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Parenting a child with both autism and ADHD, often referred to as AuDHD, can be deeply rewarding but also challenging. Receiving a combined diagnosis can bring relief and clarity, but many parents are left wondering how to best support their child day to day.
There is no one-size-fits-all approach. Children with autism and ADHD may experience differences in attention, emotional regulation, sensory processing and executive function. Parenting effectively often requires adapting expectations, establishing structured flexibility and understanding how traits interact in everyday life.
At Xyla, our clinical team works with thousands of families navigating ADHD, autism and combined assessments. Our specialists support parents from pre-diagnosis through to post-diagnostic support, helping them make sense of behaviours, build confidence and create environments where children can thrive. In this article, we’ve gathered expert guidance, practical tips and supportive advice for parents seeking evidence-based ways to help their child with autism and ADHD.
AuDHD is not a formal diagnostic label but is commonly used to describe children who meet criteria for both autism and ADHD. Many families receive diagnoses at different times because symptoms may present differently at home, at school or across development.
Children with AuDHD may experience differences in:
Recognising these patterns helps explain why everyday demands may feel challenging and why standard parenting strategies may not be effective.
Traits can be tricky to identify for most people who are not familiar with AuDHD, meaning early signs of ADHD and autism are sometimes missed. Traits tend to overlap, amplify each other or even appear to contradict each other. This is one of the reasons AuDHD children often need tailored support and strategies that address these challenges.
For example, a child may:
These interactions can be confusing for parents but developing a better understanding opens pathways to more compassionate and supportive strategies.
While there are challenges children with autism and ADHD face, they can draw strengths from traits associated with AuDHD:
Identifying and nurturing these strengths supports confidence, self-esteem and long-term wellbeing.
Parenting a child with autism and ADHD often requires high levels of emotional co-regulation, sensory support and structured guidance. While rewarding, these demands can be physically and emotionally taxing.
Children with AuDHD may:
It’s important to note that these behaviours reflect neurological overload rather than deliberate defiance. Children rely on adult support to regulate emotions until self-regulation develops.
The school environment can present multiple challenges:
Many children manage at school but experience emotional exhaustion at home, placing additional pressure on families. Recognising these challenges helps parents approach school advocacy strategically.
Masking helps children fit into neurotypical expectations but can have a negative impact in the long run. You may notice difficulties at home that teachers don’t see. While it may allow your child to participate in class or social situations in a way that is seen as neurotypical, it can contribute to:
Parents may notice behaviours at home that teachers don’t see, which is completely normal because children cope differently in different settings.
Navigating support systems can be complex, but understanding key pathways helps you advocate more effectively for your child and their needs.
Schools must make reasonable adjustments to support your child’s needs under the Equality Act 2010. These adjustments help ensure your child is not placed at a disadvantage.
Support may include:
Children who need additional help may receive support through a Co‑ordinated Support Plan (CSP), which brings education, health and social care together. Families can also get guidance from organisations like Enquire, Scotland’s national advice service for additional support needs.
Support may include:
Schools use an Individual Development Plan (IDP) for children who need tailored support with learning, sensory needs or emotional regulation. Parents can also seek advice through SNAP Cymru, which supports families navigating the ALN (Additional Learning Needs) system.
Support may include:
Keeping a simple log of your child’s behaviours, triggers and school challenges can strengthen conversations with teachers and support applications for EHCPs, CSPs or IDPs.
Schools will often put accommodations in place even without a formal diagnosis, so it’s worth discussing this even without a diagnosis. However, some types of support and funding can only be accessed once your child has a diagnosis.
If you suspect your child may have autism or ADHD, you can speak to your GP, who will decide whether to make a referral for an NHS assessment. NHS waiting times are currently very long, with over 236,000 people waiting for an autism assessment in England and average waits reaching 17 months.
Many children also face lengthy waits for ADHD assessments, with MPs recently highlighting that more than 316,000 children are waiting and calling the delays “unsustainable”. Because of these pressures, keeping notes on your child’s behaviours, school challenges and daily patterns can strengthen your referral and help professionals understand their needs.
If long NHS waiting times mean your child is going months or even years without the support they need, you might consider a private assessment. A diagnosis often unlocks strategies and adjustments that help children feel understood and supported. Without it, the delays can affect your child’s education, confidence, friendships and even family relationships.
Private assessments can:
A private combined assessment can also give you a clearer, more joined‑up picture of your child’s strengths, challenges and support needs. If you’re considering this option, you can read our guide on how to get an ADHD or autism diagnosis.
Caring for a child with AuDHD often means carrying a lot on your shoulders. You’re the one noticing the small changes, planning ahead, managing routines, advocating at appointments and holding things together on the tough days. It’s no surprise if you sometimes feel exhausted, overwhelmed or unsure – many parents in your position feel the same.
Research shows that parents of autistic children experience significantly higher stress, anxiety and depression than other caregiver groups. And if you’re caring for a child with ADHD or autism (or both), studies also show reduced quality of life and increased emotional pressure.
“I’ve learned that what works best for my child is keeping our days predictable but gentle. We use simple visual routines and talk through any changes well in advance, which helps reduce anxiety for both of us.
School transitions can still be challenging, so I stay in close communication with teachers and give my child extra time to get ready in the morning, as well as time to decompress when they get home. At the moment, we’re also limiting after‑school activities during the week to help reduce any additional stress and anxiety.
There are tough days, days when emotions run high or plans fall apart, but I’ve learned not to take those moments personally. I remind myself to take small breaks, ask for help when I need it, and prioritise my own wellbeing so I can stay calm and present for my child. Supporting them is a journey and looking after myself is an important part of that.”
Your brain works hard every day anticipating needs, planning routines and managing behaviour. Research shows that caregivers of autistic children experience heightened psychological strain, making it important to simplify tasks where you can. Parents of children with ADHD also report high stress, and simplifying routines can make a meaningful difference.
It’s natural to want answers, but constant searching can increase anxiety. Studies show that rumination and worry significantly raise psychological distress for parents caring for neurodivergent children. Protect your mental space by giving yourself permission to pause.
If you’re feeling isolated, you’re not imagining it. Parents of children with autism and/or ADHD frequently report loneliness and overwhelm. With a higher overall strain on parenting, support systems matter even more. Even one or two people you can rely on can make a huge difference.
Predictable routines help regulate both autistic and ADHD traits, and they also help you feel more grounded. Don’t shoot for perfection but aim for consistency and a lower mental load for everyone instead.
Your child’s behaviour may shift quickly, and that unpredictability is hard on parents too. Behavioural and emotional regulation challenges are linked to increased strain on parents and caregivers. When things get intense, it’s okay to step back, breathe and regroup.
The research is clear: caregivers of neurodivergent children experience significantly higher stress, anxiety and depression than parents of neurotypical children. You’re doing an incredible job under circumstances most people never have to navigate.
Progress with an AuDHD child often shows up in subtle ways: a calmer moment, an easier transition, a quicker recovery after overwhelm. These shifts are meaningful even when they’re small. Give yourself credit for the steady effort you’re putting in.
Burnout doesn’t happen overnight, it builds over time. Studies show the stress parents experience can grow gradually until it becomes overwhelming. Rumination and hopelessness also increase distress in parents caring for AuDHD children. If you’re feeling irritable, detached from your child and yourself, have difficulty concentrating, struggle to sleep and find yourself withdrawing from social life, it could be a sign for burnout. You should reach out to your GP for the right help.
If you’re finding yourself relying mostly on your own strength, your family or a very small circle for support, you’re not alone. However, across the UK, support is available through a mix of statutory services and voluntary organisations, offering everything from practical guidance to emotional reassurance.
Most councils run local SEND (special educational needs and disabilities) forums or parent-carer groups. These can be valuable places to feel less alone and more informed. Through these forums, parents can:
You may also be able to access support through NHS or private services. This might include:
Some of these services require a formal diagnosis, but not all do, particularly Early Help services and certain therapy options. Even if you’re still waiting for assessments or answers, it’s worth exploring what support you and your child may already be entitled to.
There are many charities and national organisations in the UK that work to advocate for neurodivergent children and their families. These organisations aim to influence policy, improve access to services and raise understanding and many also offer direct, practical support to parents.
This can include advice, training, helplines and parent support networks, as well as reassurance that you’re not facing this alone. Organisations you may find helpful include:
These organisations are often a valuable source of trusted information and support, helping you feel more confident and informed as you move forward with your child. achers don’t see, which is completely normal because children cope differently in different settings.
Professional support provides clarity, tailored strategies and reassurance for the whole family. Parenting a child with autism and ADHD can be challenging, but families do not have to navigate it alone.
You may want to consider additional professional support if:
Have any questions about our services? Whether you’re wondering about how we can help, we’d love to hear from you.
Get in touchPlease note: We are not an emergency service, if you are in crisis and need urgent support or are worried about immediate risk of harm to self or others, please call 999. Alternatively, you can contact your GP and ask for an emergency appointment or visit your local A&E department in the United Kingdom. You can also contact the following services 24 hours a day, 7 days a week: NHS Helpline (111) and Samaritans (116 123).