What is AuDHD? Psychiatrist reveals how Autism and ADHD together change daily life

Symptoms of AuDHD: Look out for inattention and hyperactivity, sensory sensitivities, social difficulties, executive dysfunction, emotional dysregulation (Image: Pexels)

AuDHD refers to having both Autism Spectrum Disorder and ADHD traits. Symptoms include sensory overload, impulsivity, difficulties with social cues, executive function struggles and emotional regulation. Though not officially in DSM‑5, experts urge diagnosis, therapy, lifestyle adjustments and support to harness strengths and ease challenges.

In recent years, many people have realised autism and ADHD are not always separate lives. They may co‑exist, in what is often called AuDHD. It’s not just about having quirks of focus or social oddities. For those who live with both sets of traits, daily routines, emotional well‑being and relationships can feel tangled.

What is AuDHD?

Also read | Autism in children: Difficulty in communication, problems with basic tasks are warning signs

Although the Diagnostic and Statistical Manual of Mental Disorders (DSM‑5) does not provide a separate, official diagnosis labelled AuDHD, research suggests a large degree of overlap: up to seventy percent of people with autism also show symptoms of ADHD; similarly, many people diagnosed with ADHD display autistic traits. “These traits include difficulties with inattention, impulsivity, and sensory sensitivities,” Dr Astik Joshi, Child & Adolescent, and Forensic Psychiatrist, Veda Child & Adolescent Developmental-Behavioural Clinic, New Delhi, told Moneycontrol. “People often complain that they feel pulled in two directions — needing routine, structure (Autistic side), but also craving novelty or struggling with impulsivity (ADHD side)” he added.

Recognising symptoms is seldom simple. “Those with AuDHD often struggle in multiple domains: social cues can be confusing, change can be overwhelming, emotional regulation becomes difficult, and executive tasks like planning or organising feel doubly difficult,” Dr Joshi shared. He added, “Sensory overstimulation — lights, sounds, textures — may exacerbate feelings of restlessness or anxiety.”

He emphasised that overlapping traits don’t cancel one another; rather, they compound, making some challenges sharper for those with both autism and ADHD.

Also read | Is autism a disease? Can it be cured? Bursting myths related to the neurodevelopmental disorder

7 Things about living with AuDHD and getting support:

• Understand core symptoms deeply: Look out for inattention and hyperactivity, sensory sensitivities, social difficulties, executive dysfunction, emotional dysregulation. These mix differently in each person. One may struggle with time management; another may find sensory overload debilitating.

• Get comprehensive diagnosis: Because symptoms overlap, get assessed by a specialist who knows both autism and ADHD. Dr Joshi recommended psychologists or psychiatrists skilled in developmental‑behavioural disorders.

• Build multimodal interventions: Treatments should combine behavioural therapy, medication (for ADHD symptoms), lifestyle changes, and support for executive functioning. For example, therapy to manage impulsivity and focus, consistent daily routines to reduce sensory overload, and practical tools for organization and time management.

• Tailored treatment: What works for one person with AuDHD won’t work for another. “The best outcomes come when treatment is personalised — you can’t apply a generic ADHD or autism plan and expect all parts of life to improve,” Dr Joshi said. Some may need more support in emotional regulation; others may prioritise managing sensory triggers.

• Address mental health: Depression, anxiety and emotional overload are common. Living with both autism and ADHD can lead to burnout, masking or emotional fatigue. Support groups, therapy, or coaching in coping strategies can make huge difference.

• Use support systems: In school, workplace or socially, accommodations matter — flexible deadlines, quieter environments, sensory breaks, help with planning tasks. Small structural changes often reduce overwhelm significantly.

• Strengths and passions: Despite challenges, many with AuDHD report tremendous creativity, focus on interests, intense drive. Embracing those can be empowering. “When people are allowed to use what makes them special — their hyperfocus, their interest, their unique perception — life becomes more than surviving; it becomes thriving,” Dr Joshi added.

1. What are the common symptoms of AuDHD?

Common symptoms include sensory overload, impulsivity, difficulties with social cues, executive function struggles, and emotional regulation issues.

2. How does AuDHD affect daily life?

For those with AuDHD, daily routines, emotional well-being, and relationships can be challenging due to the overlap of autism and ADHD traits.

3. Is AuDHD officially recognised in DSM‑5?

No, AuDHD is not officially recognised in DSM‑5, but experts acknowledge the significant overlap between autism and ADHD traits.

4. How can AuDHD be diagnosed?

A comprehensive diagnosis by a specialist familiar with both autism and ADHD is recommended to accurately assess overlapping symptoms.

5. What treatments are effective for AuDHD?

Effective treatments include behavioural therapy, medication, lifestyle changes, and support for executive functioning, tailored to individual needs.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for a specific health diagnosis.