He just plays video games by himself and reads British literature. He complained many times about he was mistreated in the educational system but he just ended up accepting that he can't be like everyone else.

So yeah, it's not a good situation.