I was diagnosed with Asperger's about 17 years ago. Sometimes I notice ADD traits in myself.
I've got 4 books on the go at once, it's rare for me to focus on one thing.
When I'm online I'll have about 25 tabs open at the same time. I struggle to remember what I'm interested in or doing because I keep thinking of something else I want to do. That's why all the tabs are open, to remind me of things I've been doing or reading about.
Would this indicate I should seek a diagnosis of ADD or is it a standard overlap that many people experience?
Although medication is first line action with ADHD, it's only one option going forward. 10% of ADHDers don't respond to medication treatment, and another 10% can't tolerate the side effects (I seem to be one of the former). Meds are helpful in order to help put into place non-med support (eg meditation, diet, exercise etc) but not obligatory. I think it's always worth seeking a diagnosis, if only to confirm/refute your own suspicions. The hyperactivity side can present as chattiness (espec in, but not limited to, females), interrupting others, a racing mind and general restlessness. Important to recognise that the hyperactive element is also covered by impulsivity. I know several people with ADHD who would never be recognised as having the condition - but are diagnosed with it. I'd ignore most other people's comments: the general public have a very skewed idea of what ADHD looks like, based on the outdated stereotype of a 7-year-old boy bouncing off the classroom walls. And the majority of GPs are barely any better informed.If you're interested in seeking a diagnosis, then go for it. Try ADDitude - an American website but hugely informative and insightful, nonetheless. Otherwise, AADD-UK (the facebook page, not the website) is supremely helpful. Good luck!
Perhaps there are two types of ADHD. ASD led and pure ADHD.
Also, there are lots of types of ADHD.
1. hyper (mostly to be picked up because they fidget)
2. Deficit (looks like depression or avoidant personalities)
3. I dare you. The one that is most associated with boy racers and thrill seekers (most likely to be picked up)
The thing is that it's a lottery. Depends on your parents, your school, the judge ;D, your spouse, your doctor, the clinician.
And the longer you spend on the wrong medication, or the wrong diagnosis the worse things get. Until one day it's a small breakdown.
There needs to be more legal checks for these things. People should be required by law to follow up on education reports, poor work history, trouble at home.
There is only one type of ADHD (ADD is subsumed within it), but there are three types:a) hyperactive/impulsive (the one you describe as 'I dare you' - great description!)b) inattentive (a bit of a misnomer, as it's not an attention deficit, but attention dysregulation, ie you can't determine where your attention will focus. The fact that we can hyperfocus on things that stimulate us is evidence of this.)c) combined type - a mixture of the two.You do still need to have some of each type to get a diagnosis in the UK (even though DSM-5, from the American Psychiatric Association is used for a Dx). Regarding educational reports, poor work history, difficulties at home etc, all these are taken into account in the UK; you can only be diagnosed by an ADHD specialist here, which invariably means a psychiatrist with ADHD specialism. I think it's different in the States? (I'm guessing that's where you're from, Lagrangian? - but shout if I've got that wrong!)
Born and raised in the UK, taught in UK schools. And ignored in UK schools. It was finally suggested I was dyslexic in the final year of Postgraduate architect.I think you skipped over my point. It must have been weak. How the hell do you get picked up if no one is looking?As regards types of ADHD.You, me and Google disagree. The DSM has only three!
Attention-deficit/hyperactivity disorder, combined presentation Attention-deficit/hyperactivity disorder, predominantly inattentive presentation Attention-deficit/hyperactivity disorder, predominantly hyperactive-impulsive presentation
The Vandelbilt says there are Four!
ADHD (inattentive sub-type): presentADHD (hyperactive sub-type): presentOppositional Defiant Disorder: not presentConduct Disorder: not present
Daniel G. Amen MD says there are seven.
Type 1: Classic ADD (ADHD)Symptoms include being inattentive, distractible, disorganized, hyperactive, restless, and impulsive. Procrastination can also be an issue.
Type 2: Inattentive ADDSymptoms include being inattentive and easily distracted (but not hyperactive), sluggish, and slow moving, with low motivation.
Type 4: Temporal Lobe ADDThis type includes classic ADD symptoms plus being irritable, quick-tempered and aggressive, and having dark thoughts, mood instability, and mild paranoia
Type 5: Limbic ADDThis type includes classic ADD symptoms plus chronic low-level sadness, but not depression. Negativity, "glass-half-empty syndrome," low energy, frequent feelings of hopelessness and worthlessness, and low self-esteem are other symptoms of this type.
Type 6: Ring of Fire ADDThis is a more extreme version of Classic ADD, plus being extremely distractible, angry, irritable, and overly sensitive to noise, light, clothes, and touch. People with this type are often inflexible, extremely verbal, oppositional, and have cyclic moodiness.
Type 7: Anxious ADDAnxious ADD includes classic ADD symptoms plus feeling anxious and tense, physical stress symptoms like a headache and stomachache, freezing when in situations that cause anxiety, and anticipating the worst.
Whats to bet we are all wrong someday. And no one will care.
Hi again, Lagrangian - apologies over the nationality guessing!RECOGNITION OF NEURODIVERSE CONDITIONSRegarding getting ADHD and other ND conditions recognised, it's often very hard (as you discovered with your dyslexia) for others to see it unless they're familiar with the more subtle presentation - especially if you're bright. It was the same for me with my dyspraxia, which I got assessed for while doing a postgraduate course at uni. If it had not been for my intelligence (gifted range) I'd have also been passed over. Lecturers couldn't understand how someone so able seemed to struggle with the 'easy' tasks, making constant ***-ups. I'd been aware that I'd shown symptoms of dyspraxia for ca ten years by then - but had always dismissed it until that point. So I did more research (the internet had improved enormously during that time!) and that led to me asking for an assessment. After dyspraxia was confirmed, it was the chance reading of a chapter in a book I'd bought to learn more about dyspraxia (David Grant's: 'That's the Way I Think - dyslexia, dyspraxia and ADHD explained') that the penny dropped. I asked for a referral (see how to, below), got assessed, and was diagnosed.
TYPES OF ADHDDSM-5 and ICD-10 are the internationally accepted diagnostical tools for diagnosing ADHD. You're right in saying 'bet we are all wrong someday' in that these manuals are regularly updated, as we understand more. But 'no one will care'? I disagree hugely! It's only because of greater understanding and updates that I have a diagnosis. Until recently, it was believed that I've never heard of Vanderbilt - his/her reference to ODD and conduct order are not types of ADHD themselves but are commonly co-morbid with it (you can have either without having ADHD). Regarding Daniel Amen's 7 types of ADHD, there is still no evidence for his work and it is not accepted by the wider scientific community. What's important to note is that Dr Amen runs his own clinics in the States, for which he earns big bucks for effectively preying on vulnerable adults. (You don't need to be an ADHD specialist to diagnose the condition in the US, and a 'diagnosis' is much easier to obtain as a result.)SEEKING AN ADHD ASSESSMENTI hear your frustration re not getting your own symptoms recognised. If you want to pursue a referral/assessment for possible diagnosis, have a look at AADD-UK's website, in particular this FAQ page: https://aadduk.org/faq/ It tells you how to seek a referral from your GP; what info to take with you, to give them reason to refer you; and what to do if your GP refuses to. (In theory they can't do this: only ADHD specialists are able to assess whether or not you have ADHD - and most GPs are not ADHD specialists!* As they're spending NHS money, though, they do need to have good reason to refer you - so give them good reason! *Most GPs and non-specialist psychs in the UK are very poorly informed about ADHD.)Good luck if you decide to proceed! :)
I hear your frustration. Thank you for the ADHD stuff. My test has already been requested. However, it should have been suggested by my doctor as its so closely related to ASD. It should not have taken me (gifted range) to look it up.
I feel that other testing like dyslexia, dyspraxia ( and other growing list of ASD comorbidity) should also trigger further testing. I can also hear my 2009 dyslexia educational psychologist saying, "do you want to test for anything else." to which I said no. There should have been a recommendation for (stubborn individual ) for further testing and the reasons. And I look forward to a day where there is better awareness.
Stress is the mind killerThis above experiences and other stress with my care and situation are leading to my frustration, anxiety, depression and memory issues. Before that I became so stressed that I developed ticks, obvious stims and rocking when agitated. Epople bgan talking as if I was not there. I also developed a stutter. It is so often that ASD people are only discovered when they have a breakdown. As a result of their mind going on holiday for a bit.
Memento MoriAs to my comment, "Whats to bet we are all wrong someday. And no one will care." I meant Momento Mori. Because the landscape is constantly changing. This was a broad sweeping generalisation, not made to provoke a response. My apologies if it offended you or anyone. Just venting. However, I do believe this. No one will care in the future when they change it again. But someone will care. Like anyone who is left out.
Changes to misconceptions and missed diagnosisToday I punched the air when I read a BMJ report that the certain sections of the BAME community are twice as likely to have autism as non BAME sections. In that borough BAME made up 3% of the population.
I don't see a lot of diagnosed black autistics. I see a lot of black people in jail, as the autism strategy indicates this is true with autistics. And a lot diagnosis of Schizophrenia as family and friends indicate. Recent research shows that people can also be misdiagnosed instead of autism.
No the sun goes around the earth.There are calls for "A broader autism phenotype." That means that ADHD, dyslexia will come under this ASD. So why not broader autism types. What do you think about Pathological Demand avoidance PDA as a subset of ASD? To me, it sounds like heavy procrastination (ADHD). But I am not an academic. Just emotionally invested.
I can't wait to have other comorbidities like (heavy debilitating painful periods) added to the list.
I have read this paper recently on broader phenotypes. (thank you trainspotter for introducing me to this word - behavioural interactions with the world).
I have literally seen my children walk on tiptoes, or crawl backwards. And seen relative babies scoot along on their bottoms, or asymmetrically slide, or just skip crawling.
We need to educate people. That it's not just stamp collecting or repetitive movements or other stuff, that HF just don't do.
It was an error in DSM V, ASD,1 to downplay motor difficulties in their criteria, to simply put them as associated features when they are so common in autism. Indeed, motor features are often the first feature seen in the development of autism. Parents mostly ignore them or just see them as amusing and don’t attach much significance to them, while parents normally put the major focus on language delay and this is usually what propels the parent to look for a diagnosis. The language that parents use is very descriptive and highly relevant in relation to motor issues when heard by an experienced professional.
The phrases used will include; Tippy-toe walking; bum-shuffling; combat crawl; crabby crawl; walking on knees; one leg out and one leg underneath him; crawling on abdomen; stiff gait; hand rigidly by his side and rigid, stiff body, awkward walk; clumsy; walking sideways through a door; frog-like crawling; walking like a “monkey”; crawling backwards; legs crossed and jumping up and down or the child never crawled, but just stood up and walked;
In terms of the clinical gestalt, this parents’ language is very powerful and significant in relation to motor issues. These parents’ phrases are so powerful, and the experienced clinician hears them over and over again and they are much more powerful in making a diagnosis than strict technical language. Another feature is asymmetrical body movement. Parents will say the child with autism, “is an extremely careful walker”."