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ghfreak13579
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27 Feb 2009, 4:13 pm

Do you know what the difference is because I keep doubting whether I just have Asperger's (My current status) or if I have both AS and ADD/ADHD? The doc put me on ADHD meds because I had trouble concentrating and paying attenttion at school, along with my antidepressant. Do any of you feel the same way about your diagnosis(es)?


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Last edited by ghfreak13579 on 27 Feb 2009, 5:48 pm, edited 1 time in total.

DWill
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27 Feb 2009, 4:58 pm

I'm diagnosed with both, but I only think I have AS. My attention span can waver, but thats because I probably find things excessively boring compared to my special interests.

The one overlapping condition between the two conditions that I'm aware of is executive functioning disorder, which is the inability to plan, concentrate, or stay motivated to finish a task basically. It shows in test taking with me, or even filling out surveys, it just takes me a lot longer to process the information then formulate a response, which is why the ADHD diagnosis is beneficial to me at my university because it allows me extra time.

Sound anything like what you have? In many respects AS and ADD/ADHD are very similar because of executive functioning disorder (and the social awkwardness both conditions share, also some sensitives to external stimuli now that I think about it). So similar that the psychologist who diagnosed me with AS said she was just going to leave the ADD diagnosis on because the two conditions were so similar and that it wouldn't hurt having that diagnosis, and maybe even be beneficial to me. You could very well be in the same situation that I am in.



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27 Feb 2009, 5:32 pm

Pretty easy to tell...

Do you enjoy the company of other people?
Do they enjoy YOUR company?
Do you WISH you could enjoy the company of other people more, but can't figure out HOW?
Do you not "get" subtlty of emotion/facial expression - ie., does someone have to be yelling/in your face before you understand that they are PO'd?

Those are some primary indicators of AS that ADD/AHD don't normally have. (and yes, you can have both... but there are a lot of non-AS ADD/ADHD people out there too.)


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Last edited by MrMisanthrope on 27 Feb 2009, 5:57 pm, edited 1 time in total.

Liresse
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27 Feb 2009, 5:36 pm

Yeah. I'm sure they're different but I'm pretty sure that I have both - my AS symptoms don't make sense unless you assume inattention disorder, and ADHD doesn't explain all the pervasive social/obsessive difficulties of AS. (have been provisionally diagnosed with both at the present time - a possible rediagnosis in the future!)

Mind you, my psychiatrist thought that I was just "fidgety" when I thought it was stimming. I guess the only explanation is that I have a variety of subconscious repetitive movements (either category)

I think the easiest way for me to explain this is to look at what I do when I'm trying to write an essay. I start off with all the good intentions in the world, get obsessed with the topic. I'll do heaps and heaps of reading around the topic, and sometimes I will drift off entirely into one very small, specific area of my topic.
- This is me having inattention for the purpose of the research, which is the essay and the essay question, at the same time I'm being obsessive about my specific interest. Similarly my difficulty with parallel processing/multitasking, ie executive functioning, means that I have difficulty thinking about both the purpose and the actual topic at the same time.

I may repeat that research sequence until I run out of time, get exhausted, or feel overwhelmed by the amount of information I have acquired, usually all three. I will then try and sort out the information and possibly attempt to write an essay. There is a long time of flitting between bits of information and trying to figure out what I should be focusing on first. This is really hard, because all it is is multitasking - two pieces of unrelated information, where do they fit and what else do I need to know about them, is perhaps one a category for the other, are they even relevant for the question - AND what is the question again? - repeat, for however many pieces of information I have. I will attempt to draw diagrams, write lists, I think I've been pretty creative really with trying to make sense of this information stage.
- This is the stage where I get most distracted, go do something else, start a new hobby, jump up and down, feel like running round in circles, mostly because I'm bored and am completely stuck and overwhelmed by all the information. I'm thinking both ADHD and AS could be involved here. It really is just so difficult. I never fully ever get a handle on this one.

Either when I realise this is pointless or that I have very little time left in which to complete my essay, I stop trying to make sense of my information. I will (in considerable desperation, usually) launch right into my essay. Usually I find it impossible to get started unless I create a structure for myself, so I'll write headings for beginning, middle points, and ending, so I have some sort of expectation. Sometimes I will get bogged down at this point because I don't know if I'm completely right about what the headings should be: I might run back to stage one and dive into the research to try and figure out what the point of everything was (accompanied by being overwhelmed by all the information). After a struggle I will usually come up with headings that are "reasonable" but I am always bothered by the fact that they are not perfect and a niggle that I have forgotten to include a large chunk of information (which I almost ALWAYS have - too focused on the details)
- Perfectionism for having the content matching up to the headings, having the headings I want at the end NOW (ie not being able to conceive of the essay as a "draft" but needing to have the "finished product). A variety of mild executive dysfunctions here. I will frequently forget about anything that I tell myself to do unless it is written down, and sometimes with too many scraps of paper with stuff written on it I will just get overwhelmed.

At the moment I'm kinda forgetting where I was going with this post... heh nothing like reality eh. Here's the rest, in compressed form:
- Get more desperate: Insert information all over the essay where I feel it's missing
- Weed out irrelevant stuff
- Insert more information
- Weed out irrelevant stuff
(repeat, if enough stamina)
- End up with an essay that either answers another question, and therefore doesn't answer the actual essay question, or an essay that contains so many pieces of information and the sentences are so unrelated to each other that it's incoherent, even if I managed to focus on the original essay question.

I didn't specify everything but you can see both sides coming out in full force.


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27 Feb 2009, 6:48 pm

I'm not sure the professionals are even sure how they interrelate. And officially, by the DSM, you can't have both. Which could just mean that, at least as of the most recent update, they didn't know how to distinguish the two well enough for duel diganosis. Though some professionals will give a duel diagnosis, apparently. At least, I assume the folks here diagnosed with both, that that's the case, at least for a good number of them.

The way I see it, the only real value to having an ADD/ADHD diagnosis, if one already has a austism or Asperger's diagnosis, is medications, if one chooses to use ADD meds and finds one that's effective.



GeomAsp
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28 Feb 2009, 3:02 am

Hi,

i jus want to say i feel exactly the same. I am now enrolled in a pdh program and i am afraid the professors won't understand that my problem is not aabout being smart, it's jus my attention problem. In class it is very hard for me to do well because, for example, if the class lasts 1 hour, i only pay attentionfor 10 minutes. The rest of the time i am flying away, making my own assumptions and interpretations about the topic being discussed and living inside my world.

DWill, i am glad to hear that your "condition" is recognized and understood. I just wonder if here in Spain people are educated enough in order to understand what happens to us and be patient. As far as i know AS/ADHD is not well known in Spain. Were are you studying ?



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28 Feb 2009, 3:35 am

I personally don't really think ADD/ADHD is legit. I got diagnosed with it a long time ago... and its true that my attention span is horrible... but I really don't think it has anything to do with a disorder. I think they just try to hard to put a label on any sort of "abnormality". But when it really comes down to it, I think at least 80% of people have attention span issues. Most people could easily get diagnosed with it if they actually went to a psychologist and discussed their attention span. Also, even if it is real, I think that putting that label on a little kid is ret*d. Little kids are supposed to be hyper and lack an attention span. That's just the nature of kids.


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28 Feb 2009, 5:51 am

kalantir wrote:
I personally don't really think ADD/ADHD is legit. I got diagnosed with it a long time ago... and its true that my attention span is horrible... but I really don't think it has anything to do with a disorder. I think they just try to hard to put a label on any sort of "abnormality". But when it really comes down to it, I think at least 80% of people have attention span issues. Most people could easily get diagnosed with it if they actually went to a psychologist and discussed their attention span. Also, even if it is real, I think that putting that label on a little kid is ret*d. Little kids are supposed to be hyper and lack an attention span. That's just the nature of kids.


I don't know where you get the idea that 80% of all people have an attention deficit that can be observed in 2 environment and is impairing them.

Also, I can say the same about AS - AS isn't real, because most people show a trait or two and they're completely utterly normal. To consider yourself AS and say AD(H)D isn't real because the traits aren't definite enough or because they appear in a non-disordered form in more people is a bit hypocritical.

It's also invalid to claim that just because professional mess up with diagnosing that the disorder isn't real. You may want to take notice that about 70% of those with AS aren't AS by current definition - yet they all got the diagnosis.

You may not have AD(H)D - true. That's what you got to know. Just because you receive a diagnosis doesn't mean it's correct. There are so many people being misdiagnosed with about every psychiatric and physical condition there is. Professional can be unknowing idiots at times.

Yes, the attention span and concentration ability of kids (compared to that of adults) is short and weak.

However, it is age appropriate. And if you have regular kids that can sit still and concentrate because they want to and are interested for 15 minutes and you place a kid of the same age with real AD(H)D next to them you're going to see a striking difference.

Just as when you would place an AS kid right next to a group of non-autistic kids. The kid can really want to concentrate and pay attention because he or she finds what is going on to be extremely interesting but won't be able to. Not even for a couple of minutes. Seriously, just 2 minutes is an utopia. The kids I know can hardly finish one word of 6 letters straight without help.

He or she will jump up and down, lay on the floor, shout into the class, fiddle with his or her clothing and at worst, the kid will show up and get distressed and - if he or she's more on the whiny side - get tear-y because they want to pay attention and take part but absolutely cannot.

There's even a noticeably difference between the concentration ability of a kid with mild MR and that of a kid with normal or high IQ and AD(H)D. The kid with MR can concentrate according to their IQ and the kid with AD(H)D won't be able to do the same.

And it's not as if AD(H)D or a clinical attention and concentration deficit isn't as real in adults either. It's not just little children who have AD(H)D.


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28 Feb 2009, 8:14 am

kalantir wrote:
I personally don't really think ADD/ADHD is legit. I got diagnosed with it a long time ago... and its true that my attention span is horrible... but I really don't think it has anything to do with a disorder. I think they just try to hard to put a label on any sort of "abnormality".


I’m not exactly that fond of others slapping labels on people either.
I believe that these traits have always been around though, we're just having to deal with them in different ways.

Years ago, ADHD type behaviour would have been dealt with using corporal punishment and strict discipline. Because attitudes have changed now, teachers have to find a way to keep more active members class under control without resorting to violence.

I’ve known and loved lots of people who've matched these traits.
They were some of the most subversive, hilarious, awkward, tenacious and imaginative people I’ve met. It’s an extreme personality that some people are born with. I don’t really like this word “disordered”. Some people are just different that's all.

Sora wrote:
And it's not as if AD(H)D or a clinical attention and concentration deficit isn't as real in adults either. It's not just little children who have AD(H)D.


You just have to look into a room of one of these people to realise that these traits are real. People’s internal struggles with organisation and their ability to concentrate do influence the external physical world!

These kind of behaviours doesn’t just magically evapourate as someone grows up. These people become very easily distractible, impulsive and active adults. They still have the same underlying temperaments they did when they were children. Their personality traits just manifest in different ways as they grow up and try to adapt, that’s all. Others may find these people exhausting, "hard to follow" and irritating to be around. Someone can still theoretically have a restless “class clown” attitude when s/he's 30.

Being able to think divergently and quickly shift from one topic to another isn’t always “bad” as such. It depends on the context.

Sora wrote:
Just as when you would place an AS kid right next to a group of non-autistic kids. The kid can really want to concentrate and pay attention because he or she finds what is going on to be extremely interesting but won't be able to. Not even for a couple of minutes. Seriously, just 2 minutes is an utopia. The kids I know can hardly finish one word of 6 letters straight without help.

He or she will jump up and down, lay on the floor, shout into the class, fiddle with his or her clothing and at worst, the kid will show up and get distressed and - if he or she's more on the whiny side - get tear-y because they want to pay attention and take part but absolutely cannot.


Ouch.
All that sounds frighteningly like me when I was little.
I was confused as to why everyone was being so “nasty”, chatting amongst themselves and not including me. I didn’t have a clue as to how I should join in. I really wanted to join in and help, but it seemed like no-one would let me. They seemed to be talking a completely different social language from what I’d learned at home.



Last edited by AmberEyes on 28 Feb 2009, 3:33 pm, edited 1 time in total.

Sora
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28 Feb 2009, 8:55 am

AmberEyes, you somehow got the quotes mixed up in your post. The first one is from kalantir, the others are from me. Edit: Already solved.

AmberEyes wrote:
Being able to think divergently and quickly shift from one topic to another isn’t always “bad” as such. It depends on the context.


Yes, I agree with that. Both impulsivity and hyperactivity mean for me personally that I have lots of energy I can invest into countless things. Even including coping with parts of my autism.


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28 Feb 2009, 9:16 am

Having an attention deficit can be part of ASDs. As someone suggested earlier in this thread; people with autistic spectrum disorder tend to have executive dysfunction, and the executive functions play a large role in controlling attention.

I was unoffically diagnosed with ADD as child and was put on medication off and on throughout my childhood. In early 2004 when I was 19 I was offically diagnosed with ADD. Recently I was diagnosed with PDD-NOS, and now I tend to see my attention deficit as part of my PDD-NOS diagnoses.

I remember reading somewhere that Temple Grandin suggests that people with non-traditional (high-functioning) types of autism can benefit from stimulants.



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28 Feb 2009, 12:36 pm

AmberEyes wrote:
Years ago, ADHD type behaviour would have been dealt with using corporal punishment and strict discipline. Because attitudes have changed now, teachers have to find a way to keep more active members class under control without resorting to violence.

You've got the quotes mixed up. But anyways. Yeah... now they keep their students under control by convincing the parents that they should put their kids on amphetamines. What an awesome world we live in :P

sora wrote:
Also, I can say the same about AS - AS isn't real, because most people show a trait or two and they're completely utterly normal. To consider yourself AS and say AD(H)D isn't real because the traits aren't definite enough or because they appear in a non-disordered form in more people is a bit hypocritical.

Wow, making a comparison between an attention deficit and a form of autism is kinda dumb. Simply exhibiting a couple traits of a disorder would by no means mean that they have the said disorder. People with AS can show traits such as tics, echolalia, and a number of other things which would easily be considered abnormal by themselves. It's pretty safe to say that if you have tics(or various other traits), you probably have something unusual going on in your brain. Whether it be AS, tourretes, or something else. Something as simple as not being able to pay attention should not be defined as a disorder.


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28 Feb 2009, 1:51 pm

AS+ADHD here. Officially you can't be diagnosed with both (a PDD takes diagnostic precedence) but you can definitely qualify for all the other diagnostic signs--which I do.

It's frustrating because the lack of concentration (which, incidentally, does not respond to medication) and poor planning ability are holding me back when I'm trying to use the skills I have. Oh, sure, the creativity and ability to draw conclusions by putting together far-flung bits of information do come in handy--those are ADHD traits--but if I can't force myself to do what I need to be doing, what good are they?


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28 Feb 2009, 2:30 pm

Liresse wrote:
Yeah. I'm sure they're different but I'm pretty sure that I have both - my AS symptoms don't make sense unless you assume inattention disorder, and ADHD doesn't explain all the pervasive social/obsessive difficulties of AS. (have been provisionally diagnosed with both at the present time - a possible rediagnosis in the future!)

Mind you, my psychiatrist thought that I was just "fidgety" when I thought it was stimming. I guess the only explanation is that I have a variety of subconscious repetitive movements (either category)

I think the easiest way for me to explain this is to look at what I do when I'm trying to write an essay. I start off with all the good intentions in the world, get obsessed with the topic. I'll do heaps and heaps of reading around the topic, and sometimes I will drift off entirely into one very small, specific area of my topic.
- This is me having inattention for the purpose of the research, which is the essay and the essay question, at the same time I'm being obsessive about my specific interest. Similarly my difficulty with parallel processing/multitasking, ie executive functioning, means that I have difficulty thinking about both the purpose and the actual topic at the same time.

I may repeat that research sequence until I run out of time, get exhausted, or feel overwhelmed by the amount of information I have acquired, usually all three. I will then try and sort out the information and possibly attempt to write an essay. There is a long time of flitting between bits of information and trying to figure out what I should be focusing on first. This is really hard, because all it is is multitasking - two pieces of unrelated information, where do they fit and what else do I need to know about them, is perhaps one a category for the other, are they even relevant for the question - AND what is the question again? - repeat, for however many pieces of information I have. I will attempt to draw diagrams, write lists, I think I've been pretty creative really with trying to make sense of this information stage.
- This is the stage where I get most distracted, go do something else, start a new hobby, jump up and down, feel like running round in circles, mostly because I'm bored and am completely stuck and overwhelmed by all the information. I'm thinking both ADHD and AS could be involved here. It really is just so difficult. I never fully ever get a handle on this one.

Either when I realise this is pointless or that I have very little time left in which to complete my essay, I stop trying to make sense of my information. I will (in considerable desperation, usually) launch right into my essay. Usually I find it impossible to get started unless I create a structure for myself, so I'll write headings for beginning, middle points, and ending, so I have some sort of expectation. Sometimes I will get bogged down at this point because I don't know if I'm completely right about what the headings should be: I might run back to stage one and dive into the research to try and figure out what the point of everything was (accompanied by being overwhelmed by all the information). After a struggle I will usually come up with headings that are "reasonable" but I am always bothered by the fact that they are not perfect and a niggle that I have forgotten to include a large chunk of information (which I almost ALWAYS have - too focused on the details)
- Perfectionism for having the content matching up to the headings, having the headings I want at the end NOW (ie not being able to conceive of the essay as a "draft" but needing to have the "finished product). A variety of mild executive dysfunctions here. I will frequently forget about anything that I tell myself to do unless it is written down, and sometimes with too many scraps of paper with stuff written on it I will just get overwhelmed.

At the moment I'm kinda forgetting where I was going with this post... heh nothing like reality eh. Here's the rest, in compressed form:
- Get more desperate: Insert information all over the essay where I feel it's missing
- Weed out irrelevant stuff
- Insert more information
- Weed out irrelevant stuff
(repeat, if enough stamina)
- End up with an essay that either answers another question, and therefore doesn't answer the actual essay question, or an essay that contains so many pieces of information and the sentences are so unrelated to each other that it's incoherent, even if I managed to focus on the original essay question.

I didn't specify everything but you can see both sides coming out in full force.


wow this sounds so very familiar. you've descried the process of my writing of a thesis pretty well, Liresse!

anyway, I'm not so sure I have AS either (see below). actually, I no longer think I have it. I think that my social difficulties are down to my inability to concentrate- I get so distracted by all the details around that I just can't pay enough attention to the people.

obsessive interests can also be explained by ADHD- when I find something I can hyperfocus on, I go along with it, because if feels great to be able to concentrate on something and get the racing thoughts in order.

also, repetitive mannerisms (i.e. stimming) help my mind concentrate.

and finally, the executive dysfunction. in my case it's pretty debilitating- one look at the mess in my apartment says it all. but then again, if you'd look f.ex. at my iTunes library you'd think that the amount of time it must have taken to put it in such a perfect order reveals a serious systematising obsession :p

and yeah, as someone above had said, it helps to have the ADHD diagnosis when you're at school. I wasn't diagnosed yet back then, and it was a nightmare that took much longer than it should've.


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28 Feb 2009, 2:34 pm

kalantir wrote:
Wow, making a comparison between an attention deficit and a form of autism is kinda dumb.

Calling what others do dumb is very immature and disrespectful.

You do not seem to like it, but AD(H)D can easily compared to AS. Just because you deny the existence of AD(H)D and have no understanding of AD(H)D as this quote shows

kalantir wrote:
Something as simple as not being able to pay attention should not be defined as a disorder.


doesn't mean you may call what others write 'dumb'. There is more to the world than your knowledge and opinion of it. Those who are severely impaired by their AD(H)D and struggle with everyday tasks will find it to be accusing and ignorant to be told they don't have a disorder and that their AD(H)D is a 'simple' issue.

But I feel too annoyed to further talk about this to you in specific, when what I write is called 'dumb' by you and when you display such insulting ignorance towards all those who have AD(H)D.


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28 Feb 2009, 2:38 pm

Sora wrote:
Calling what others do dumb is very immature and disrespectful.

Right, so calling someone a hypocrite is fine, but dumb is immature and disrespectful. Who's the hypocrite now?


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