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Co-occurring Conditions
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Parents & carers

Co-occurring conditions: the bigger picture

Why SEND rarely arrives alone — and the most common conditions that travel together.

6 min read

rarely arrives alone

Most children and adults have more than one diagnosis. This is called co-occurrence or comorbidity. and research literature consistently shows high overlap between:

  • Autism and (often called AuDHD)
  • Autism and learning disability
  • Autism and anxiety / OCD /
  • and dyslexia / dyspraxia / dyscalculia
  • Sensory processing differences across nearly all neurotypes
  • Tourette's, tics and OCD
  • Epilepsy (higher in autism and learning disability)
  • Hypermobility / EDS (higher in autism and )
  • Gastrointestinal issues
  • Sleep disorders
  • Mental health conditions (anxiety, depression, eating disorders, PTSD)

Why this matters

  • One diagnosis often masks another
  • Each condition needs its own strategies
  • The "primary" diagnosis may not be the most disabling one
  • Services often only treat one thing at a time

Common combinations

AuDHD — autistic + brains together. Often missed because traits can look contradictory (loves routine + craves novelty). Needs strategies for both.

Autism + anxiety — extremely common. Reducing sensory and social demand often reduces anxiety more than therapy alone.

Autism + — see the separate topic. Standard autism strategies often backfire.

+ dyslexia — focus + reading processing both struggle. School support must address both.

Hypermobility + autism/ — pain, fatigue, clumsiness often dismissed. Worth raising with .

What to do

  • Keep a symptom and trigger diary
  • Ask the / paediatrician about referrals for things that don't fit the main diagnosis
  • Don't accept "it's just the autism"
  • Treat each condition with its own strategy
  • Remember mental health is a co-occurring condition too — treat it actively

One person, many threads. Support all of them.

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