Getting a diagnosis for a neurodivergent condition as an adult can sometimes be confusing and overwhelming. This is particularly the case for adults who live with AuDHD, or, combined autism and ADHD. Despite the fact that both ADHD and autism have key traits and characteristics that differ, it is possible for a person to live with both.
In this article, we share some of the most prevalent signs and symptoms of autism and ADHD together in adults, as well as advice on how to mitigate and manage these conditions effectively.
ADHD and Autism: Getting a diagnosis as an adult
While both are often diagnosed in childhood, many adults can, and do, live with ADHD and autism without ever receiving a formal diagnosis. The conditions can affect relationships, work, social circles and day-to-day life, making it hard to manage and sometimes resulting in negative outcomes.
The symptoms of ADHD and autism in adults can manifest in ways that are more subtle than in childhood, and can be less distinct and identifiable in adulthood, especially if an individual has been living with the condition all their life. This can result in a behaviour known as ‘masking’, where the symptoms are hidden under learnt behavioural patterns that have been perfected over time.
ADHD in adults
ADHD can be categorised into three distinct types; inattentive, hyperactive-impulsive, and combined. For adults, this means that ADHD presents in various behaviours, such as disorganisation at work, difficulties maintaining friendships, and hyperactivity or oversensitivity in social settings.
Autism in adults
Autism in adults generally presents through traits such as difficulties in social communication, repetitive behaviours, and a certain fixation or fascination with one or several specific interests. Autism is referred to as a “spectrum” because it manifests differently in each person, and can present itself in a number of ways that range from mild to severe. Some adults may have been diagnosed in childhood, while others may not realise they are on the spectrum until later in life.
ADHD and autism together in adults
While ADHD and autism are distinct conditions, there are overlapping symptoms that can make diagnosis more complex. This is because both conditions can affect thoughts, feelings and emotions in similar ways. The ways in which a person is affected can differ, which is why recognising the distinctions between the two can help you to receive an accurate diagnosis.
For more advice about the assessment process, you can read our guide on the ADHD and Autism assessment process.
AuDHD: The coexistence of ADHD and autism in adults
If an adult is showing traits of both ADHD and autism, or AuDHD, it can help with an accurate diagnosis. The most notable traits and symptoms that cross over, and could therefore indicate AuDHD, include:
- Sensory challenges
- Social difficulties
- Differences in learning styles
- Inattention
- Rejection sensitivity
- Executive function difficulties
- Sleep issues
- Emotional dysregulation
Seeking a diagnosis and getting support
Dual diagnosis
If you suspect that you or a loved one may have ADHD, autism, or both, seeking a professional diagnosis is an important step. A dual diagnosis can help explain lifelong challenges and provide access to support, including therapy, medication, or tailored support plans to help you in the workplace, or in academic settings.
Coping mechanisms and treatment support
Many adults with ADHD or autism benefit from cognitive-behavioural therapy (CBT), or coaching for executive functioning skills. Mindfulness-based activities can help manage stress and emotional dysregulation, and there are a number of medication pathways to help individuals in managing everyday life. These include stimulants for ADHD, and medications for anxiety and depression management for those living with autism. A professional assessment and medical diagnosis can help determine the best route of action for you as an individual.
Living with both ADHD and autism as an adult can present its own unique challenges, but with the right support, you can take the right steps to manage it effectively. Find out more about our specialist ADHD services or get in touch to speak to a friendly member of our team.
