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What Are the Key Differences in Social Interactions Between ADHD and ASD? 

Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

ADHD and ASD social interaction can be quite different. While both conditions can involve challenges with peer interaction and social behaviour, the underlying causes and patterns of these difficulties are distinct. Understanding these differences is crucial for supporting individuals in their social development. 

ADHD vs ASD Social Interaction: Key Differences 

Social behaviour in ADHD is often influenced by impulsivity and inattention. Children with ADHD may struggle to stay focused during conversations, frequently interrupt others, or find it hard to sit still. They may not fully process social cues due to distractibility, leading to difficulties in conversations. These children often enjoy socialising, but their impulsive behaviours can lead to social misunderstandings or frustration from peers. 

In contrast, children with ASD tend to have more fundamental challenges in social interaction. These individuals may struggle with initiating and maintaining conversations, understanding nonverbal cues, or interpreting social nuances. Social difficulties in ASD are often related to deficits in social communication skills, such as understanding tone of voice, facial expressions, or taking turns in conversation.  

Peer Interaction and Social Development 

Children with ADHD are more likely to engage with peers but may face difficulty with turn-taking and focus during interactions. Children with ASD, on the other hand, may need additional support to navigate social situations, develop social skills, and form meaningful peer connections. 

While both ADHD and ASD social interaction challenges involve difficulties in relating to others, the causes differ. ADHD-related social difficulties stem from impulsivity and attention issues, while those in ASD are more rooted in communication and social understanding.  

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Differential Diagnosis of ADHD.

Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk
Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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.