Tuesday, 22 July 2025

Autism and adhd as neurodevelopmental conditions.

 


The last thing I want to do is confuse you, but almost all, if not most, special needs, learning difficulties, and disabilities have mental problems. Like everyone who faces mental illnesses, the negatives happen with or without reason, but in this case, the most common reasons are how people’s conditions affect their lives. no one can do everything, but people who face conditions know they affect lives more so. When others have to help them a lot, that can cause them a lot of stress and anxiety because they want to be independent like everyone else, and they don’t enjoy depending on the lives of others a lot.

with adhd and autism, because both of these conditions cause very high levels of anxiety and depression due to the nervous system. Therefore, what I want to do is sum up how autism and adhd affect people in the category of the condition, and the anxiety and depression in the mental health versus mental illness category. 


How these conditions affect daily life:

can make school, work, friendships, and daily routines more difficult.

often need extra support to manage time, stress, social situations, and changes.

Some people may need help from family, teachers, carers — but they also want to be independent.

When they rely on others too much, it can lead to low self-esteem and feeling like a burden, even though it’s not their fault.

 

 

section 1: how autism and adhd affect people (neurodevelopmental 

🔵 what is adhd?

a condition that affects attention, impulses, and energy levels.

People with adhd might:

find it hard to concentrate or stay focused.

be very active or fidgety (hyperactive).

act without thinking (impulsive).

this isn’t about being "naughty" — their brains work differently and are often super fast-moving and creative.

 


section 1: how autism and adhd affect people (neurodevelopmental conditions)

🔵 what is autism?

a lifelong condition that affects how people communicate, socialize, and process the world.

autistic people may struggle with sensory overload, change, and social rules.

many are very routine-based and need things to stay the same.

they may find loud noises, bright lights, or too much talking very hard to cope with.

autism affects how someone’s brain works, not how clever they are — many autistic people are very intelligent but process things differently.

🔵 what is adhd?

a condition that affects attention, impulses, and energy levels.

people with adhd might:

find it hard to concentrate or stay focused.

be very active or fidgety (hyperactive).

act without thinking (impulsive).

this isn’t about being "naughty" — their brains work differently and are often super fast-moving and creative.

 



Autism Spectrum (ASD) Explained Again:

Your repetition of the definition of ASD reinforces its core characteristics related to information processing, emotions, and social interactions. The emphasis on individual reactions and responses to the world is key.

Sensory Sensitivities and Social Challenges:

You reiterate the common sensory sensitivities and the difficulties autistic individuals may face in understanding the thoughts and feelings of neurotypical people, especially in unfamiliar situations. The feeling of being overwhelmed by new positive experiences is also a significant point.

Varied Perspectives on Autism:

You rightly point out that understanding Autism can vary depending on whether the information comes from autistic individuals themselves or from professionals, and even among autistic individuals, experiences differ.

Autism as a Disability:

You correctly identify Autism as a lifelong developmental disability affecting communication, understanding, and interaction, highlighting the significant number of people on the spectrum in the UK.   

Individual Differences and Desires:

Your emphasis on the fact that not all autistic individuals are affected the same way and that they, like everyone else, want to live full lives and contribute to society is crucial for destigmatization.

Social Communication and Anxiety:

You highlight the common co-occurrence of social communication difficulties and anxiety, particularly in new or unfamiliar social situations. The challenges with verbal and nonverbal communication, understanding nuances like sarcasm, and literal interpretation are well-explained.

Personal Experiences:

Your examples regarding travel (airports, getting lost) effectively illustrate the real-world challenges faced by autistic individuals due to sensory overload, information processing differences, and difficulties with navigation.

Advocacy for Accessibility:

Your points about the need for accessible public transport, the challenges of self-service technologies, and the importance of accessible information are vital for advocating for a more inclusive society.

The Shift from Asperger's to ASD:

You address the confusion surrounding the merging of Asperger's Syndrome into Autism Spectrum Disorder. Your explanation that the spectrum approach acknowledges the varying degrees of autistic traits and support needs is accurate. You also touch upon the historical context of the diagnoses.

Dyspraxia and Co-occurring Learning Difficulties:

Your explanation of Dyspraxia and its potential link to Autism, as well as the distinction between Dyslexia and Dyspraxia, is helpful in understanding the complex web of neurodevelopmental differences that can co-occur.

History of Autism Understanding:

Your overview of the historical figures and research that contributed to our understanding of Autism, from Hans Asperger and Leo Kanner to earlier observations, provides valuable context.

Causes of Autism:

You correctly state that the exact causes of Autism are still largely unknown. Sharing your personal experience of being born with a lack of oxygen and your thoughts on the MMR vaccine controversy (while acknowledging its likely inaccuracy) adds a personal touch. Your reference to genetic factors and birth injuries as potential areas of research is also relevant.

Focus on Strengths and Support:

You conclude by emphasizing the importance of focusing on the strengths of autistic individuals alongside their difficulties and encouraging a supportive approach to help them live fulfilling lives.

Overall:

Your writing is a powerful blend of personal experience, factual information, and thoughtful reflections on Autism. It provides a valuable insight into the complexities of the condition and the importance of understanding, acceptance, and appropriate support. It would indeed be a valuable resource for students, mental health workers, families, and anyone seeking to learn more about Autism. Your honesty and willingness to share your experiences are commendable.

Sources and related content

Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing - PubMed Central

 

Source icon

pmc.ncbi.nlm.nih.gov

 

Asperger syndrome | Autism Speaks

 

Source icon

www.autismspeaks.org

 

The 3 Levels of Autism: Symptoms and Support Needs | Psych Central

 

Source icon

psychcentral.com

 

Why Change Is Hard for Children With Autism

 

Source icon

www.handscenter.com

 

Is Autism a Developmental Disability? - 3billion

 

Source icon

3billion.io

 

The Shift in Classification: What Happened?

The key point is that Asperger Syndrome is no longer considered a separate diagnostic category in the most recent diagnostic manual, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), published in 2013.

Instead, Asperger Syndrome is now considered to be part of the broader umbrella diagnosis of Autism Spectrum Disorder (ASD). Think of it like different points on a spectrum, rather than entirely separate conditions.

What are the Same (Similarities)?

Since Asperger Syndrome is now included within ASD, individuals who would have previously been diagnosed with AS share the core characteristics of autism, but often in a less pronounced way in certain areas. These shared characteristics include:

       Difficulties with Social Communication and Interaction: This is a central feature of ASD. Both individuals who would have been diagnosed with AS and those with other forms of ASD often experience challenges in understanding and responding to social cues, forming relationships, understanding non-verbal communication (like facial expressions and body language), and engaging in reciprocal social interactions. You mentioned this directly in your text.   

       Restricted and Repetitive Patterns of Behavior, Interests, or Activities: This is the other core diagnostic criterion for ASD. This can manifest in various ways, such as: 

o      Repetitive motor movements: Like hand-flapping, rocking, or twirling (as you mentioned).   

o      Insistence on sameness: Difficulty with change and a strong need for routines (also mentioned).

o      Highly restricted, fixated interests: Intense focus on specific topics (as you pointed out with talking about and repeating the same topic).   

o      Sensory sensitivities: Unusual responses to sensory input like sounds, smells, tastes, or textures (also mentioned).   

  

       Underlying Neurological Differences: Both what was previously known as AS and other forms of ASD are understood to stem from differences in brain development.

What Were Considered the Differences (Before the DSM-5)?

Historically, the main distinctions between Asperger Syndrome and what was then called "Autistic Disorder" (often referred to as "classic autism" or "Kanner's Syndrome") were:

       Language Development: Individuals with Asperger Syndrome typically had no significant delays in early language development. They usually acquired single words by age two and phrase by age three. This was a key differentiating factor from Autistic Disorder, where significant language delays were common. You touch on this by saying individuals with "AS" faced milder speech problems, which aligns with this historical understanding.   

       Cognitive Development: Individuals with Asperger Syndrome typically had average to above-average intelligence. While they might have specific learning difficulties (as you correctly point out with the link to dyslexia, dyspraxia, ADHD, anxiety, and depression), they generally did not have the intellectual disabilities that were more frequently associated with Autistic Disorder. Your confusion about learning disabilities in "ASD" likely stems from this historical distinction. It's important to clarify that ASD as a whole can occur across all levels of intellectual ability.   

       Self-Awareness and Interest in Social Interaction: While still facing social challenges, individuals with Asperger Syndrome were often described as having a desire to connect with others, even if they lacked the social skills to do so effectively. Individuals with more "classic" autism might have appeared more aloof or uninterested in social interaction.

Why the Change to Autism Spectrum Disorder?

The move to the single umbrella term of ASD reflects the growing understanding that:

       The boundaries between Asperger Syndrome and other forms of autism were not always clear-cut. Many individuals presented with a mix of features that didn't neatly fit into either category.

       It emphasizes the spectrum nature of autism. Individuals with ASD have a wide range of abilities and challenges. Focusing on a spectrum allows for a more nuanced and individualized understanding of each person's strengths and needs.   

       It reduces potential stigma. The term "Asperger's" had a complex history, and some felt that a single term would be more inclusive.

In Summary:

       Previously: Asperger Syndrome was considered a separate condition from Autistic Disorder, primarily distinguished by typical early language development and average to above-average intelligence.

       Now: Asperger's Syndrome is no longer a separate diagnosis but is considered part of the Autism Spectrum Disorder (ASD). Individuals who would have been diagnosed with AS are now understood to be at one end of the autism spectrum, often characterized by less pronounced early language delays and average to above-average cognitive abilities, but still experiencing the core social communication and interaction difficulties and restricted/repetitive behaviors of autism.   

Your personal experiences and observations are valid and reflect the real challenges individuals on the autism spectrum face, regardless of the previous diagnostic label. The change in terminology aims to better capture the diverse ways autism can manifest.

Sources and related content

 

Autism and communication - National Autistic Society 

Strengths of Your Current Draft:

·                  Comprehensive Coverage: You’ve touched on essential aspects like diagnostic history, neurological basis, sensory processing, co-occurring conditions, communication differences, and the social model of disability.

·                  Personal Voice: The personal reflections give it authenticity and help readers emotionally connect with the content.

·                  Educational: You break down complex terms (e.g., CNS/ANS, DSM-5 classification) in an accessible way.

·                  Empowering Perspective: Your focus on strengths, potential, and the need for support rather than “fixing” is exactly the inclusive tone that promotes understanding and acceptance.

Suggested Next Steps:

1.            Visual Aids or Tables (Optional):

o       You might consider adding a comparison table showing how Asperger’s was defined vs. current ASD levels (DSM-5).

o       A simple chart showing CNS vs. ANS differences in ASD could help some readers.

2.            Easy-Read Summary Section:

o       Since your audience includes families and possibly students with learning needs, include a short “Autism in Simple Words” or “Key Points to Remember” at the end of the chapter.

3.            Quotes or Testimonies:

o       Including short quotes from autistic individuals or family members can enrich the narrative.

4.            UK and USA Context:

o       If helpful for your readers, briefly explain how diagnosis and support differ in the UK and USA (e.g., EHCPs, IEPs, CAMHS, or IDEA/504 in the US).

5.            Practical Tips Section:

o       Add some everyday coping strategies for sensory overload, managing change, or navigating social settings.

6.            References and Resources:

o       Consider ending with a short list of trusted links or support services (e.g., National Autistic Society, Autism Speaks, Autistica, local autism hubs, etc.).


 


 

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