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Sociality of ASD and ADHD Children: Similar and Different
Min Jung KwonShare
We all naturally want our children to feel healthy social bonds, play happily, and get along well with their peers in a variety of environments. The social skills needed to do this will naturally develop, but some children have great difficulty in this area, and early intervention is essential.
Children with autism spectrum disorder (ASD) and ADHD both often seek early intervention due to social difficulties. When friends with ADHD have great difficulty in peer relationships at daycare or kindergarten, many parents often suspect that their children have ASD.
Today, we will learn about the fundamental causes of these two's difficulties in social development and how we can provide early intervention.

Social Development in Children with Autism Spectrum Disorders
The social development of children with autism appears to differ from the typical developmental trajectory.
Often characterized by delayed social development, unique communication patterns, and specific behavioral traits, the diagnosis seems to be made after 18 months. If your child exhibits these symptoms, it is recommended that you seek professional advice.
Communication Problems: Children with autism often have language delays. Some children do not speak at all, while others have a wide vocabulary but struggle to understand the nuances of nonverbal communication .
- Not speaking until 16 months
- Seems uninterested in communication
- Difficulty participating in conversation or understanding tone and humor
Behavioral Problems: Children with autism may also exhibit repetitive movements, specific interests, and sensory behaviors . These behaviors, along with communication problems, are important indicators in diagnosing a child.
- Waving or shaking hands
- Difficulty adapting to changes in daily life
- Repetitive play with specific toy parts
ADHD and Social Development
ADHD also affects social interaction, communication, and behavior, but in a different way than ASD. The main difference is that ADHD children understand social norms, but have difficulty applying them because of impulsivity and distractibility .
Social Problems: Children with ADHD may miss social cues because of their distractibility and impulsivity. They generally understand what behaviors are socially expected, but have difficulty consistently demonstrating these behaviors.
Communication problems: ADHD can cause language delays and communication difficulties, such as interruptions in conversation, talking off topic, or processing information slowly , which can affect social interactions.
Behavioral Problems: They may be impulsive, overly playful, or have difficulty following social rules . They may have difficulty when their peers expect structured interactions. Unlike ASD, ADHD is more likely to have difficulty with organization and planning.
What is the difference between ASD and ADHD?
The main difference between ASD and ADHD is how a child understands and interacts with the world around him or her.
It may be helpful to understand that children with autism may have delays or differences in social development, while children with ADHD understand social norms but have difficulty following them due to executive function deficits .
Interventions for ADHD and Autism Spectrum Disorder (ASD)
Interventions for Children with ADHD
Interventions that improve ADHD symptoms can significantly improve the social skills that are impaired as a result. Comprehensive treatment for ADHD may include:
- Behavioral therapy: Interventions done with children or their parents to help manage behavior.
- Social group therapy: Teaches children how to interact appropriately with peers.
- Speech therapy: For children with language delay, early and appropriate intervention is recommended.
- Medication: Prescribed medications can effectively manage symptoms.
- Evidence-based treatments: A variety of treatments are used that have been shown to be effective for ADHD.
Interventions for children on the autism spectrum
- Behavioral therapy: Behavioral therapy is one of the most recommended interventions for children diagnosed with autism spectrum disorder.
- Training Environment: Just as a child must practice every day if he or she wants to become a pianist or a professional athlete, social skills also require constant, consistent practice.
- Speech therapy: Most children with autism have social communication difficulties and may need speech services regardless of the child's language score.
##Please also pay close attention to comorbidities!
According to the American Psychiatric Association, children on the autism spectrum may also have gastrointestinal problems, epilepsy, anxiety and obsessive-compulsive disorder (OCD), while ADHD often co-occurs with disruptive behavior disorder, depression and learning disabilities.
Autism spectrum disorder and ADHD can also coexist, and when ADHD is treated appropriately, children can focus better, act less impulsively, utilize skills developed through intervention, and have much better social skills.
ASD and ADHD may seem similar at first glance, but each requires individualized intervention. Early and appropriate intervention can really help a child develop social skills and build meaningful relationships.
Let's think together about what social skills our children need and how we can intervene. :)
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Good articles to read together:
1) Improving ADHD students’ class participation using spinners: link
2) Various intervention methods for children with poor concentration and attention: link


