Autism and ADHD

F84.0 + F90.2 AuDHD: Autism and ADHD

Simultaneously overstimulated and under-stimulated

Straight talk

You crave structure and resist it at the same time. You want predictability, but your brain also demands novelty. You can be intensely sensitive to sound, texture, or chaos, and also restless when nothing is happening. Your mind can run deep and fast, sometimes in parallel. It is not indecision. It is competing needs arriving at once. This combo often means you are brilliant at seeing systems and also exhausted by maintaining them. You can hyperfocus until time disappears, then forget to eat, then feel overwhelmed by the consequences of forgetting to eat. You are not being dramatic. You are running two powerful engines with one steering wheel. The goal is not to become a different person. The goal is to build a life where your wiring is supported instead of punished.

What the doctor says

This is not a separate diagnosis but a co-occurrence of autism and ADHD. The combination can affect attention, regulation, sensory processing, social energy, and executive functioning in ways that are more complex than either diagnosis alone. Clinical care often focuses on identifying triggers, building accommodations, and choosing strategies that respect both needs for structure and need for flexibility. A warm clinician will also remind you that you are not too much, you are just running a very high end system that occasionally needs a restart.

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