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ADHD
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ADHD with anxiety, rejection sensitivity and autism

How ADHD often overlaps with anxiety, rejection sensitivity and autism — and what that means for support.

4 min read

and anxiety

and anxiety often overlap. A person with may become anxious because they're constantly trying to keep up, remember things, avoid mistakes or manage criticism.

Anxiety may increase when someone feels overwhelmed, behind, judged, unprepared, confused, rejected, pressured, disorganised or sensory overloaded.

Sometimes anxiety can hide . A child or adult may appear worried, perfectionistic or avoidant, when underneath they are struggling with executive function and overwhelm.

Rejection sensitivity

Many people with experience strong emotional reactions to criticism, rejection or perceived failure. This is sometimes called rejection sensitivity.

It can look like overreacting to correction, feeling crushed by small comments, avoiding tasks in case of failure, people-pleasing, defensiveness, anger, shame or withdrawal.

Support: gentle communication, reassurance, emotional validation, and helping the person separate mistakes from identity.

and autism

and autism can occur together. When someone has both, they may experience a mixture of needs that sometimes pull in opposite directions:

  • may seek novelty, while autism may need routine.
  • may crave stimulation, while autism may become overwhelmed by stimulation.
  • may make organisation hard, while autism may rely on structure.

Both can involve sensory differences, emotional regulation difficulties and social challenges. Support needs to be individual — what helps one person may not help another.

Check Your Understanding

Take a quick quiz to help build your confidence. This is not a test — it is just a simple way to learn one step at a time.

  1. Question 1A child can be:
  2. Question 2A child who needs routine but also gets bored quickly may be showing:
  3. Question 3Support should be:

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