Search This Site

Followers

The Connections Between ADHD and ASD

"Are there any connections between ADHD children and those with high functioning autism? My child is diagnosed with ADHD, but he seems to cross over a bit with weak social skills and emotional behavior. How do you determine what is ADHD-related behavior versus autism-related behavior?"

The symptoms of Attention Deficit Hyperactivity Disorder (ADHD) and High-Functioning Autism (HFA) do mimic one another, and there are some connections between ADHD and HFA. In fact, there are dual diagnoses of ADHD and HFA in many cases.

Both of these diagnoses are developmental disorders. They share many of the same behavioral features and both affect children in the areas of behavior, communication, and social interaction. As a result, there is often some confusion as to which disorder is present. Medical, mental health and educational professionals need to be trained to differentiate between the disorders and diagnose the correct one.

Here is a list of the behaviors that may be seen in HFA and/or Attention-Deficit Hyperactivity Disorder:
  • Avoids attending to details
  • Behavior driven by impulses
  • Cannot talk or play quietly
  • Constantly active
  • Difficulty interacting with peers
  • Difficulty with appropriate emotional responses
  • Disruptive with others
  • Does not want to wait
  • Exhibits severe temper tantrums
  • Fearlessness
  • Feelings of invincibility
  • Has difficulty listening or conversing
  • Impatient
  • Impulsive work effort that results in mistakes
  • Inappropriate laughter
  • Inattentive
  • Inconsistent fine motor skills
  • Interrupts others
  • Makes mistakes in work activities
  • Minimal eye contact
  • Physical over-activity or lack of physical activity
  • Problems with gross/fine motor skills
  • Resistant to intimacy
  • Risk taker
  • Talks and/or acts inappropriately
  • Temper tantrums without provocation
  • Willingly becomes involved in potentially dangerous activities

==> More information on the ASD/ADHD overlap can be found here…
    

More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book

==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism


COMMENTS:

•    Anonymous said... Very helpful.
•    Anonymous said... Aspergers is like living in a black and white world. There is no grey area for these kids. It is or it is not and it's hard to reason with them. My son is 8 and has ADHD, aniexty disorder and aspergers. His meltdowns are few as long as we keep a very strick schedule. The school is actually easier then the summer. My son had a melt down at his diving practice the other day when another boy came in and cut him in line. At this age it should get you a little mad but not a tantrum. They can fixate on a topic and won't let it go. My son had an argument with his teacher last year over one thousand and him saying 10 hundred is short for a thousand.
•    Anonymous said... My son was diagnosed with adhd last week. They also said he's right on the edge of being in the autism spectrum. They suspect high functioning and aspergers but because it was so close he was only diagnosed with adhd right now. He's 5.
•    Anonymous said... Thank you for posting this! My child was diagnosed with ADHD in 1st grade. Last year (4th grade) her resource teacher started questioning Aspergers as well. We will begin testing in 5th grade.
•    Anonymous said… I had the same thing with my child's school. Was a Tough battle because.....how do they put it..." we are experienced..." as if we as mothers are so uneducated and don't know our kids you know. Very frustrating.
•    Anonymous said… I have a grandson with ADHD and one with autism. Many similarities.
•    Anonymous said… I think people only react that way to medication because it's being used more often than not, as "the easy way out" to deal with "difficult" children.
•    Anonymous said… I'm wondering how many children have both? We're in the beginnings of getting a diagnosis. They told us adhd vs asd or both. Like other parents, he can sit for hours and read a book, build with Legos and has no problem with attention span when it is something he desires to do or learn. Any input is appreciated. We are 5 months out from our official multidisciplinary evaluation to give us answers. As a nurse, I suspect my nephew has both. Unfortunately, he suffered significant trauma, neglect and abuse and we have been chasing that rabbit down the hole for a long time.
•    Anonymous said… It is important to get the right diagnosis because the education programs implemented in IEPs for ADHD are different than what can be included in ASD educational modification plans.
•    Anonymous said… It took from kindergarten to the end of second grade to get his diagnosis from the school psychiatrist. He was tested for ADHD, language reception, IQ, gifted, etc...all first. If they had just listened to me and tested for ASD at the start he wouldn't have fallen behind Thankfully during that time he had teachers who went above and beyond to accomodate him as best they could until he got an IEP and his third grade teachers got him caught up very quickly.
•    Anonymous said… My dd20 has both and takes meds. I'm offended when people get on their high horse about medication. Some people would not function without them!
•    Anonymous said… my son has ADHD and Aspergers
•    Anonymous said… My son has Aspergers and a diagnosis of ADHD. My daughter also Aspergers, no formal diagnosis of ADHD but it is present.
•    Anonymous said… My son is both too- and yes they do cross over and I wondered exactly the same as you.
•    Anonymous said… My son is both. ADD diagnosed first. Yes they crosssover.
•    Anonymous said… My sons ADHD said out of all her years of practicing she's never had an autistic/ Asperger child not have ADHD- it's hand and glove -- I'm surprised more have not been told this  😬
•    Anonymous said… Personally I think many cases of ADHD are misdiagnosed and are really Aspergers. It's the first thing a school suggests and many parents do not delve any deeper. I knew my son was not ADHD as he could sit for hours focused on a single thing [among other symptoms]. I mentioned when they brought up attention deficit testing that I thought he had a touch of autism and pushed the evaluation in that direction, which greatly displeased the school counselor because she thought otherwise and was all about meds.
•    Anonymous said… Possible to have both. My son does. Sophisticated educational testing which I paid for and evaluation which the school district paid for got to the bottom of it all.
•    Anonymous said… These symptoms do go along with autism much of the time, but I personally think ADHD is over-diagnosed. It's easy to slap that diagnosis on someone who presents with hyperactivity and inattention, but these are often symptoms, rather than an actual diagnosis. For example, hyperactivity and inattention often go along with sensory processing disorder, and SPD affects at least 75% of people with autism. The treatment for ADHD is medication, whereas the treatment for SPD is occupational therapy. Since SPD is prevalent in kids with autism and the treatment differs from that of ADHD, it's important to determine the root of these symptoms in order to correctly treat them.
•    Anonymous said… They are often co morbid diagnoses
•    Anonymous said… Yes and since the upping of toxins into developing babies/brains, a big explosion in both and the severity. Follow the stats. People didn't believe in ADHD either unfortunately. Then they just over prescribed drugs, none of this natural (the numbers, drugs or directly injected neurotoxins). Yuck.
*   Anonymous said... My son was diagnosed with ADHD at 4-5years of age. I'm looking into an alternative diagnosis because I think they got it wrong!! He is now 9-10years old. Thanks for the article and other comments- I think I'm on the right track!! Understanding HFA could help to prevent the constant WW3 in our home.
 
Post your comment below…

Inflexibility and Rigid Thinking in Kids on the Autism Spectrum

"How can I break through the rigid thinking that prevents my child (high functioning) from making a connection between his misbehavior and negative consequences? Once he gets an idea in his head, no amount of evidence to the contrary will persuade him."

One big challenge for kids with ASD Level 1, or High-Functioning Autism (HFA), is mind-blindness. Mind-blindness refers to the inability to understand and empathize with the needs, beliefs, and intentions that drive other people’s behavior. Without this ability, these young people can’t make sense of the world.

The world is constantly confusing them, and they go through life making mistakes because nothing makes sense. These children can’t connect their own needs, beliefs, and intentions to experiences and positive or negative consequences. Many kids on the autism spectrum are unaware that they even have this problem, even if they know they have the diagnosis.

In any event, HFA children can learn to compensate for mind-blindness with a lifetime of constant “counseling” by good parents, educators, and therapists. Some grown-ups with the disorder can read books and learn, but HFA kids need others to help them. With good help, they can grow up to lead nearly normal lives. 
 

Moms and dads must understand that their "special needs" kids must be taught to use logic to make sense of the world and the people in it, one personal situation at a time. Here are some “rules” that can help parents assist their youngster in making sense of things:
  1. Every human behavior has a reason behind it, even if I don’t see it.
  2. I will not give up my rigid thinking until I find the reason for a behavior or until I am satisfied that I do not have enough information to find it.
  3. When I find the reason, all the pieces will fall into place and not a single one will be left that doesn’t fit.
  4. After I find it, I will dig further to try to disprove it.
  5. If I find a single piece that doesn’t fit, then I still have a problem. I’ll go back to step 2 with the problem.
  6. I will force myself to accept what I have in front of me as the truth, even if I find it hard to believe
  7. Most people usually talk about the things they want, and openly say what they believe. Women tend to talk more than men and focus on feelings more.
  8. When somebody’s behavior flies in the face of logic, I will concentrate on his or her feelings.
  9. Some people are so messed up that it is just not possible to figure them out. I must know when to give up.
  10. I must be patient when trying to make sense of things, because my first assumption will probably be faulty.

Put the concepts above in words that your child will understand. Also, you can make up additional rules that may be more applicable to your specific situation.

A parent’s strategy should be to get their HFA children obsessed with the need to make sense of the world and help them understand that the mysteries of human behavior disappear when one understands the appropriate states of mind behind them. Also, to help them realize that once the state of mind is understood, people’s future behavior can be anticipated. But, how does a mother or father do that when their child isn’t motivated to do so because they don’t realize there’s a need?
 

Parents should do the following:
  1. Teach the child to make sense of the world by himself (eventually).
  2. Constantly explain people’s states of mind to him and what they mean until he learns to figure them out on his own. This means explaining the wants, needs, and beliefs that drive human behavior and the reasons behind all the unwritten rules that are part of human relationships.
  3. Give the child books to read. Explain his challenges and that he is in a state of confusion without being aware of it. Explain how each person feels about the world and about his own life. Explain that every person has a different set of values and that their behavior is driven by these values. Explain also your own state of mind and emotions constantly. Explain why you explain things to him. Explain that he should ask you questions about things he doesn’t understand. Do these things over and over and over.
  4. Explain his needs to him. It is only when he understands what he wants himself that he will have a basis for understanding that others also have wants, and that peoples’ wants are what makes them behave the way they do. If you explain something over and over, and he never ‘gets it’, the reason could be that there is more basic knowledge that he doesn’t have in order to understand.
  5. Protect your HFA kids from the cruelty of others. Some people are not going to pass up the opportunity to treat them badly. You should explain that this is going to happen, and that they should not feel ashamed to go to you for support. They are going to meet people that will try to convince them they are worthless. You must convince them that they can and will make a success of life, as many individuals on the spectrum have. Explain the states of mind of these people and why they do what they do – over and over.
  6. Explain before punishing. If you punish a child for doing behavior “A,” all that he is going to learn is that if he does behavior “A” again, he is going to be punished again. He will not understand why he should not do behavior “A” in the first place.

It is this constant explaining and counseling by parents, educators, and therapists over years and years of living, repeated over and over again, that eventually will help the child break through the bonds of mind-blindness and learn to handle life successfully – on his or her own. Don’t give up, and get others to help you.

 
Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
----------
 


What other parents have had to say on this matter:

•    Anonymous said... I have Aspergers and a son, who is now twelve, has Aspergers. My wife isn't diagnosed but I'm fairly sure that she has ODD. My mother in law lives with us and she has OCD to an extent I've only seen in television. It has taken me four years since I was diagnosed to work at getting to the point where I don't have meltdowns. The constant struggle over trying to be a parent to an Asperger's child, maintaining the household financials and maintenance, and learning to understand how the chemical and neurological aspects fit into almost all environments we are a part. It has taken me some time but I have worked at watching an listening to my son to understand where and when I have reached a barrier. With the filmographic memory that many people with Aspergers have, I can remember all the struggles with no one to help and always being yelled at to fit in. I am being patient and working with him to understand that this neurological difference is just that a difference. It has it days as I have neared meltdowns due to the stress because no one will believe that an adult with Asperger's can maintain a normal life by watching an mimicking normal behavior. I with his mother are working with him so that he understands he is doing a good job while imparting the importance of letting my wife and I know when he cannot understand even the smallest of details. It is a work in progress that I pray that I get better so my son has all of the understanding and resources he needs to succeed in life
•    Anonymous said... it definitely takes some getting used to! people have no idea what it's like to be a mum to an aspie! The thing to remember is that you dont control them any more than any parents control thier kids! In fact aspie kids often have better manners because once they learn a rule, it sticks and they dont do things like showing off and all that. I find that I'm my own biggest critic. I think that we have or should have the same expectations for behavior but have a completely different way of getting there. That's how I've always tried to view it. I just keep plugging away at teaching social thinking and how to interact with others. I guess I'm sort of old school about manners and decorum and that's been part of the game all along. I do however think no one can understand what a hard and sometimes seemingly insurmountable thing it is until they are in the same boat we are.
•    Anonymous said... My son is 17 and we still struggle with this. It has gotten a lot better but it is something to work on continuously
•    Anonymous said... My son old constantly hits and squeezes babies in an effort to either get them to cry or to stop crying. The other day he hit a five month old in the head with a really heavy ball to get it to stop crying, however that wasn't even the baby that was crying; the sound was coming from pretty far away. I've tried explaining a million times that all babies don't cry all the time, that they don't all say, "goo goo ga ga" specifically, etc. Once mine latches on to a "rule" he can't let it go. Anybody ever had this? What did you do?
•    Anonymous said... firstly, curtail any more baby exposure before someone gets badly hurt. ( if you can, not always easy). Then get embarked on the lifetime of teaching you have to face up to. There are no quick fixes. every minute of every day needs to be an example and a teaching experience. I would recoomend strongly to see a professional who provides social thinking and therapy of that nature. It's too much for just one mom!!! Dont give up, you'd be surprised what they can learn.
•    Anonymous said... This is my 10 year old, so difficult as those that don't understand Aspergers are quick to judge you as a bad parent, who is unable to control your child xx
•    Anonymous said... My daughter is 17 now ..still has her way of thinking but amazes me everyday.. was a very hard time for her growing up and me as a parent. . Now I m going threw the same with my 6 year old son... I see the long road ahead yet again but a beautiful light ... it's a rough n tough world out there already... all us parents can hope for is any child asd or not to be happy and take lil steps to be proud of who they are.... ahhh emotional mommy over here.. good luck to all!!
•    Anonymous said... There way or the highway! No change of mind! Hard work
•    Anonymous said... They really do have their own way of thinking
•    Anonymous said... We can video our son doing something to help show what he did and he still says he didn't do it because n his mind he was doing some thing else
•    Anonymous said... We try to see his differences as gifts as everyone should. Just because someone can't walk doesn't mean they can't contribute in society. Same with all children with these difference. Even if it's just teaching someone else tolerance and compassion 
•    Anonymous said... Yes.... This is my life. One day at a time.

Please post your comment below…

Understanding the Mind of a Child on the Autism Spectrum

"My 7-year-old daughter was recently diagnosed with high functioning autism. This is all so new to me. How can I understand the way she thinks? We are definitely not on the same page much of the time!"

Kids with High-Functioning Autism (HFA) may have underdeveloped areas in the brain that cause problems in the following areas:
  • understanding the thoughts and feelings of others
  • learning appropriate social skills and responses
  • focusing on “the real world” as opposed to becoming absorbed in their own thoughts and obsessions
  • communication

Children and teens on the autism spectrum are often extremely literal in their interpretation of others’ conversations (e.g., they may wonder if cats and dogs are really raining down or think there are two suns when someone talks about two sons). They are unable to recognize differences in speech tone, pitch, and accent that alter the meaning of what others’ say. Your daughter may not understand a joke or take a sarcastic comment literally.

For HFA children, learning social skills is like learning a foreign language. They are unable to recognize non-verbal communication that “typical” kids learn without formal instruction. For example:
  • how to interpret facial expressions
  • how to tell when someone does not want to listen any longer
  • not understanding the appropriate distance to stand from another person when talking

Many kids on the spectrum will be highly aware of right and wrong and will bluntly announce what is wrong. They will recognize others’ shortcomings, but not their own. Consequently, the behavior of young people with the disorder is likely to be inappropriate through no fault of their own.

Kids with HFA need routine and predictability, which gives them a sense of safety. Change can cause stress, and too much change can lead to meltdowns (or shutdowns). Changes that are stressful for them include:
  • changing a bedroom curtain or the color of the walls
  • doing things in a different order (e.g., putting pants on before a shirt)
  • going to the bathroom at someone else’s home
  • having a different teacher at school
  • starting a new routine

Routines and predictability help them remain calm. Your daughter’s thinking may be totally focused on only one or two interests, about which she is very knowledgeable. Many kids on the spectrum are interested in parts of a whole. For example:
  • astronomy
  • designing houses
  • drawing highly detailed scenes
  • insects
  • intricate jigsaw puzzles
  • Pokemon
  • the computer
  • trains

Because her brain is obsessed by her interest, your daughter may talk only about it, even when others are carrying on a conversation on a different topic.

These kids notice details, rather than the “whole” picture. The importance of the detail prevents the HFA youngster from understanding the bigger picture, so instructions may get lost in her focus on a single detail. A lesson at school may be totally ignored in favor of a fly on the wall. Multiple instructions are extremely difficult for these kids to retain and follow.

Kids on the spectrum are not able to access their frontal cortex or prefrontal lobe efficiently, so they must call on social skills from their memories. If a social skill has not been taught, they won’t have it. Consequently, turn taking, imagination, conversation, and other people’s points of view cause them great difficulty. The youngster may be unable to realize consequences outside her way of thinking. In addition, she can’t recognize when someone is lying to her or trying to take advantage of her.

Anger in HFA kids often occurs due to over-stimulation of the senses or a change in routine. It is often the only response the youngster knows. Anger-management presents problems. They see things in black and white, which results in tantrums when they don’t get their own way, or when they feel threatened or overwhelmed. 
 
Some kids with the disorder bottle-up anger and turn it inward and hit or bite themselves, never revealing where the trouble is. Many young people on the autism spectrum are perfectionists, reacting with anger when things don’t go as they wish.

One of the most difficult thinking patterns is mind-blindness. Mind-blindness is the lack of ability to understand the emotions, feelings, motivations, and logic of others – and not care that they don’t understand! Consequently, they behave without regard to the welfare of others. The only way they will ever change their thinking or behavior is if it is in their own interest to do so. Even then, convincing a youngster with HFA to change her mind is an uphill battle.


 
More resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
----------
 

My child has been rejected by his peers, ridiculed and bullied !!!

Social rejection has devastating effects in many areas of functioning. Because the ASD child tends to internalize how others treat him, rejection damages self-esteem and often causes anxiety and depression. As the child feels worse about himself and becomes more anxious and depressed – he performs worse, socially and intellectually.

Click here to read the full article…

How to Prevent Meltdowns in Children on the Spectrum

Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's or HFA child is totally out-of-control. When it ends, both you and your child are totally exhausted. But... don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

Click here for the full article...

Parenting Defiant Teens on the Spectrum

Although Aspergers [high-functioning autism] is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager on the spectrum are more difficult than they would be with an average teen. Complicated by defiant behavior, the teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

Click here to read the full article…

Older Teens and Young Adult Children with ASD Still Living At Home

Your older teenager or young “adult child” isn’t sure what to do, and he is asking you for money every few days. How do you cut the purse strings and teach him to be independent? Parents of teens with ASD face many problems that other parents do not. Time is running out for teaching their adolescent how to become an independent adult. As one mother put it, "There's so little time, yet so much left to do."

Click here to read the full article…

Parenting Children and Teens with High-Functioning Autism

Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

Click here
to read the full article...

Highly Effective Research-Based Parenting Strategies for Children with Asperger's and HFA

Become an expert in helping your child cope with his or her “out-of-control” emotions, inability to make and keep friends, stress, anger, thinking errors, and resistance to change.

Click here for the full article...