Tuesday, 17 June 2025

Autism (ASD): Why Anxiety and Depression Might Occur

 


Autistic people often experience:

1.Communication Difficulties:

o    Struggling to express how they feel or understand what others mean.

o    May say things bluntly without realizing it sounds rude or upsetting.

2.Sensory Overload & Social Anxiety:

o    Feeling overwhelmed in busy, noisy places or around strangers.

o    Anxiety rises when there's too much stimulation or pressure to socialize.

3.Need for Routine and Predictability:

o    Sudden changes (like a different route or plan) can feel very distressing.

o    Not knowing what’s coming next may cause intense anxiety.

4.Misunderstandings and Social Isolation:

o    May not pick up on social cues or understand how their actions affect others.

o    This can lead to rejection, bullying, or loneliness — contributing to low mood or depression.


ADHD: Why Anxiety and Depression Might Occur

People with ADHD often face:

1.Impulsivity and Frustration:

o    Acting quickly without thinking (“jumping the gun”) can cause problems.

o    May not understand why people get annoyed or upset.

2.Trouble with Focus and Planning:

o    Difficulty staying on task, following instructions, or managing time.

o    This can lead to stress, underachievement, or criticism from others.

3.Emotional Regulation Issues:

o    Strong, fast-changing emotions — frustration, anger, or sadness.

o    Trouble calming down once upset, which can wear someone down mentally.

4.Low Self-Esteem and Rejection:

o    Being told off a lot, feeling “different,” or struggling at school/work.

o    Can lead to feeling “not good enough” and eventually depression or anxiety.


🎯 In Summary:

Reason

Autism (ASD)

ADHD

Communication struggles

Often misunderstood; difficulty reading others' feelings

May interrupt, talk too much, or say things without thinking

Social interaction

Anxiety around people, change, unpredictability

Impulsivity and frustration when things don’t go their way

Understanding boundaries

Might not see how words/actions affect others

May not notice or remember limits or consequences

Emotional stress

Overwhelmed easily, especially in unfamiliar settings

High emotions, quick reactions, hard to calm down

Mental health impact

Anxiety from social confusion; depression from loneliness

Anxiety from failure/frustration; depression from low self-worth

 

Understanding Autism (ASD), Asperger’s Syndrome (AS), and ADHD

 


Plus how they relate to learning difficulties and mental illness


1. Definitions

  • Autism Spectrum Disorder (ASD)
    A lifelong neurodevelopmental condition that affects how a person sees the world, communicates, and relates to others. Key features include:

    • Social and communication difficulties

    • Repetitive behaviours and routines

    • Sensory sensitivity

    • It is a spectrum, meaning individuals can be mildly, moderately, or severely affected.

  • Asperger’s Syndrome (AS)
    Previously a separate diagnosis, now included under the term Autism Spectrum Disorder in the DSM-5 (official guide for mental health conditions). People who were diagnosed with AS often:

    • Have fewer speech delays

    • Have average or above-average intelligence

    • Struggle with social understanding, but may want friendships

  • Attention-Deficit/Hyperactivity Disorder (ADHD)
    A common neurodevelopmental condition marked by:

    • Trouble focusing

    • Being very active (hyperactivity)

    • Acting without thinking (impulsivity)
      ADHD can impact school, work, relationships, and emotions.


2. Key Differences

FeatureASDADHD
Main TraitsSocial and communication difficulties, routines, and repetitive behaviorInattention, hyperactivity, impulsivity
Social SkillsMay not understand social rules or body languageMay know social rules but struggle to follow them
Change & RoutineOften need structure; may feel distressed by changeMay get bored with routine and seek change
Speech and LanguageMay be delayed or have unusual speech patternsUsually normal development, but may interrupt or talk excessively
Diagnosis AgeOften noticed in early childhoodDiagnosed in childhood, but often missed until later

3. Similarities and Overlap

  • Both are neurodevelopmental conditions (start in early brain development).

  • Both may affect:

    • Executive functioning (like planning, memory, organization).

    • Social interaction (but for different reasons).

    • Emotional regulation (mood swings, anxiety, meltdowns).

    • Sensory issues (sound, light, touch sensitivities).

  • Comorbidity (they can occur together):

    • Someone can be both autistic and have ADHD. This is sometimes called AuDHD.


4. Links to Learning Disabilities and Mental Illness

  • ADHD is not a learning disability, but it can make it hard to:

    • Concentrate in class

    • Follow instructions

    • Finish homework

  • ASD is not a learning disability, but:

    • Some autistic people have learning disabilities or intellectual disabilities.

    • Others may have high intelligence but still struggle in school due to sensory or communication needs.

  • Co-occurrence is common:
    Many people with ADHD or ASD also experience:

    • Learning difficulties (dyslexia, dyscalculia, etc.)

    • Mental health conditions, such as:

      • Anxiety

      • Depression

      • OCD

      • Mood disorders


5. Summary Table

AreaASDADHDAS (now part of ASD)
Social CommunicationOften impairedMay struggle due to impulsivityMild difficulties
Repetitive BehaviorsCommonLess commonCommon
Attention IssuesSometimesAlwaysSometimes
HyperactivityUnusualCommonRare
Sensory SensitivityOftenOftenOften
Learning DisabilitiesMay co-occurMay co-occurMay co-occur
Mental Health RisksHighHighHigh
Intelligence RangeWide (from low to high)Usually averageAverage or above

Final Thoughts

  • Everyone is different. These conditions affect each person uniquely.

  • A professional diagnosis is important for the right support and understanding.

  • Support strategies may include:

    • Therapy (speech, occupational, behavioral)

    • Medication (especially for ADHD)

    • Educational support (like EHCP in the UK or IEP in the US)

    • Mental health care (CBT, counselling)

Would you like me to turn this into an Easy Read version with symbols or into a printable handout or worksheet for use in schools or advocacy settings?

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Yes please that would be great thank you.
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Autism (ASD): Why Anxiety and Depression Might Occur

  Autistic people often experience: 1. Communication Difficulties: o     Struggling to express how they feel or understand what others...