Can a Child Have Both ADHD and RAD? 

Yes, a child can have both ADHD and RAD, a condition known as ADHD and RAD comorbidity. While these two disorders have distinct causes, they might also be co-occurring disorders, making diagnosis and treatment more complex.  

ADHD and RAD: Understanding the Co-occurrence 

ADHD is primarily a neurodevelopmental disorder characterised by inattention, hyperactivity, and impulsivity, often stemming from genetic and biological factors. In contrast, RAD develops as a result of early trauma, emotional neglect, or inconsistent caregiving, leading to attachment issues and difficulties in forming trusting relationships with caregivers. 

When a child has both ADHD and RAD, symptoms of impulsivity, inattention, and emotional dysregulation can overlap. However, the causes of these behaviours are different. ADHD-related behaviours are rooted in cognitive and attention difficulties, while RAD symptoms stem from emotional and attachment-related challenges. 

Dual Diagnosis and Treatment Approaches 

A dual diagnosis of ADHD and RAD requires a tailored approach to treatment. While ADHD treatment may include medications and behavioural therapy, addressing RAD often involves attachment-based therapies and trauma-focused interventions. It’s essential to recognise both conditions to ensure that the child receives appropriate support for each. 

Children with ADHD and RAD comorbidity require a comprehensive treatment plan that addresses both cognitive and emotional challenges to promote better development and well-being. 

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.