ADHD and Adult Autism: Symptoms, Diagnosis & Interventions for Both

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If you're an adult with both ADHD and autism, it may feel like you're being ignored. You're not imagining things: most research tends to focus on children with these conditions. Learn more about evaluation, treatment, and support.

ADHD is characterized by symptoms of inattention, hyperactivity, and/or impulsivity – different from the social communication symptoms and restricted behaviors associated with autism.relate to the diagnostic criteria for autism. Not listening when spoken to directly, for example, is indicative of inattention, a common ADHD symptom. But given the strong social demands embedded in rating a person on this symptom, it could also indicate autism.

It’s critical for clinicians to consider whether an ADHD symptom appears in non-social situations. If a patient reports feeling distracted when working alone and without social demands, that may indicate ADHD more than autism. Distractions should be further analyzed – is the patient daydreaming, or are they being pulled into a sound they hear that may be bothering them? The latter may indicate sensory sensitivity related to autism.

Clinicians, however, generally agree on the supports and therapeutic interventions that matter most to autistic adults with ADHD — and which ones increase independence and improve quality of life, as highlighted in a recent paper authored by ASD and ADHD researchers. The recommendations cover pharmacological and non-pharmacological interventions, as well as behavioral and environmental approaches in work and higher education.

Still, expert consensus is that prescribers should start on low doses and move slowly through treatment, as adults with both conditions may be more treatment resistant and sensitive to medication. The goals and targets for medications should also be clarified at the outset along with measures of effectiveness.Adults with ASD and ADHD diagnoses may be unable to swallow medications in pill/tablet form due to sensory issues and/or physical difficulties.

Some adults may have difficulty describing their thoughts, feelings, and sensations, which could impact patient feedback on treatments. Clinicians should use visual tools, including mood scales and drawings, to aid with reporting.[ADDitude ADHD Experts Podcast Episode #354] with Benjamin E. Yerys, Ph.D., which was broadcast live on May 11, 2021.

 

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And while I definitively do not have autism, there are some shared traits nonetheless, which vary with the person. Which again asks the question: is ADHD a kind of spectrum issue also?

I was dx'd ADHD & ASD only this summer. I'm 55. Having much difficulty finding any support. Everyone I contact asks me how old my child is so when I say it's me, the call ends. All the pieces finally fit into place in my broken life, but all still broken. Where do I even start?

I'm reasonably sure I have autism too.

Difficult even to get a doctors appt

Am being referred for ASD assessment too. 24 month waiting list but the time will pass anyway ❤️

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