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Do Autism Assessments Include ADHD Symptoms? 

Posted
Updated
ByMy Patient Advice
Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Autism assessments and ADHD symptoms are often evaluated during the diagnostic process, but the extent to which ADHD symptoms are considered can vary depending on the clinician and the specific assessment tools used. Since ADHD symptom screening is not always a standard part of an autism evaluation, individuals with both conditions might not always receive a dual diagnosis unless the clinician is specifically looking for both sets of symptoms. 

An autism assessment typically focuses on diagnosing autism spectrum disorder by identifying social communication challenges, restricted interests, and repetitive behaviours. However, ADHD symptoms such as inattention, impulsivity, and hyperactivity are sometimes missed, especially if they overlap with behaviours seen in autism, like difficulties with concentration or emotional regulation. 

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How Autism Assessments Address ADHD Symptoms 

Here is how autism evaluations may consider ADHD symptoms: 

Screening for ADHD Symptoms:  

Some autism assessments include questions or tools that specifically screen for ADHD symptoms, especially when the individual presents behaviours that could suggest ADHD, such as difficulty focusing, hyperactivity, or impulsive actions. This can help identify cases where ADHD is a comorbid condition, allowing for a more accurate diagnosis. 

Recognising Overlapping Symptoms:  

Both ADHD and autism involve challenges with attention, impulse control, and social interactions. During an autism evaluation, a clinician may consider whether a child’s focus difficulties and social struggles are due to autism or if they might be linked to underlying ADHD symptoms. However, ADHD may not always be recognised unless it is explicitly assessed. 

Dual Diagnosis Consideration:  

When ADHD symptoms are present alongside autism traits, a clinician should be thorough in differentiating between the two conditions. While autism assessments primarily focus on social and communicative behaviours, it is essential for clinicians to also evaluate whether ADHD might be contributing to the person’s symptoms. 

In conclusion, while autism assessments ADHD symptoms are sometimes considered, it is important for clinicians to conduct a comprehensive evaluation that checks for both conditions. Identifying both autism and ADHD can help create a more effective, personalised treatment plan. 

Visit providers like ADHD Certify for personal consultations to ensure a complete, accurate assessment of both ADHD and autism.

For a deeper dive into the science, diagnosis, and full treatment landscape, [read our complete guide to Autism Spectrum Disorder.

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Victoria Rowe, MSc
Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

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
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. 

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