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TDAH and OCD: What are the similarities and differences?

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Introduction

Attention Deficit Hyperactivity Disorder (ADHD) and Obsessive-Compulsive Disorder (OCD) are two distinct and common mental health issues. Millions of people worldwide are affected, and in Canada, ADHD affects approximately 5-8% of children and 4% of adults, according to the Quebec Psychiatric Association

Source: https://ampq.org/info-maladie/tdah-trouble-du-deficit-de-lattention-avecsans-hyperactivite/

While ADHD and OCD have similarly sounding names, we can distinguish these disorders by various elements, including their symptoms. As society continues to understand mental health better, awareness of its prevalence and potential effects is essential. Discover the main characteristics of ADHD and OCD.

What are the differences between ADHD and OCD?

ADHD is a neurodevelopmental disorder characterized by a variety of symptoms, such as inattention, hyperactivity, or impulsivity. The main manifestations in affected individuals include difficulty concentrating, controlling impulses, or remaining still and static.

OCD is a distinct mental health issue. This mental health disorder can be characterized by the recurrent appearance of intrusive and unwanted thoughts or impulses, triggering intense anxiety and leading to compulsions or repetitive behaviours aimed at reducing anxiety. Obsessions and compulsions are common symptoms of OCD. For example, a person with a compulsive disorder may wash their hands excessively due to the obsessive fear of contamination.

Some differences to distinguish ADHD from OCD:

  • Intrusive Thoughts and Obsessions:

People with OCD frequently experience recurrent, persistent, and intrusive thoughts that are perceived as distressing or disturbing. These images or thoughts can be about various subjects, such as pursuing perfection or fearing danger. ADHD, on the other hand, does not generate obsessions. People with ADHD may have intrusive thoughts of all kinds, but they are generally not persistent on a specific theme and are not associated with compulsive behaviours.

  • Compulsions

ADHD can cause a tendency to make repetitive sounds or behaviours, such as repeatedly pounding one’s fist on a table, but this does not serve the same function as the compulsive behaviours in OCD. In OCD, to cope with obsessive thoughts, compensatory behaviours called compulsions appear in affected individuals and are felt as indispensable to reducing anxiety. They help minimize fear or avoid dreaded consequences in a distressing situation.

What are the similarities between ADHD and OCD?

Several characteristics of Obsessive-Compulsive Disorder and Attention Deficit Hyperactivity Disorder are also close, if not similar. A person can be very impulsive, whether affected by ADHD or OCD. For example, they may act without thinking about the consequences of ADHD and not consider the consequences of their actions when they feel compelled to perform acts due to obsessive thoughts. In both cases, negative consequences stem from a lack of judgment.

Someone with either ADHD or OCD can encounter problems with concentration, organization, and stress. These two disorders also generate their share of repercussions on daily life. Individuals affected by both OCD and ADHD may have difficulties maintaining social relationships and succeeding in their academic or professional careers.

What are the causes of ADHD and OCD?

At the current stage of scientific and medical knowledge, the exact causes of ADHD and OCD have not been formally identified. Research suggests, however, that several factors may contribute to the development of these mental health issues. ADHD and OCD, for example, can manifest repeatedly within families. This observation may indicate that genetics play a role in their appearance, even though the specific genes involved have not yet been identified.

A link between childhood trauma and the onset of developmental disorders such as ADHD and OCD can also be noted. Childhood trauma history is common among those diagnosed with OCD, while ADHD symptoms can also be triggered by traumatic events. ADHD and OCD both involve atypical activity in similar areas of the brain, especially those involved in functions such as attention, flexibility, and impulse control.

Diagnosis of ADHD and OCD

No specific test can determine the prevalence of OCD or ADHD in a person today. The diagnosis is based on a combination of information from various observations, such as a clinical interview, cognitive tests, and sometimes medical examinations. Consulting a mental health professional is essential. They conduct an in-depth interview to gather information on symptoms, medical and psychiatric history, and social and professional functioning of the person affected by ADHD or OCD. For Attention Deficit Hyperactivity Disorder, cognitive tests may be performed to evaluate the patient’s thinking, attention, and memory capacity.

Conclusion

ADHD and OCD are not fates. Effective methods such as cognitive-behavioral therapy and neurofeedback help manage symptoms and significantly improve brain function and patient quality of life. To optimize this approach, however, it is essential to distinguish whether the identified disorder is ADHD or OCD clearly.