599. Recognizing AuDHD: Avoiding Diagnostic Pitfalls in Co-occurring Autism and ADHD w/ Dr. Sara Woods

Click here to read the transcript As clinical evaluators, we frequently encounter cases where diagnostic criteria overlap, leaving us to navigate the complex intersection of co-occurring neurodevelopmental conditions. In this episode, Sara Woods and I explore the emerging construct of AuDHD, examining whether the co-occurrence of Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder represents a distinct phenotypic presentation rather than merely two additive diagnoses. We discuss qualitative insights from community self-advocates, neurobiological evidence including gray matter variations, and the complex clinical dynamics of diagnostic overshadowing, double-counting, and autistic masking. Furthermore, we address the practicalities of selecting assessment batteries, evaluating sensory profiles, accounting for socioeconomic privileges in special interests, and navigating neurodiversity-affirming practices without abandoning diagnostic rigor. Main Topics Covered 03:02: Defining AuDHD as an emerging construct in clinical and community spheres 04:48: Qualitative perspectives on internal tension and the cat-dog analogy 11:38: Neurobiological research and gray matter variations in dual presentations 19:42: Life-span clinical presentation from childhood masking to adult niche-seeking 26:45: Intersections of socioeconomic status, special interests, and sensory needs 32:46: Key diagnostic pitfalls: overshadowing, double-counting, and masking 44:35: Assessment battery selection and collaborative diagnostic feedback 48:34: Navigating client self-identification, social media trends, and ethical boundary setting Cool Things Mentioned Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb : the premier AI-powered report-writing platform for testing psychologists CatDog animated series: www.nick.com Camouflaging Autistic Traits Questionnaire: www.autismresearchcentre.com Embrace Autism website: www.embrace-autism.com DIVA-5 Diagnostic Interview: www.divacenter.eu Childhood Autism Rating Scale: www.wpspublish.com Monteiro Interview Guide for Diagnosing Autism Spectrum: www.wpspublish.com Behavior Rating Inventory of Executive Function: www.parinc.com Raising the voices of AuDHD women and girls: exploring the co-occurring conditions of autism and ADHD . Craddock, E. (2024). The Chicago School of Professional Psychology: www.thechicagoschool.edu Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two fre