In clinical practice, ADHD and autism rarely present in isolation. Many adults seeking assessment describe difficulties with emotional regulation, anxiety, low mood, sleep disturbance or burnout. These experiences are often interconnected, and understanding how they relate to one another is a central part of good assessment. There is increasing recognition within psychiatry that neurodevelopmental differences are central to understanding many mental health presentations. A re

Recently the question of whether ADHD is being overdiagnosed has become a frequent topic in the media. Coverage in the general public often suggests that ADHD diagnoses are increasing rapidly and implies that clinicians may be medicalising normal variations in attention or behaviour. An often overlooked consequence of the “overdiagnosis” narrative is the impact it can have on people who are trying to make sense of lifelong difficulties. Many adults who seek assessment describ