As a mom, you’ve noticed your child is different. They might be endlessly curious one moment but unable to sit still or focus the next. Perhaps they’re overwhelmed by loud noises or struggle with transitions, leading to meltdowns that leave you feeling helpless. You’ve heard terms like autism or ADHD, but nothing seems to fully capture what you’re seeing. An AuDHD diagnosis and assessment can help parents and develop effective management to support your child's neurodevelopmental differences.
What is AuDHD?
The term “AuDHD” is relatively new and not yet widely recognized in medical literature. AuDHD stands for the co-occurrence of Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD). While both neurodivergent brain profiles are well-documented independently, their intersection is gaining attention among researchers and clinicians.
Is AuDHD a Real Diagnosis? Diagnosing ADHD and Autism
The overlap between these two conditions can make diagnosis complex. ADHD comorbidity is not uncommon and can co-occur with other neurodevelopmental disorders like mood disorder, social anxiety and autism. Autism diagnosis is complicated by the absence of a definitive test and the need to differentiate between autism and ADHD traits and symptoms using various screening tools.
Some experts argue that diagnosing AuDHD as a distinct condition could aid in developing more tailored interventions. However, it’s important to note that as of now, AuDHD is not an official diagnosis in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Despite this, many parents and professionals find the term helpful in describing the unique challenges faced by children exhibiting characteristics of both ASD and ADHD. Understanding the core symptoms of both these mental health challenges is important to be able to give proper support.
Co-occurring Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD)
Autism Spectrum Disorder (ASD) affects social communication, sensory processing, and behavior, while ADHD impacts attention, impulsivity, executive functioning and emotional regulation. When these conditions co-occur as AuDHD, the challenges multiply, highlighting the unique difficulties faced by individuals with co occurring adhd. A child autistic and ADHD experiences may hyperfocus on a favorite topic but struggle with transitions, experience sensory overwhelm, and display impulsivity alongside difficulty reading social cues.
The significant overlap in AuDHD reflects a deeply dysregulated nervous system, leading to frequent meltdowns and struggles with emotional balance. Understanding this unique combination is key to address diagnostic challenges and providing tailored support to help them find calm, focus, and thrive.
What is it Like Having AuDHD? Common Signs and Symptoms
Understanding what it means to have AuDHD is all about recognizing the mix of symptoms from both ADHD (Attention Deficit Hyperactivity Disorder) and ASD (Autism Spectrum Disorder). Autism symptoms include persistent challenges in social communication and interaction that characterize autism spectrum disorder. Kids with AuDHD can show a variety of behaviors, like difficulties with attention, impulsivity, social interactions, and communication.
This unique combination makes it really important for parents to pay close attention to their child’s needs. By keeping an eye on their behaviors, parents can better support their child’s growth and help them navigate the challenges they face in social and school settings.
Here are common AuDHD symptoms:
Struggles with Focus and Organization
One of the key ADHD symptoms is difficulty maintaining focus. This may manifest as trouble completing tasks or following through on instructions. Organization and time management can also be significant challenges.
Social Interaction Challenges
Children with co-occuring autism often experience social difficulties, which are critical features of both ADHD and Autism. Children with AuDHD often struggle with social-emotional reciprocity, making it difficult for them to engage in back-and-forth conversations or pick up on social cues during interactions. These autistic characteristics can be a challenge in a social setting or in the classroom.
Sensory Sensitivities
ADHD and autistic traits may include sensitivity and sensory issues. They may feel restless and may have aversions to loud noises, bright lights, or certain textures. When everyday environments become overwhelming due to sensory overload, it can lead to individuals reacting differently when faced with sensory stimuli.
Key Differences Between ADHD and ASD
Autism and ADHD overlap shows in common symptoms like trouble with attention and social interactions, but they’re quite different in important ways. ADHD is mainly about inattention, hyperactivity, and impulsivity, which can lead to some tough moments in school and social situations. On the other hand, ASD covers a wider range of symptoms that impact communication, social skills, and behavior, often showing up as specific interests and repetitive movements.
It’s really important to recognize these differences to get diagnostic clarity and to treat ADHD and autism effectively for each condition. Established diagnostic criteria guide healthcare professionals in assessing and identifying the complexities of dual diagnoses like AuDHD.
Autism and ADHD symptoms:
Focus vs. Social Interaction
Hyperactivity and impulsivity symptoms are often seen in kids with ADHD. This means that they often have difficulty focusing and may be impulsive. On the other hand, ASD primarily impacts social interaction and communication. Children with ASD may have difficulty understanding social cues and engaging with peers.
Repetitive Behaviors vs. Impulsivity
Repetitive behaviors are more characteristic of ASD. This can include repetitive movements or routines. ADHD, conversely, is often marked by impulsivity—acting impulsively, which can sometimes result in a person's behavior becoming risky.
Sensory Sensitivities
While both conditions can involve sensory sensitivities, they are more commonly associated with co-occurring ASD. Children with ASD may have very specific sensory preferences or aversions, which can significantly impact their daily lives.
Is There an AuDHD Test?
Right now, there isn’t a specific test for AuDHD since it’s not an officially recognized diagnosis. Obtaining a formal diagnosis from mental health professionals, whether it is an ASD diagnosis or ADHD diagnosis or both, is crucial as it provides clarity and direction for individuals navigating their neurodivergent experiences. An ADHD test is a crucial step in confirming ADHD and ruling out other conditions, typically taking one to three hours depending on various factors. But don’t worry—there are several assessments for ADHD and ASD that can help identify the overlapping symptoms.
To diagnose ADHD and autism involves specific tools tailored to each condition. It's not enough to test for one diagnosis. When assessing for AuDHD, professionals use a combination of these common tests, along with other tests, to capture the unique overlap of symptoms:
ADHD Tests:
- Vanderbilt Assessment Scales
- Conners’ Rating Scales
Autism Tests:
- ADOS-2 (Autism Diagnostic Observation Schedule)
- ADI-R (Autism Diagnostic Interview-Revised)
QEEG Brain Mapping:
In my Ridgefield, CT Clinic, I use brain maps to diagnose AuDHD. Research suggests that EEG imaging research and qEEG brain map technology offer valuable insights into brain activity patterns in individuals with ADHD and autism, aiding in identifying areas of dysregulation and guiding personalized interventions.
Getting an AuDHD Assessment
Healthcare providers often conduct behavioral evaluations, AuDHD quizzes and questionnaires, family health history reviews, old school records and interviews that shine a light on the specific traits and challenges someone might be facing. By getting a better understanding of these symptoms, individuals can more effectively navigate their experiences and find the right support and resources they need.
Diagnostic Tools
Pediatricians and psychologists use a combination of diagnostic tools for ADHD and ASD. These can include behavioral checklists, physical exam, parent interviews, and observations of the child's behavior in different settings.
Comprehensive Evaluations
A comprehensive evaluation often involves a team of specialists. This can include psychologists, psychiatrists, speech therapists, and occupational therapists who work together to get a full picture of the child's strengths and challenges.
Continuous Observation
Ongoing observation and regular follow-ups are crucial. Since symptoms may change over time, continuous monitoring helps in adjusting interventions to meet the child's evolving needs.
Getting the help of a mental health professional
For AuDHD, professionals combine these tools to capture the unique interplay of symptoms, ensuring an accurate ASD and ADHD diagnosis to come up with a personalized plan to address the challenges of both conditions. The evolution of mental health diagnosis criteria, particularly since 2013, has enabled professionals to diagnose both autism and ADHD co-occurring, highlighting the importance of skilled practitioners in identifying the complexities involved in such dual diagnoses. This comprehensive approach ensures an accurate diagnosis of AuDHD and other mental health disorders that may co-occur.
How Do You Test for AuDHD?
Although there's no one-size-fits-all test for AuDHD, taking a multi-faceted approach can really help. This means getting thorough assessments from healthcare provider, chatting with caregivers, and observing your child in different environments. Doing this gives you a clearer picture of your child's unique challenges and strengths. With this holistic method, you can get a more accurate evaluation and create support strategies that are just right for your child!
Initial Screening
Start with an initial ASD and ADHD screening by your pediatrician or primary care provider. They can refer you to specialists who can conduct a more in-depth evaluation if necessary.
Neuropsychological Testing
Neuropsychological tests are designed to assess various aspects of brain function. These can include tests for attention, memory, problem-solving skills, and more.
Behavioral Assessments
Behavioral assessments involve observing your child's behavior in different settings. This helps in understanding how symptoms manifest in various environments, such as home and school. Using an AuDHD evaluation, recommendations for suitable behavioral therapy can be provided.
What Questions Should I Ask to Determine if My Child Has AuDHD?
If you think your child might have AuDHD, it’s super important to take a thoughtful approach. Start by asking the right questions to get a better grasp of their behaviors and needs. Talk about how they interact with others, any sensory sensitivities they might have, and the challenges they face in everyday life. Having open chats with teachers and caregivers can really help, too, giving you more insight to support your child's unique experiences and create a nurturing environment.
- What specific behaviors or symptoms are you seeing in my child that suggest AuDHD? Understanding the clinician's observations can help you grasp why they believe an evaluation is necessary.
- How will the assessment be conducted, and what tools will be used? Knowing the details of the evaluation process can prepare you and your child for what to expect.
- What are the potential benefits and challenges of receiving an AuDHD diagnosis? Understanding the implications can help you make informed decisions about your child's care and support.
- What interventions or strategies do you recommend if my child is diagnosed with AuDHD? Discussing potential treatment options can help you understand the next steps and develop a plan to support your child's needs.
- How can I support my child at home and in school? Practical advice on creating supportive environments can make a significant difference in your child's daily life.
Observing Daily Behaviors
Ask yourself about your child's daily behavior. Do they have trouble focusing on tasks? Are they overly sensitive to sensory input? Understanding these patterns can provide valuable insights.
Social Interactions
How does your child interact with others? Do they struggle with making friends or understanding social cues? These observations can help in identifying social challenges.
Professional Insights
When consulting with professionals, ask about the possibility of co-occurring conditions. Inquire about the types of assessments they recommend and what the evaluation process will involve.
Your Next Steps AuDHD Test
Understanding AuDHD can be a complex but necessary endeavor in supporting your child's development. By recognizing the symptoms, knowing the distinct characteristics and key differences and between ADHD and ASD, and asking the right questions, you can take proactive steps in addressing their unique needs.
Remember, while there isn't a specific AuDHD test, a comprehensive evaluation by a team of specialists can provide valuable insights. If you have concerns, don't hesitate to seek professional help from our team. Early intervention can make a significant difference in your child's quality of life.
For more resources and support, listen to my podcast and join support groups navigating similar journeys. If you are ready, you can take our free Solutions Matcher to find the right solutions for you and your family.
Citations
Lovett, B. J., & Harrison, A. G. (2021). Assessing adult ADHD: New research and perspectives. Journal of Clinical and Experimental Neuropsychology, 43(4), 333–339. https://doi.org/10.1080/13803395.2021.1950640
Rommelse, N. N. J., Franke, B., Geurts, H. M., Hartman, C. A., & Buitelaar, J. K. (2010). Shared heritability of attention-deficit/hyperactivity disorder and autism spectrum disorder. European Child & Adolescent Psychiatry, 19(3), 281–295. https://doi.org/10.1007/s00787-010-0092-x
Yu, Y., Ozonoff, S., & Miller, M. (2024). Assessment of Autism Spectrum Disorder. Assessment, 31(1), 24–41. https://doi.org/10.1177/10731911231173089
Dr. Roseann is a mental health expert who frequently is in the media:
- Helping Children Thrive Podcast Benefits of Neurofeedback for children with ADHD
- Very Well Mind New Research Highlights Key Differences Among Autistic Boys and Girls
- Forbes Experts Say Wellness Design Provides Benefits To Individuals On The Autism Spectrum
- Very Well Mind What Is Asperger Syndrome?
Always remember… “Calm Brain, Happy Family™”
Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.
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Dr. Roseann is a Children’s Mental Health Expert and Licensed Therapist who has been featured in/on hundreds of media outlets including The Mel Robbins Show, CBS, NBC, PIX11 NYC, Today, FORBES, CNN, The New York Times, The Washington Post, Business Insider, Women’s Day, Healthline, CNET, Parade Magazine and PARENTS. FORBES called her, “A thought leader in children’s mental health.”
She coined the terms, “Re-entry panic syndrome” and “eco-anxiety” and is a frequent contributor to media on mental health.
Dr. Roseann Capanna-Hodge has three decades of experience in working with children, teens and their families with attention-deficit hyperactivity disorder (ADHD), autism, concussion, dyslexia and learning disability, anxiety, Obsessive Compulsive Disorder (OCD), depression and mood disorder, Lyme Disease, and PANS/PANDAS using science-backed natural mental health solutions such as supplements, magnesium, nutrition, QEEG Brain maps, neurofeedback, PEMF, psychotherapy and other non-medication approaches.
She is the author of three bestselling books, It’s Gonna Be OK!: Proven Ways to Improve Your Child's Mental Health, The Teletherapy Toolkit, and Brain Under Attack. Dr. Roseann is known for offering a message of hope through science-endorsed methods that promote a calm brain.
Her trademarked BrainBehaviorResetⓇ Program and It’s Gonna be OK!Ⓡ Podcast has been a cornerstone for thousands of parents facing mental health, behavioral or neurodevelopmental challenges.
She is the founder and director of The Global Institute of Children’s Mental Health, Neurotastic™Brain Formulas and Dr. Roseann Capanna-Hodge, LLC. Dr. Roseann is a Board Certified Neurofeedback (BCN) Practitioner, a Board Member of the Northeast Region Biofeedback Society (NRBS), Certified Integrative Mental Health Professional (CIMHP) and an Amen Clinic Certified Brain Health Coach. She is also a member of The International Lyme Disease and Associated Disease Society (ILADS), The American Psychological Association (APA), Anxiety and Depression Association of America (ADAA) National Association of School Psychologists (NASP), International OCD Foundation (IOCDF).
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