Can someone with ADD really have Asperger's

Asperger syndrome

The Asperger syndrome is considered by the WHO to be one of the profound developmental disorders within the autism spectrum. Asperger's syndrome affects those affected primarily in the areas of social interaction and communication, especially with regard to the ability to recognize and use non-verbal and para-language signals. To outsiders, the behavior of those affected in social interactions can therefore appear strange, clumsy or lacking in distance. Asperger's syndrome can also coincide with ADHD and giftedness or island talent. It becomes noticeable from around the age of four.[1]

According to current scientific knowledge, Asperger's Syndrome is considered incurable, although scientists, doctors, affected persons and their relatives alike disagree on whether the syndrome should be classified as a disease or a standard variant of human information processing.

As part of the ADHD differential diagnosis, it is important to consider Asperger's syndrome, since up to 70% phenotypic overlaps are possible.[2]


Social behavior: Children with Asperger's Syndrome are usually socially isolated and are often offensive because of their deviant behavior. In school, they are often exposed to social exclusion, bullying and teasing. Due to their lack of understanding of irony or sarcastic taunts, they are often unable to identify covertly aggressive behavior as something that unsettles them. Many of those affected desperately want contact with their peers, but fail when trying to establish social contact, as their body language and other non-verbal signals are often perceived as closed, evasive, disinterested or dismissive.[3]

language: In contrast to early childhood autism, the language of Asperger's children is often characterized by a stylistically high-pitched style. Asperger's children stand out for their age-appropriate, adult and often pedantic way of expression, which gives outsiders an impression of arrogance and self-importance. Long-winded, monologic elaboration of experiences or narratives about a beloved topic often occurs, whereby those affected cannot see whether their audience is still interested.[4]

Similar to ADHD sufferers, Asperger's sufferers have difficulty distinguishing the essential from the inessential as well as weak central coherence, which often becomes a test of patience for their listeners.

In addition, there are incomprehensible changes of subject, own creations of metaphors and word creations, answers to rhetorical questions, self-talk, formulations that seem to have been learned by heart and inaccurate listening.

The mentioned abnormalities in the language often lead to misunderstandings and conflicts in social situations. Here, the burden for those affected is usually immense because they cannot reflect on their own behavior.

Comparison of abnormalities of Asperger's Syndrome and ADHD

ADHD Asperger syndrome
Disturbance of attention, changing attention High distractibility by external stimuli, no sustained attention, or hyperfocusAttention turned inwards, little flexibility
Disorder in social interaction Impulsive behavior, impatience, occasionally less developed social understanding Often little social understanding, withdrawal behavior
Interests Frequent changes of interest, often versatile Seldom intense interests, or conspicuous interests
Sensory hypersensitivity Occasionally hypersensitivity to sounds and tactile stimuli. Hypersensitivity to noise and tactile stimuli, crowds favor overload.
Motor skills Occasionally poor coordination, hyperactivity Coordination weakness, gross motor skills
Affective responsiveness impulsiveness Few feelings, explosive outbursts
Insensitivity to pain Inconspicuous Often
Language level Inconspicuous or imprecise articulation High, pedantic
Responding to praise Praise has a reinforcing effect Often a paradoxical effect

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Individual evidence

  1. ↑ http: // Src = heft & id = 63173
  2. ↑
  3. ^ Preißmann: Psychotherapy and counseling for people with Asperger's syndrome, concepts for successful treatment from those affected and the therapist's point of view. 2nd, revised and expanded edition. P. 67.
  4. ↑ Asperger (1944), p. 114; Ami Klin et al .: Asperger Syndrome. In: Byron Patrick Rourke (ed.): Syndrome of nonverbal learning disabilities: neurodevelopmental manifestations, 1995, pp. 93–118 (especially p. 101); Ami Klin et al .: Assessment Issues in Children and Adolescents with Asperger Syndrome. In: Ami Klin, Fred R. Volkmar, Sara S. Sparrow (eds.): Asperger Syndrome (2000), pp. 309–366 (especially p. 323)