Co-occurring conditions with ADHD can often further complicate and impact the lives of individuals with ADHD. Understanding these co-occurring conditions is essential for developing effective management strategies and treatment plans. In this tutorial, we will explore some of the common co-occurring conditions with ADHD in relation to the main topic of behavioural characteristics of ADHD.
ODD is a condition characterised by a pattern of hostile and disobedient behaviour towards authority figures. It is estimated that around 50-60% of individuals with ADHD also have ODD. The behavioural characteristics of ODD often include frequent arguments with adults, defiance or refusal to comply with rules, deliberately irritating others, and blaming others for their mistakes or misbehaviour.
CD involves more serious and persistent patterns of behaviour that violate the rights of others or societal norms. It has been found that approximately 25-45% of children and adolescents with ADHD also have CD. The behavioural characteristics of CD may include aggression towards people or animals, destruction of property, deceitfulness or theft, and serious violations of rules.
Anxiety disorders are often seen in individuals with ADHD, with estimates of comorbidity ranging between 25-35%. The common anxiety disorders seen alongside ADHD include generalised anxiety disorder (GAD), panic disorder, social anxiety disorder (SAD), and specific phobias. These conditions can cause significant distress and impair functioning in various areas of life.
Mood disorders like depression and bipolar disorder are frequently observed in individuals with ADHD. Estimates suggest that around 15-25% of individuals with ADHD also suffer from depression. Symptoms of depression may include persistent sadness, lack of interest or pleasure in activities, changes in appetite or weight, sleep disturbances, and feelings of fatigue or worthlessness.
Learning disabilities, such as dyslexia or dyscalculia, are often found in conjunction with ADHD. These disabilities can make academic functioning even more challenging for individuals with ADHD. Difficulties with reading, writing, mathematical calculations, and problem-solving may be present.
Individuals with ADHD are at a higher risk of developing SUD compared to the general population. The impulsivity and sensation-seeking behaviour associated with ADHD may contribute to the increased likelihood of substance use and abuse. Substance use can further worsen the symptoms of ADHD and impair overall functioning.
There is an overlap between ADHD and ASD, with estimates suggesting that 20-50% of individuals with ASD also have ADHD symptoms. Both conditions share common traits such as difficulties with social interaction, communication challenges, and repetitive behaviours. It is important to recognise and address the co-occurrence of ADHD and ASD to provide appropriate support and interventions.
Understanding these co-occurring conditions with ADHD is crucial for accurate diagnosis, development of targeted treatment plans, and effective management of symptoms. If you or someone you know is experiencing symptoms consistent with ADHD and co-occurring conditions, it is recommended to seek professional help for a comprehensive evaluation and appropriate interventions. Remember, early identification and intervention can greatly improve outcomes and quality of life for individuals with ADHD and their families.
Over 80% of children and adults with ADHD have at least one other psychiatric disorder and more than 50% have at least two such comorbid disorders.
This presentation will address as its learning objectives:
1. A review of the most common comorbid disorders that co-exist with ADHD and the reasons they may be associated with ADHD.
2. A description of the possible effects these comorbid disorders may have on both understanding the clinical case and especially in selecting treatment options to address both the ADHD and the comorbid disorder.
3. Special attention will be given to discussing the impact of comorbid oppositional defiant disorder, conduct disorder, anxiety disorders, mood disorders, autism spectrum disorder,, sleep disorders, and learning disabilities.
4. For each, the presenter will focus on how they may alter treatment planning. For more information, see Dr. Barkley’s books, Taking Charge of ADHD: The Complete Authoritative Guide for Parents, and How to Treat ADHD in Children and Adolescents.