Coexisting Conditions Common with Autism

The word comorbidity may sound intimidating, but it simply refers to having more than one illness or diagnosis simultaneously. For example, many diabetics have a common comorbidity of high cholesterol. Similarly, there are several common coexisting conditions with autism including ADHD, anxiety, OCD, depression and others. 


ADHD


ADHD, or attention deficit hyperactive disorder, is a neurodevelopmental disorder, commonly diagnosed in children. There are three types of ADHD: inattentive, hyperactive impulsive and combined type (the most common in children). Common symptoms may surface as impulsive, easily bored, quickly changing activities or topics when speaking, restless, interrupts others, or difficulty focusing on one sole task.

Generalized Anxiety

Generalized anxiety is very common in autism spectrum disorder. It describes a state of perpetual worry and fear in one's daily life, often resulting in stress, fatigue, difficulty concentrating, tension and disturbances in sleep. Common symptoms can include constant worry, heightened sense of danger, catastrophizing, inability to manage uncertainty, difficulty making decisions, and fear of the unknown.

Social Anxiety

Social anxiety is a mental health condition that is often misdiagnosed because its symptoms resemble those of ASD. Typically, this is diagnosed in older children, 8-15 years of age. This type of anxiety is more than outwardly acting shy - it is an extreme fear and nervousness in social situations, resulting in physical symptoms of nervousness. This can also include irrational thoughts about others harshly judging everything about a person (actions, behavior, appearance etc.). Common symptoms may include bypassing social settings or invitations, uncomfortable being the center of attention or showing physical symptoms such as sweaty hands or heightened heart rate.

OCD

OCD, or obsessive-compulsive disorder, is a mental health condition characterized by recurring or unwanted thoughts that lead to repetitive actions or behaviors. In children with autism, insistent behaviors such as sameness, rigidity, strong preferences, and narrow interests may resemble OCD but are often a result of their autism. However, in some cases, autism may be further complicated by severe and specific OCD symptoms, warranting a separate diagnosis. Common symptoms may include excessive cleanliness, rigid routines, checking behaviors, compulsive ordering/arranging objects, intrusive thoughts and magical thinking.

While autism can be associated with various comorbidities, each requires an individual diagnosis and is separate from each other. Each autism diagnosis is as unique as your child, and with that, can come a distinct combination of coexisting conditions. Embracing this individuality provides endless possibilities for tailored therapy, support and growth.

At Positive Development, we’re here to support every child’s journey to thrive and grow - no matter what challenges or coexisting conditions may be present. We are here to help and truly believe every child is full of endless potential!