This is a nicely-packaged list of common AD(H)D and Autism Spectrum (AS) characteristics as well as the similarities between the two. Sometimes it’s hard to sort out all of the stuff going on upstairs, and this list is a GREAT place to start!
AS/Autism Spectrum
- Detail oriented-may miss the forest for the trees
- May be poor at multitasking
- Generally prefer sameness and routine
- Good at planning, may map out events far in advance-prefers to have conversations scripted out
- May not be able to pick up social cues
- May not understand tone of voice – may misunderstand sarcasm, not know when someone is lying, etc
- May not be able to read facial expressions
- May not be able understand body language
- May have difficulty remembering faces or names
- Prone to monologues and one-sided conversations
- May have alexythmia to varying degrees – may be unable to express certain feelings in words, may not be able to differentiate emotions
- May have difficulty with language processing- may take things literally, misunderstand figurative speech, etc
- Theory of mind impairments- may have difficulty realizing that others think or act differently than themselves
- Intense and singular interests that are relatively stable over a long period of time
- May be fascinated with parts of objects
- May start reading at an early age or have a “savant” skill
- Has trouble with small talk, likely will not see the point
- Honesty is extremely important- may tell the truth even at a disadvantage to self or others
- Emphasis placed on accuracy and information exchange in conversations
- May not respond to medication, but some do respond to low dose stimulants and anti-depressants
AD(H)D
- More general minded – may get hung up on details, but generally more focused on the big picture
- May enjoy multitasking. Some will find it overwhelming while others may excel at it
- Have difficulty with schedules and routines
- Generally poor at planning and time management, prone to procrastination
- Good at improvisation and doing tasks “on the fly”. Scripts will likely be ignored.
- Can pick up social cues, but may miss them due to not paying attention
- Can understand tone of voice
- Can recognize facial expressions
- Can understand most body language
- May ramble, seemingly with no purpose
- Aware of emotions, but may find them difficult to regulate or manage
- Impulsive-possibly a compulsive buyer
- Impatient-may finish sentences for other people, have trouble waiting in line, etc
- Disorganized, may lose things on a regular basis
- May be chronically late, unable to show up on time
- Language processing generally OK, but may have difficulty with word retrieval, organizing thoughts into coherent sentences, etc.
- May have difficulty staying on topic, easily distracted
- Has theory of mind, though possibly underdeveloped
- May have intense all-encompassing interests, but those interests will likely change from day to day, week to week, month to month, etc.
- Generally very open to change, to the degree that they may appear to live in a state of chaos
- May have difficulty with activities that tax working memory, such as reading or keeping strings of information in mind
- Can do small talk, but may not enjoy it
- Honesty is important, but may tell white lies if the situation calls for it
- Symptoms are likely to respond to medication, usually stimulants (Adderall, Concerta, etc)
- Can exist without hyperactivity symptoms, though some combination of both are common – women frequently have more symptoms of inattention
Both/Similarities
- Likely neurological in origin and thought to have a genetic component-will often run in families
- Can co-exist in the same person
- Struggle with day-to-day living
- Can have trouble getting a job or maintaining a job
- May be introverted or extroverted, socially motivated or not
- May have difficulty with eye contact, AS side more so
- May have trouble socially- difficulty making or maintaining friendships or other relationships
- May struggle with social anxiety to varying degrees
- May have issues with hygiene and bodily maintenance
- Can hyperfocus to varying degrees, difficulty with perseveration- may have difficulty switching tasks or picking them up after an interruption
- May have been bullied at a young age, likely more severe in the case of autism
- Under-diagnosed in females as opposed to males (symptoms may present or be interpreted differently, males may be referred for diagnosis more often, etc)
- May be prone to sensory overload in intense environments.
- Medication may help with sensory issues for some people-the method of dealing with overload will vary, but will usually range from a combination of panic attacks to meltdowns and shutdowns. Severity will depend on the person. Meltdowns seem to be more common on the AS side.
- Struggle with insomnia or other related sleep disorders
- Common co-morbid conditions are anxiety, depression, and OCD.
- Can have dyslexia or dyscalculia
- Can have a variety of stims or stim-like behavior- restless behaviors such as leg tapping are common for ADHDers, while rocking behavior is more common on the autism side. Pacing seems to be common in both. Nervous habits and ones that involve self-injury like nail biting are also common.
- May struggle with decision making, but for different reasons
- May have proprioceptive dysfunction – may be clumsy, bump into things, etc
- May have moderate to severe GI or auto-immune disorders
- May be highly creative and imaginative