AuDHD isn’t two conditions, it’s one complex reality
AuDHD is not two diagnoses. It is one complex operating system with a thousand hidden processes running in the background.
People often assume autism and ADHD simply stack on top of each other like a couple of mismatched Lego bricks. They don’t. When they co-exist, they behave more like a software integration that nobody tested, everyone shipped, and now the user (hello) is left to troubleshoot while hungry, overstimulated, and wondering why the oven is beeping again.
Living with AuDHD means you get emergent behaviours that neither condition produces alone. Novel phenomena. Contradictions. Unexpected internal alliances. And sometimes, the kind of system errors that make neurotypical people blink and ask, “Wait… why don’t you just…?”
Pull up a chair. Let’s talk about two of those misinterpreted areas that drive me slightly bananas: my inability to cook, and my inability to benefit from standard “sleep hygiene” sermons. Then we’ll explore the broader neurocomplexity underneath.
The cooking problem that absolutely is not laziness
I cannot cook.
Not “will not.” Not “should try harder.” Not “just follow the recipe, mate.”
Cannot. Full stop.
And here’s the kicker: it is not laziness. It is not entitlement. It is not lack of adulting or effort or will.
It is executive dysfunction meets sensory overwhelm meets time blindness meets demand sensitivity, all wrapped inside an AuDHD brain that is already multitasking twelve invisible processes at once.
People see a plate of burnt noodles. I see:
the sensory assault of chopping onions while the stove hisses
the internal chaos of ten micro-tasks that all demand attention simultaneously
the fact that food cooking times do not respect my attention patterns
the paralysis that comes from not knowing which step to begin with
the hyperfocus trap that sucks me into something else for five minutes and returns me to a smoking pan
Cooking is a cognitive juggling act. AuDHD gives you unpredictable hands. The moment one task slips, they all come down.
I can follow a complex conversation about neurodevelopmental research with no effort at all. But present me with three pots, one timer, two textures, a hot pan, and a sensory environment that smells like a chemistry experiment, and I’m done.
This is not laziness.
This is neurobiology.
Why the sleep hygiene gospel does not work for me
Every AuDHD adult eventually collects a list of well-meaning sleep advice that could paper the walls of a small cathedral.
“Just have a hot bath.”
“No screens after 9.”
“Knead lavender into your pillow.”
“Try progressive muscle relaxation.”
“Meditate!”
“Be consistent with your sleep times.”
I appreciate the intent. Truly. But the problem is simple:
Sleep hygiene assumes a predictable nervous system. AuDHD does not provide one.
Here’s why the usual practices fail:
Rigid routines trigger demand sensitivity. “Go to bed at the same time every night” sounds delightful until your brain revolts because someone issued a schedule and you felt controlled rather than in choice.
Calming activities often increase stimulation. Meditation for AuDHD can become a mental escape room with no exit. The moment you ask the brain to be still, it begins a PowerPoint presentation of every intrusive thought since 1998.
Sensory sensitivity sabotages relaxation. The sheet is scratchy. The fan noise is too rhythmic. The dark is too dark. The silence is too loud. The pillow smells different today. The brain notices everything except sleep.
ADHD racing thoughts collide with autistic hyperfocus. You lie down to rest. Suddenly you are deep in a 90-minute rabbit hole, in your own head, about coffee processing or Vietnamese property law. Time ceases to exist.
You cannot wind down on command. Sleep onset requires shifting gears. AuDHD brains often come with a missing clutch.
So what does work?
A possible solution: paradoxical intention and neuro-aligned cues
The approach that shows real promise for AuDHD is not restriction, discipline, or routine rigidity.
It is paradoxical intention: telling the brain it does not need to sleep, and allowing relaxation to occur indirectly. A kind of psychological judo where you stop fighting your wiring and let the nervous system stand down on its own terms.
Pair that with neuro-friendly bedtime cues, such as:
dimming only one type of sensory input at a time
narrating what you’re doing out loud to reduce cognitive load
using micro-rituals (a two-minute recurrent action, not a 40-minute routine)
accepting irregular sleep cycles rather than fighting them
embracing “sleep when the brain gives the green light” rather than forcing compliance
These aren’t hacks. They are accommodations. They treat the cause, not the symptoms.
The emergent AuDHD phenomena (the jigsaw puzzle that rearranges itself)
You know the big themes: fluctuating hyperfocus, sensory intensity, impulsive-withdrawn oscillations, motivation that behaves like a moody housecat, executive dysfunction that occasionally takes a sick day without notice, and sleep that refuses to follow instructions.
But let’s slow this down and make it real. Because people often read terms like these and think they’re abstract concepts or personality quirks, when in truth they’re lived, daily experiences that shape how AuDHD people move through the world.
Fluctuating hyperfocus
Sometimes you’re a laser, sometimes you’re a lantern. One hour you can read 40 research papers with monk-like dedication, forgetting food, time, and the existence of other humans. The next hour, you can’t finish a three-sentence email because the air feels too… air-ish. This isn’t inconsistency. It’s the brain flipping between two operating modes that rarely agree on who’s driving.
Sensory intensity
You’re not “picky” or “sensitive.” Your nervous system simply has the volume knob welded into place at maximum truth. A fluorescent light that others barely notice feels like a personal attack. A scratchy shirt becomes an existential crisis. A café with too many competing noises becomes uninhabitable. This isn’t drama. It’s physics.
Impulsive-withdrawn oscillations
Some days you speak before you think. Other days you think so hard you forget to speak. AuDHD gives you both: the impulsive blurting and the autistic pause-and-calculate. You can interrupt someone with brilliant enthusiasm at 10am, then ghost the entire world by 2pm because your social battery suddenly filed for divorce.
Motivation as a moody housecat
Try forcing a housecat to do anything. That’s AuDHD motivation. It comes when it wants, leaves when it wants, and stares at your elaborate to-do list with utter contempt. You want to do the thing. You intend to do the thing. You might even get excited about the thing. And then your brain simply… doesn’t start. Not because you’re undisciplined. Because your initiation circuits need dopamine and predictability, and they never arrive on schedule.
Executive dysfunction on sick leave
You know exactly how to do your taxes, your dishes, your emails. You’re smart. You’re capable. You’re competent. And yet… the starting, the sequencing, the remembering, the switching… all go sideways. It’s like your brain is holding the instruction manual upside down, muttering, “This made more sense yesterday.”
Sleep that refuses to obey
Bedtime is not a time. It is a negotiation. Between the sensory world that refuses to quieten, the thoughts that refuse to settle, and the nervous system that treats “relax now” as a challenge rather than a cue. You aren’t failing sleep. Sleep is failing you. And it thinks it’s being hilarious about it.
These aren’t flaws. They’re emergent properties of a dual-wired brain that prefers complexity over consistency. And if any of these descriptions made you feel seen, then you’re already ahead: you’ve stopped blaming character and started recognising wiring.
And that—genuinely—is where change begins.
References
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.).
Barkley, R. A. (2021). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (4th ed.). Guilford Press.
Craig, F., Lamanna, A. L., Margari, F., Matera, E., Simone, M., & Margari, L. (2021). Overlaps between autism spectrum disorder and attention deficit hyperactivity disorder: Searching for distinctive/common clinical features. Frontiers in Psychiatry, 12, 686835.
Karalunas, S. L., & Nigg, J. T. (2020). Heterogeneity and subtyping in ADHD: Recent developments and future directions. Current Opinion in Psychiatry, 33(2), 105–111.
Lau-Zhu, A., Fritz, A., & McLoughlin, G. (2019). Overlaps and distinctions between attention deficit hyperactivity disorder and autism spectrum disorder in young adulthood: Systematic review and guiding framework for EEG-neurocognitive phenotypes. Neuroscience & Biobehavioral Reviews, 96, 93–115.
Mullins, E., Happé, F., Dunn, B., & Cassidy, S. (2022). Anxiety and sleep difficulties in autism and ADHD: A systematic review. Journal of Neurodevelopmental Disorders, 14(1), 1–25.
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Souders, M. C., Zavodny, S., Eriksen, W., Sinko, R., Connell, J., Kerns, C., & Pinto-Martin, J. (2017). Sleep in children with autism spectrum disorder. Current Psychiatry Reports, 19(6), 34.


