Could your child with ADHD also have autism spectrum disorder (ASD)? Or was the original diagnosis possibly incorrect? Here are several case studies that demonstrate how to get a comprehensive evaluation and an accurate diagnosis.
Autism typically includes problems with social interactions, communication, and repetitive or ritualistic behaviors.
“Children with ADHD may struggle socially, but with ADHD alone, markers of early social development, such as turn-taking play, gesture language, responding to names, and imaginative play, are usually intact. Traits like appropriate facial affect , humor, and empathy are also unaffected,” Bertin says. Those traits, when lacking, are critical indicators of autism.
“We first noticed autism-like symptoms when Clark was two, like running to the left in circles while waggling his left hand,” Hutchins says. “It was when he started school that we noticed ADHD symptoms. He had a lot of trouble staying on task.” Clark received anAlthough parents might find it stressful not knowing the source of their child’s challeng- es, there isn’t always a definitive answer.
For ADHD, there is substantial evidence in favor of using medication. For autism alone, some medicines may help with specific facets, such as obsessive behavior, but there is not medication approved for treatment of the underlying condition. Zupke didn’t like the idea of starting James on medication, but believed he was in danger. His doctor reminded Zupke that taking medication wasn’t a long-term commitment; they could take him off it if side effects were a problem. James started taking Adderall. “That decision probably saved his life,” Zupke says. “Not only did it improve his impulse control dramatically, but it also helped him pay attention in class.
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