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The Difference Between ADHD and Autism

ASD_ADHD_Behaviour_LearningDisabilities_SocialCommunication

Trouble paying attention to people. Being constantly on the move. Invading personal space, not reading social cues well and having meltdowns. These can all be signs of both ADHD and autism. And the two conditions can occur together.

The signs of autism, also called autism spectrum disorder or ASD, can range in severity. While ADHD (also known as ADD) isn’t a spectrum disorder, like autism it can produce a range of symptoms. And each symptom can cause a range of difficulty from one child to the next. So what’s the difference between ADHD and autism?

This table breaks down some of the key differences between them.

ADHD Autism

What is it?

neurodevelopmental condition that makes it hard for kids to concentrate, pay attention, sit still and curb impulsivity.

A range of neurodevelopmental conditions that causes challenges with social skillscommunication and thinking. Repetitive behaviors are also part of autism spectrum disorder (ASD).

Signs you may notice, depending on your child

  • Seems forgetful, easily distracted or daydreamy
  • Appears not to listen and has trouble following directions
  • Is prone to tantrums and meltdowns due to frustration or lack of impulse control
  • Struggles with organization and completing tasks
  • Has trouble staying on task unless an activity is very enjoyable
  • Struggles with social skills
  • Struggles to sit still during quiet activities, such as mealtimes or during independent work time at school
  • Has trouble waiting his turn and being patient
  • Is constantly “on the go” or moving; fidgets and needs to pick up and fiddle with everything
  • Interrupts people, blurts things out inappropriately and may struggle with nonverbal cues
  • Acts without thinking and may not understand the consequences of his actions
  • May overreact to sensory input, like the way things sound, smell, taste, look or feel
  • Plays roughly and takes physical risks
  • Avoids eye contact and/or physical contact
  • Has delayed speech (or no speech) or repeats phrases over and over
  • Is prone to meltdowns due to sensory processing issues, anxiety, frustration or communication difficulties
  • Gets upset by changes in routine
  • Struggles with social skills
  • Uses excessive body movements to self-soothe (e.g., rocking, flapping hands)
  • Has obsessive interests and experiences perseveration
  • Is constantly “on the go” or moving; fidgets and needs to pick up and fiddle with everything
  • Is very advanced verbally, but struggles with nonverbal cues
  • Has trouble showing understanding of other people’s feelings and his own
  • Reacts strongly to the way things sound, smell, taste, look or feel (sensory processing issues)
  • Has trouble with safety and danger awareness

Possible emotional and social impact

Trouble following social rules can make it hard to make and keep friends. Frequent negative feedback for acting out or not paying attention can impact self-esteem and motivation, making a child feel he’s “bad” or “no good.” (Read more about ADHD and emotions.)

The main struggles of ASD involve social understanding, communication and repetitive routines or behaviors. Many kids with ASD—even those without significant cognitive challenges—have trouble making friends, understanding how to relate to other people and making sense of social cues.

Professionals who can help

  • Pediatricians, neurologists, developmental-behavior pediatricians, child psychiatrists and psychologists: Identify possible signs of autism and may diagnose. May also refer for early intervention services.
  • Clinical child psychologists, social workers:Provide therapy or social skills training to help kids improve social interactions. Provide cognitive behavioral therapy to help with emotional issues related to autism. Diagnose other issues that may co-occur with autism, including ADHD. May also evaluate for learning issues.
  • Pediatric neuropsychologists: Diagnose autism and common issues that may co-occur, such as anxiety and ADHD. May also prescribe medication as needed.
  • Occupational therapists: Help kids learn coping skills for challenging situations. Provide sensory integration therapy or a sensory diet to help kids respond to sensory input in more appropriate ways.
  • Speech therapists: Work on speech-language and pragmatic language skills to help kids communicate and understand others more easily.

What the school may provide

A child might be eligible for an IEP under the category of “other health impairment.” Accommodations can also be provided under a 504 plan. Examples might include:

  • A seat close to the teacher and away from distractions
  • A quieter work space to get work completed without distraction
  • A signal, nonverbal cue or picture card to get the child’s attention
  • Help breaking long assignments into smaller chunks
  • Written or picture schedules for daily activities
  • Movement breaks

A child might be eligible for an IEP under the category of “autism.” Special education may be provided along with accommodations. They are very specific to each child, but examples can include:

  • A seat closer to the teacher and to classroom materials
  • A work space with limited auditory and visual distractions
  • Visual prompts and color coding to highlight and teach new information
  • sensory diet and activities throughout the day
  • Social stories to present new ideas and situations
  • Being provided with choices to ease anxiety
  • Being provided with “wait time

What you can do at home

  • Set clear rules and expectations for your child.
  • Create daily routines to provide structure.
  • Break directions and tasks into smaller chunks.
  • Teach your child to use visual prompts like checklists, picture schedules and sticky notes to help him focus, stay organized and get things done.
  • Allow for flexibility during homework time for brain and movement breaks.
  • Create an organized homework and study area.
  • Give advance warning about changes in the schedule and explain what to expect in new situations.
  • Set clear expectations and create daily routines.
  • Break directions into smaller chunks and use picture prompts.
  • Have a plan to manage meltdowns.
  • Use a visual timer or signal to make it easier to transition from one thing to the next.
  • Role-play and teach scripts for social situations.

These are some common examples. But because ASD looks so different in each child, the support provided at home varies a lot from child to child. Parents will often work with a psychologist or other clinicians to create a support plan.

This resource originally appeared on Understood.org, and the original link may be accessed here.

Reprinted courtesy of Understood.org. Copyright © 2018 Understood.org USA LLC. All rights reserved.

Disclaimer: Please note that this guide is for information purposes only. Please consult a qualified health practitioner for safe management. 

If you have questions about Autism, Down Syndrome, ADHD, or other intellectual disabilities, or have concerns about developmental delays in a child, the Nayi Disha team is here to help. For any questions or queries, please contact our FREE Helpline at 844-844-8996. You can call or what’s app us. Our counselors speak different languages including English, Hindi, Malayalam, Gujarati, Marathi, Telugu, and Bengali.

Travel Concessions

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WHAT IT IS

  • Travel concessions are provided by the state and central govt. in form of monetary concessions to PwD (Persons with disability), who can be accompanied by an escort.
  • APSRTC (Road Transport): % of concession has not been defined on the APSRTC website. However, escorts to mentally affected passengers are allowed based on the certification of the Medical authorities at 50% concessional fare.
  • Indian Railways allow the following consessions
    • 75% in Second, Sleeper, FirstClass, AC-3 tier, AC Chair Car.
    • 50% in First AC and AC-2 tier.
    • 25% in AC-3 tier & AC Chair Car of Rajdhani/Shatabdi trains.
    • 50% in First and Second class Monthly season ticket & Quarterly season ticket.
    • One escort is also eligible for the same concession

WHO CAN APPLY?

  • For APSRTC (Andra Pradesh State Road Transport Corporation): Mentally affected passengers with IQ of 40 or below.
  • For Indian Railways:  Any PwD with a disability certificate

WHOM TO APPROACH?

  • Indian Railways :
    • Approach the nearest Divisional Railway Manager office along with all the relevant documents in original to claim concessions.
    • The Divisional Railway Manager will issue a photo identify card.
    • The photo ID Card can be used to book concessional tickets through both ticket counters as well as through the Internet.
    • The card with a unique ID number will have to be carried during journey and produced for onboard verification.
    • and passport size photograph for issual of a photo identity card.
    • This is a recent change as against the Concession Forms which had to be filled in earlier.

HOW TO APPLY FOR THIS SCHEME?

  • PwD will approach the nearest Divisional Railway Manger’s Office with the following certificates in original:
    • Concession Certificate certified by competent medical authority ( see usefule link for format)
    • Photo ID Proof
    • Date of Birth Proof
    • Address Proof
    • 2 passport sized photograph
    • All copy of documents have to be self -attested
  • All documents should be submitted in an envelope addressed to the Senior Divisional Railway Manager
  • The envelope should mention ” Application for Issue of  Railway ID Card for Physically Challenged persons for ticketing”

(Note: Physicially challenged persons included indvidiuals classified as having mental retardation.)

  • DRM office undertakes  verification by contacting the hospital where the Concession Certificate was issued.
  • A Photo ID Card is issued after vetting and a unique number assigned to the PwD
  • Applicant will be informed telephonically to collect the card
  • PwD or representatives have to collect the card by showing original documents.

If you’re seeking more information and guidance on this topic and related areas, Nayi Disha’s Know Your Rights (KYR) Program is here to support you every step of the way. By joining, you’ll gain access to valuable resources on government schemes, benefits, financial support, legal rights, and more, all aimed at securing a brighter future for your child. To learn more, visit our chatbot by clicking this link: https://bit.ly/4dJVCP3, or simply type ‘KYR’ on our helpline number 844-844-8996.

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