Understanding AuDHD: Recognizing the Overlap Between ADHD and Autism

A headshot of Liz Wooten, a smiling therapist with warm brown eyes and shoulder-length brown hair. She is wearing a professional blouse and has a friendly expression.

By Liz Wooten, LPC

With over 14 years in mental health, I’m a neurodiversity-affirming therapist who’s been there myself. As someone who’s AuDHD, I understand the challenges and strengths that come with different wiring. I specialize in supporting neurodiverse individuals and families, blending compassion with evidence-based strategies. From navigating emotional ups and downs to finding routines that truly fit, I’m here to help you feel more balanced and in control. If you’d like to know more about my approach and how we can work together, learn more about me here.

TL;DR:

    • AuDHD combines traits of ADHD and autism, which can complicate diagnosis and treatment.
    • Sensory sensitivities, emotional regulation issues, and communication challenges often become more intense when both conditions overlap.
    • Recognizing AuDHD early can help parents offer more effective support.
    • Understanding the nuances of AuDHD leads to more tailored interventions.

What is AuDHD?

AuDHD refers to individuals who experience a combination of ADHD (Attention-Deficit/Hyperactivity Disorder) and autism spectrum disorder (ASD). Although these conditions are distinct, they share overlapping traits that often lead to missed or delayed diagnoses, leaving people without essential support.

ADHD is marked by inattention, hyperactivity, and impulsivity, while autism involves social communication difficulties, sensory sensitivities, and repetitive behaviors. For those with AuDHD, these traits coexist and can intensify everyday challenges, from staying organized to managing emotions.

Reflect on AuDHD Traits

Below are some common signs or challenges related to AuDHD. Drag them around in any order that feels most relevant to your child's experience. There's no one correct list—just a chance to think about what matters most to you.

  • Sensory Overload (e.g. bright lights, loud noises)
  • Difficulty with Emotional Regulation
  • Challenges in Social Cues & Communication
  • Trouble Staying Organized or Finishing Tasks

Great job reflecting on your child’s unique AuDHD experience! Each of these traits can show up differently for every child. If you want more personalized guidance, check out our Autism & ADHD Therapy or learn about Executive Functioning support.

Recognizing the Symptoms of AuDHD

1. Sensory Processing Issues

One of the hallmarks of both autism and ADHD is sensory processing challenges. Individuals with AuDHD may feel heightened sensitivity to noise, light, touch, or even smells. These sensitivities can trigger overwhelming emotional reactions, leading to meltdowns or shutdowns in overstimulating settings.

For example, Blake—a neurodiverse child showing both ADHD and autism traits—might find the buzzing of classroom lights unbearable, or certain clothing materials too scratchy, causing focus problems or outbursts.

2. Emotional Dysregulation

ADHD alone ties in with impulsivity and big feelings. In combination with autism, this emotional intensity can climb even higher. People with AuDHD often feel emotions deeply but may struggle to express or process them in a manageable way.

For instance, a child might overreact to small disruptions because of sensory overload and difficulty picking up on social cues—making emotional regulation doubly tough.

3. Communication Challenges

Autism can affect reading nonverbal cues, while ADHD makes sustained focus hard. In AuDHD, these hurdles intersect, making communication extra complex. Children might avoid eye contact, struggle with social rules, or lose focus during conversations.

Parents may see their child bouncing from hyperactivity to intense focus on a favorite topic. In social settings, AuDHD might show up as seeming withdrawn, interrupting others, or talking out of turn unintentionally.

4. Executive Functioning Deficits

ADHD heavily impacts executive functioning—those mental skills for time management, organization, and self-control. For AuDHD individuals, autism’s rigidity adds another layer of challenge, making it harder to handle daily transitions or complete tasks.

For example, Blake might be easily distracted, making homework tough, but then also struggles when switching from homework to dinner—common in autism due to difficulty adapting to change.

5. Rigid Thinking Patterns and Hyperfocus

A fascinating overlap between ADHD and autism is hyperfocus, where someone becomes deeply immersed in one task. While ADHD typically involves inattention, hyperfocus can be the exception—especially if autism’s restricted interests fuel that focus.

Parents might notice their child diving into a favorite hobby to the point of ignoring everything else. This can make it tricky to maintain balanced routines and cover all the important tasks in a day.

Understanding the Overlap: Why Is It Important?

Many parents wrestle with telling ADHD apart from autism because these conditions share so many overlapping signs. Misdiagnosis is common, which means kids who need targeted help might miss out. Recognizing AuDHD can ensure children like Blake receive both autism-friendly strategies (like sensory supports) and ADHD-focused interventions (like behavioral therapy). Early identification means more precise care for both attention and sensory needs—boosting overall well-being. Parents can build a better approach by using structured routines, positive reinforcement, and plenty of sensory breaks.

Seeking Support: Where to Start

If you think your child may have AuDHD, the first step is a comprehensive evaluation. At Enlitens, we specialize in neurodiverse care, offering in-depth assessments and personalized treatment. Our telehealth services span across Missouri, letting families find support right from home.

Key Strategies for Parents and Caregivers

  • Create a Sensory-Friendly Environment: Offer your child noise-canceling headphones or dim lighting if they’re easily overwhelmed by sensory input.
  • Establish Predictable Routines: Use visuals or calendars so they know what’s happening next—perfect for kids who crave consistency.
  • Encourage Breaks and Movement: Physical activity or sensory pauses can help kids with ADHD traits refocus and calm their energy.

Conclusion: Navigating the Path Forward

Spotting AuDHD early can pave the way for stronger, tailored support. By understanding how ADHD and autism interact, you can advocate for the specific interventions your child needs. Proper diagnosis and a custom treatment plan help ensure every child thrives—no matter how unique their neurology.

*The information here is meant to guide and inform, not replace the care of a qualified healthcare professional. If you have questions or concerns about a medical or mental-health condition, please reach out to a trusted provider. The examples shared are based on general personas—no personal health details are used. At Enlitens, your privacy is a top priority, and we fully comply with HIPAA regulations to keep your information safe and confidential.

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