Treatments. Both people with ADHD and those with OCD can benefit from psychotherapy, but the treatment approach might differ. Cognitive behavioral therapy (CBT) might be helpful for treating both ADHD and OCD. However, exposure therapy — a type of CBT — may be more often recommended for OCD.
Adderall and other stimulant medications are not a first-line treatment for OCD. In some anecdotal cases, they may worsen OCD symptoms. There is also a higher risk of dependency. However, doctors commonly prescribe them for people who have both OCD and ADHD.
The most common class of effective medications are antidepressants known as selective serotonin reuptake inhibitors (SSRIs). They include fluvoxamine (Luvox), sertraline (Zoloft), citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), and paroxetine (Paxil).
OCD appears to lie at one end of this spectrum, while ADHD exists at the other. This is surprising considering that over 35 studies have reported that an average of 21% of children and 8.5% of adults with OCD actually have ADHD as well.
Stimulant meds, like Ritalin, that are prescribed for ADHD aren't effective for OCD. SSRI anti-depressant meds prescribed for OCD aren't usually helpful for ADHD symptoms although they might be prescribed if there is a co-exsisitng condition of depression.
Which medication works best for OCD? SSRIs, especially when combined with CBT, work best in lessening OCD symptoms. The American Psychiatric Association suggests switching to a different SSRI if the one you're using isn't helping. TCAs such as clomipramine may be used if SSRIs do not help improve OCD.
The way that OCD can manifest in those with ADHD is by acting as a coping mechanism and/or strategy to help be more efficient in their day-to-day tasks.
Does ADHD Make OCD Worse? ADHD can exacerbate the symptoms of OCD. For example, one study found that compared to adults with OCD alone, those additionally diagnosed with ADHD engaged in more obsessions and compulsions.
People with OCD tend to have obsessive thoughts, which they try to prevent by engaging in repetitive rituals, or compulsions. In contrast, a person with ADHD typically presents with excessive hyperactivity and impulsivity and difficulty focusing on one task at a time.
What causes OCD? Experts aren't sure of the exact cause of OCD. Genetics, brain abnormalities, and the environment are thought to play a role. It often starts in the teens or early adulthood.
Obsessing and ruminating are often part of living with attention deficit hyperactivity disorder (ADHD). No matter how hard you try to ignore them, those negative thoughts just keep coming back, replaying themselves in an infinite loop.
OCD has been mistaken as ADHD by many doctors since both diagnoses share a number of the same symptoms—anxiety, distractibility, perfectionism, impulsive behaviors and impaired executive functioning.
Dexamphetamine may be more suitable for ADHD with associated OCD (4). Recent case reports (5, 6) have implied that dexamphetamine improves OCD symptoms, further suggesting the need for more research into dopaminergic and serotonergic interactions in OCD (7).
An individual with OCD may avoid or become inattentive to stimuli that cause stress and anxiety, whereas a person with ADHD will hyperfocus on a stimulating task and can even lose track of time. Typical OCD manifestations such as cleaning and organizing items can actually be a coping mechanism for those with ADHD.
The bottom line
OCD can manifest in four main ways: contamination/washing, doubt/checking, ordering/arranging, and unacceptable/taboo thoughts. Obsessions and compulsions that revolve about contamination and germs are the most common type of OCD, but OCD can cover a wide range of topics.
People struggling with Obsessive Compulsive Disorder (OCD) are often misdiagnosed as having other psychological conditions. One of the most common misdiagnoses for this population is Generalized Anxiety Disorder (GAD). This diagnostic problem arises for two reasons.
If you or a loved one with ADHD meets the triggers as listed by the SSA's impairments under neurological conditions for ADHD or other disorders, you may qualify for SSDI. The SSA updated its listing for anxiety disorders under neurological disorders to include other disorders such as OCD.
Repetitive behaviours are part of being autistic and should not be misunderstood as a sign that you may have OCD. The similarities between autistic traits and OCD symptoms can make it difficult to know which is a result of OCD and which is a part of being autistic.
Understanding what motivates the child's (or adult's) behavior is key to a proper diagnosis. ADHD can result in OCD-like coping skills. A child or adult who has trouble getting organized or who are easily distracted may spend an inordinate amount of time arranging, ordering, and cleaning things.
Yes, ADHD is considered a disability under the Americans with Disabilities Act (ADA) and the Rehabilitation Act of 1973 (Section 504). There are several types of disabilities, including but not limited to: learning disability. cognitive disability.
ADHD is not on the autism spectrum, but they have some of the same symptoms. And having one of these conditions increases the chances of having the other. Experts have changed the way they think about how autism and ADHD are related.
SSRIs like Zoloft, Prozac, and Paxil are typically the first medications recommended for OCD. These medications are considered to be generally safe. However, one risk to be aware of when taking SSRIs is the possibility of developing suicidal thoughts.