We often get clients asking us about the link between Obsessive-Compulsive Disorder (OCD) and Attention-Deficit/Hyperactivity Disorder (ADHD) in the clinic as there’s often an overlap with symptoms. While on the surface these two conditions may seem worlds apart, a closer look reveals a complex interplay that researchers are still working to understand fully.

Understanding OCD and ADHD:

Obsessive-Compulsive Disorder (OCD) is marked by persistent, intrusive thoughts (obsessions) and repetitive behaviours or mental acts (compulsions) performed in response to those thoughts. Individuals with OCD often find themselves caught in a cycle of anxiety and ritualistic behaviours designed to alleviate the distress caused by their obsessions. On the other hand, Attention-Deficit/Hyperactivity Disorder (ADHD) is characterised by persistent patterns of inattention, hyperactivity, and impulsivity. People with ADHD may struggle with focus, organisation, and self-control, which can significantly impact various aspects of their daily lives.

Despite their distinct features, researchers have identified overlapping traits between OCD and ADHD that suggest a more nuanced relationship. For instance, both conditions involve difficulties with executive functions – the cognitive processes responsible for planning, organising, initiating, and completing tasks. For example, people with OCD are often pre-occupied with intrusive thoughts and therefore struggle to maintain and sustain their focus and attention. This can look like symptoms of ADHD whereby these executive functions are impacted. This commonality may contribute to the challenges individuals with both OCD and ADHD face in managing their daily activities such as managing time, organising tasks, etc.

It's essential to recognise that individuals can be diagnosed with both OCD and ADHD simultaneously. This co-occurrence poses unique challenges, as symptoms from one disorder can potentially amplify those of the other. For instance, the impulsive tendencies seen in ADHD may exacerbate compulsive behaviours in someone with OCD and it may become difficult to manage

Treatment Approaches:

Navigating the coexistence of OCD and ADHD requires a comprehensive and tailored approach. Exposure and Response Prevention (ERP) has shown efficacy in addressing OCD, while Cognitive Behavioural Therapy (CBT) approaches including mindfulness based approaches is helpful for treating symptoms of ADHD. Additionally, medications for OCD and ADHD may also be considered to alleviate symptoms through discussions with your treating GP, Psychiatrist, or Paediatrician.

In the intricate dance between OCD and ADHD, understanding the overlapping traits and neurobiological factors is crucial. While research continues to shed light on this complex relationship, it's essential for clinicians to adopt a holistic approach in diagnosing and treating individuals facing the challenges of coexisting OCD and ADHD. By embracing this nuanced perspective, we can better support those navigating the intricate interplay of these two conditions and work towards enhancing their overall well-being.

If you need further support or want to explore symptoms further, give our team a call on (03) 9882 8874 to book an appointment.

To subscribe and listen to our podcast “Breaking the Rules: A Clinician’s Guide to Treating OCD”, click on the following links: Spotify, Google Podcasts, and Apple Podcasts. Episodes will be released fortnightly and will simultaneously be published on our webpage here.

This blog was written and prepared by Dr Celin Gelgec – Clinic Director and Clinical Psychologist at Melbourne Wellbeing Group.