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What Are Some Comorbid Conditions Associated with Hyperactive-Impulsive ADHD? 

In medical terms, a “comorbid condition” refers to when two or more health issues occur in the same individual. For people with hyperactive-impulsive ADHD , this often means the presence of additional challenges beyond the core symptoms of restlessness, impulsivity, or trouble with self-regulation. 

Hyperactive-impulsive ADHD is rarely a standalone diagnosis; understanding related conditions can help paint a clearer picture of what someone is experiencing. 

What Are Comorbid Conditions 

Comorbid conditions are co-existing health problems that often overlap with a primary diagnosis. In the case of ADHD, these may involve mental health concerns, developmental delays, or behavioural challenges. 

These overlaps are common; more than half of individuals with ADHD also live with at least one comorbid condition. Identifying them early leads to more effective and tailored support. 

Common Comorbid Conditions Linked to Hyperactive-Impulsive ADHD 

The following comorbid conditions frequently occur alongside hyperactive-impulsive ADHD: 

  • Oppositional Defiant Disorder (ODD): Frequently seen in children with impulsive behaviour, ODD involves persistent defiance, irritability, and argumentative behaviour. 
  • Anxiety Disorders: Feelings of restlessness or being overwhelmed may hide underlying anxiety. The conditions often fuel each other. 
  • Learning Difficulties (e.g., Dyslexia): Children with ADHD may also struggle with reading, writing, or processing information, making school life more difficult. 
  • Autism Spectrum Disorder (ASD): Some traits of hyperactive-impulsive ADHD overlap with ASD, particularly difficulties in communication and impulse control. 
  • Conduct Disorder: A more severe pattern of aggressive or rule-breaking behaviour seen in a small number of ADHD comorbid cases. 
  • Sleep Disorders: Many individuals with ADHD have trouble falling or staying asleep, which can worsen daytime symptoms. 

Why It’s Important to Spot Comorbid Conditions 

Spotting comorbid conditions can dramatically improve how ADHD is treated. When left unaddressed, these additional issues can intensify ADHD symptoms or lead to misdiagnosis. 

Knowing the right type helps give better support, like therapy, school help, or changes in medicine 

What To Do Next 

If you or your child experiences overlapping behaviours, like emotional outbursts, learning challenges, or sleep issues, it’s worth looking deeper. 

Take free ADHD self-assessment to begin exploring whether ADHD or a comorbid condition could be involved. 

For more guidance, see resources on What Is Hyperactive-Impulsive ADHD? and ADHD Diagnosis and Assessment. 

Lucia Alvarez, MSc, author for my patient advice - mypatientadvice.co.uk

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.