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AuDHD: Practical Strategies For Co-occurring Neurodivergence

24 SEPTEMBER 2025

AuDHD refers to the co-occurrence of both ADHD and autism. Because the traits of these two conditions often overlap, AuDHD can be difficult to recognise and diagnose, making it challenging to determine the most effective ways to provide support. In this article, we’ll provide an overview of what AuDHD is, highlight common traits and challenges, and offer practical strategies to help you support your child or young person.

How does AuDHD present in children?

The key traits and characteristics of ADHD and autism can overlap in many ways, these overlaps can lead to:
  • Contradictory behaviours: being deeply focused one moment and easily distracted the next
  • Sensory sensitivities: these can make certain environments and situations overwhelming
  • Internal hyperactivity: hyperactivity isn't always visible to others
  • Executive function challenges: such as planning, organisation, and completing different tasks
  • Burnout: which can be caused by the effort of trying to self-regulate
Being able to recognise these signs will allow you to understand and support your AuDHD child better, as they are trying their best to manage things that they may find challenging or overwhelming.

Common challenges for children with autism and ADHD

All of our children are unique, so one AuDHD child may present very differently to the next. Below, we've outlined some of the most common challenges of the co-occuring conditions:

  • Difficulty transitioning from one task to another, especially when they are focused deeply on something
  • Challenges managing strong emotions and finding ways to calm down and regulate
  • Sensory processing difficulties, such as managing busy, loud, or bright environments
  • Holding in or 'masking' during the school day, only to come home and let all their emotions out where they feel safe
  • Having conflicting needs, which often can make them feel misunderstood

Practical ways to support your child with AuDHD

Introduce break or timeout signals

  • Agree on a simple hand signal, card, or word so they can ask for a break
  • Use visual guides and prompts to help them recognise when they are becoming overwhelmed

Help your child manage transitions

  • Give countdowns and use timers so changes don’t feel sudden
  • Use bridging statements, such as “Let’s finish this part, then move on.”
  • Join the child or young person in their activity for a short time before helping them shift focus

Encouraging calm time

  • Pair calmtime with movement, like yoga, walking, or using a trampoline
  • Try an “energy first, then calm” approach, letting the child release their energy before relaxing
  • Offer heavy work activities such as digging, carrying, or pushing to support regulation
  • Create calm, appealing spaces with blankets, cushions, soft lighting, or a favourite item

Help your school understand your child's needs

  • Share with teachers that hyperactivity can be internal, not always visible
  • Explain that fidgeting often helps children and young people regulate, rather than distracts them
  • Suggest adjustments such as flexible seating, fidget tools, and movement breaks
Every child and young person with AuDHD are unique, and what helps one day might not work the next. With patience, flexibility, and support, families and schools can make a big difference. Simple tools like break signals, countdowns, heavy work, and calm spaces can really help children feel more settled and supported.

Looking for more support on AuDHD? 

In this webinar, Colette Longden, Training Director from Blueprint Learning, shares practical advice for supporting children with AuDHD. Exploring what is AuDHD, and how different forms of neurodivergence overlap. She also discusses the complexities and paradoxes of the AuDHD profile. Plus, practical strategies to help support AuDHD children and young people.

Your Instagram questions answered

Plan with school to create a simple "space signal". Your child can use a hand gesture, card, or code word. You could create a one-page visual guide with school showing their overwhelm signs (withdrawing, getting quiet, backing away). Suggest they give them a "helper job" or a quiet space pass when they signal they need breaks.

Use gentle warnings:

"Five more minutes with Lego, then snack time."

Try bridging:

"After this tower, we'll build something in the kitchen, a sandwich!"

Avoid abrupt stops, and consider using timers that display a countdown.

Sometimes, joining in briefly before transitioning helps.

Ending a rewarding activity with another enjoyable activity can help with transitions. Make sure you give the time to come out of that deep focus.

Offer "calm with movement" fidgets during quiet time, like yoga, gentle music with movement. A walk outside or five minutes on a trampoline.
Try "energy first, then calm": ten minutes of running, followed by twenty minutes of quiet activity.
Heavy work can be helpful; you could disguise this with activities around the home, such as digging in the garden. 
Make calm activities more appealing with special lighting, weighted blankets, or favourite snacks. I swear by Bubbles, who doesn’t love that? Blowing bubbles is great for breathing work.

Education is important and schools are developing their understanding of neurodiversity every day. Share any resources with the school - share this session.

Hyperactivity symptoms can be subtle, and internal hyperactivity may manifest as feelings of restlessness and difficulty with quiet activities.

What this means for school:

  • · Fidgeting = brain trying to regulate
  • · Restlessness shows up as mental fatigue
  • · Quiet activities are genuinely difficult
  • · Internal motor is always running

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