Is ADHD on the autism spectrum?

Asked by CA
Answered
08/06/2025

Thank you for such an important question. Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD) may share overlapping symptoms, they are two distinct neurodevelopmental disorders. Neurodevelopmental disorders are conditions that affect the development of the nervous system, which leads to cognition, communication or behavioral impairments.

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by difficulties with attention, impulsivity, and hyperactivity. Autism Spectrum Disorder (ASD) involves challenges with social communication, sensory sensitivities, and repetitive or restricted behaviors.

It’s important to recognize that an individual can be diagnosed with both ADHD and ASD. Additionally, someone diagnosed with either ADHD or ASD may exhibit symptoms commonly associated with the other; however, this does not necessarily mean they meet the criteria for a dual diagnosis.

Below, we’ll explore overlapping symptoms as well as key differences between the two conditions: 

Executive Functioning Issues: For individuals diagnosed with ADHD or ASD, this may present as difficulty with organization, challenges in transitioning between tasks, and trouble adapting to new situations. They may also experience difficulties with working memory, which can appear as trouble retaining and using information while completing tasks.

Social Difficulties: Individuals may also face challenges in social interactions and settings due to difficulty interpreting social cues. They might struggle to express their emotions and thoughts verbally, which can impact effective communication.

Sensory Sensitivities: Sensory Sensitivities in individuals with ADHD or ASD often involves the heightened awareness of sensory information. This can pertain to sounds, smells, tastes, touch and visual stimuli. These sensitivities also contribute to the ability to be easily distracted, overwhelmed or hyperfocused. 

A few key differences between ADHD and ASD to consider involve how social challenges present. Individuals with Autism Spectrum Disorder may avoid eye contact, prefer limited social interaction, or show less interest in engaging with others. In contrast, individuals with ADHD are more likely to engage impulsively in conversations, often interrupting others or struggling to wait their turn in social settings.

Routine and structure can also highlight a key difference between symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD). Individuals with ADHD may quickly lose interest in tasks, become easily bored with routine, and seek constant stimulation. In contrast, individuals with ASD often prefer routine and may become distressed when their structured patterns or repetitive behaviors are disrupted.

As with many mental health conditions, overlapping symptoms and behaviors can occur. Receiving an accurate diagnosis from a licensed mental health professional is essential for effective treatment and support. If you are experiencing symptoms of ADHD, ASD, or both, working with a therapist can be beneficial in developing person-centered goals and improving your daily functioning.