If you’re here, you’re probably trying to decode words like Autism, ADHD, or OCD and what they mean for your child’s life. Maybe it started with a teacher’s gentle suggestion to “get things checked out.” Maybe you’ve been noticing your child works twice as hard at things other kids barely think about. Or maybe you’re staring at a diagnosis, wondering where to even begin.

Here’s the truth: You showing up to learn is already a win. And you’re in good company. Thousands of parents are walking this same path.

Right now, understanding your child might feel like trying to complete a jigsaw puzzle where half the pieces look identical.

That’s because Autism Spectrum Disorder (ASD), ADHD, and OCD aren’t always neat and separate. They overlap, share symptoms, and sometimes travel together, creating genuine confusion even for experienced professionals.

But here’s what changes everything: when you grasp what distinguishes each condition, the picture suddenly comes into focus. Your child’s behaviors click into place. The right support becomes obvious. You know exactly what to do next.

Let’s untangle this together, step by step. Then I’ll walk you through a clear, actionable plan to move forward. Not just with information, but with real confidence.

Making Sense of It All

Autism: Your Child’s Unique Operating System

Think of autism like your child running on a different operating system. Not a broken one, just different. Their brain processes the world in its own unique way, which comes with both challenges and some pretty amazing strengths.

You know those unspoken social rules that most people pick up automatically? Like knowing when someone’s bored by their body language, or understanding sarcasm? For kids with autism, these don’t come naturally. It’s not that they don’t care about connecting with others. They absolutely do. They just need the “hidden curriculum” of social interaction spelled out more clearly.

And those repetitive behaviors? The way your child lines up their toys just so, or insists on the same routine every single day, or melts down when things change unexpectedly? That’s not them being difficult. Those patterns provide comfort and predictability in a world that can feel overwhelmingly chaotic to them.

Let’s talk about sensory stuff for a second. If your child covers their ears in the grocery store, refuses to wear jeans, or only eats foods with certain textures, they’re not just being picky or dramatic. Their sensory experience is genuinely different. Imagine if every sound was turned up to 11, or if certain fabrics felt like sandpaper on your skin. That’s their reality.

Here’s something cool though: many kids with autism develop these intense, focused interests. Maybe your child knows everything about trains, or can tell you more about dinosaurs than most paleontologists. These passions aren’t just “obsessions.” They’re potential pathways to learning, making friends with similar interests, and even future careers.

Oh, and about Asperger’s—you might hear older folks use this term. It’s not used anymore in official diagnoses (since 2013, it’s all just part of the autism spectrum), but you’ll still hear it around. Kids who would’ve been called “Aspies” typically have strong language skills and do well academically, but still struggle with the social stuff and have those narrow, intense interests.

ADHD: When the Brain’s “Focus Button” Works Differently

If your child has ADHD, you’ve probably lived through the homework battles, the constantly misplaced items, the interrupting, the inability to sit still, or the tendency to zone out mid-conversation. Sound familiar?

Here’s the thing, ADHD isn’t about laziness or bad parenting (let’s just get that myth out of the way right now). Your child’s brain literally processes attention, impulse control, and activity levels differently than neurotypical brains.

ADHD comes in a few flavors. Some kids have the inattentive type (this used to be called ADD). These are the daydreamers, the forgetful ones, the kids who start ten projects and finish none. They’re not bouncing off the walls. They’re lost in their own thoughts or genuinely can’t remember what you just asked them to do five minutes ago. Girls especially tend to have this type, and it often gets missed because they’re not being disruptive.

Then there’s the hyperactive-impulsive type. These are your climbers, your fidgeters, your kids who seem to have an internal motor that never shuts off. They blurt out answers, have trouble waiting their turn, and might struggle with impulse control.

And some kids have both: the combined type.

The important thing to understand is that your child isn’t choosing to be this way. Their brain’s executive function—basically the CEO that’s supposed to organize, plan, and manage everything—is working with different tools.

OCD: When Anxiety Takes the Wheel

OCD is different from autism and ADHD because it’s primarily an anxiety disorder. If your child has OCD, they’re dealing with intrusive, unwanted thoughts that create serious distress. We’re talking about thoughts that scare them or make them deeply uncomfortable.

To cope with these scary thoughts (obsessions), they develop repetitive behaviors or mental rituals (compulsions). Maybe they’re washing their hands constantly because they’re terrified of germs. Or checking the locks repeatedly because they’re worried something bad will happen. Or arranging things in a very specific way because it doesn’t feel “right” otherwise.

Here’s a key difference from autism: OCD behaviors are driven by anxiety and your child wishes they didn’t have to do them. They’re exhausting and distressing. In contrast, repetitive behaviors in autism are usually comforting or enjoyable. They’re self-soothing tools, not anxiety reducers.

Why This Gets So Confusing

Okay, so why does it feel like these conditions are all tangled up together sometimes? Because they genuinely do overlap! It’s entirely possible for your child to have more than one of these conditions. And symptoms can look similar on the surface even when the underlying causes are completely different.

For example, both autism and ADHD can involve attention problems. But the reasons are different. A kid with autism might struggle to focus because the fluorescent lights are buzzing, the classroom is too noisy, or they’re confused by unclear social expectations. A kid with ADHD struggles because their brain’s “focus muscle” works differently, regardless of the environment.

Similarly, both autism and OCD involve repetitive behaviors. But ask yourself: Is your child doing this because it feels good and calming (autism), or because they’re trying to stop something bad from happening and they feel anxious if they don’t (OCD)?

This is exactly why you need professionals who really know their stuff. They can help untangle what’s going on so you can get the right support for your unique kid.

FAQ: Frequently Asked Questions

1. What’s the difference between Autism, ADHD, and OCD?
Autism involves unique ways of processing the world, ADHD affects attention and impulse control, and OCD is driven by anxiety and intrusive thoughts.
2. Can my child have more than one of these conditions?
Yes, it’s common for Autism, ADHD, and OCD to overlap.
3. How do I know if my child’s repetitive behaviors are due to Autism or OCD?
Autism behaviors are comforting, while OCD behaviors are driven by anxiety.
4. What professionals should I consult for a diagnosis?
Developmental pediatricians, child psychologists, and neuropsychologists are great starting points.
5. What’s the best way to advocate for my child at school?
Request a 504 Plan or IEP and maintain open communication with teachers.
6. Should I consider medication for ADHD or OCD?
Medication can help but is a personal decision. Consult your doctor.
7. How can I support my child at home?
Create routines, use visual schedules, and focus on their strengths.
8. How do I explain my child’s diagnosis to siblings?
Use age-appropriate language to foster understanding and empathy.
9. What resources are available for parents?
Look into Autism Speaks, CHADD, and the International OCD Foundation.
10. How do I take care of myself as a parent?
Lean on your support network, take breaks, and practice self-care.

Eyas Landing is a therapy clinic with a mission to provide evidence-based and family-centered therapy services for children, adolescents, and their families. The primary goal is to deliver relationship-based interventions within the most natural environments and to empower families to reach their full potential. To achieve this goal, our highly educated, compassionate staff dedicates time and expertise to create experiences that maximize therapeutic outcomes. The strength, determination, and perseverance of our clients are evident as they succeed in therapy, and ultimately in their daily lives.

Eyas Landing offers a wide range of comprehensive services including Speech Therapy, Occupational Therapy, Physical Therapy, ABA Therapy, Social Work, Family Therapy, and Neuropsych testing. Services are provided throughout the Chicagoland area via Telehealth, In-Home, and in our state of the art clinic.

Want to learn more or you have a specific question? Feel free to connect with us here!

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