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ASD and ADHD: The Challenges of School Transition

  • Blossom
  • Jul 4, 2022
  • 1 min read
ASD and ADHD: The Challenges of School Transition

At six years old, little Chun had long struggled with limited social skills. His interactions with peers were often inappropriate, marked by impulsive outbursts and restlessness. Upon entering primary school, his behavioral difficulties intensified: he frequently disrupted lessons, hid under desks screaming, and frightened classmates who eventually withdrew from him, leaving him isolated. Teachers suspected features of both Autistic Spectrum Disorder (ASD) and Attention‑Deficit/Hyperactivity Disorder (ADHD), and advised his parents to seek a professional evaluation.


Following a psychiatric assessment, little Chun was diagnosed with ASD co‑existing with ADHD. The psychiatrist recommended an individualized intervention plan combining medication treatment and behavioral therapy. With full parental cooperation and systematic care, little Chun showed remarkable improvement in attention, self‑control, and social skills. He successfully integrated into group activities and began forming new friendships.


When ASD and ADHD occur together, symptoms may be subtle in early childhood. However, as academic demands and social expectations increase with age, the gap between affected children and their peers becomes more evident. Without timely intervention, difficulties may extend beyond academics to peer rejection, bullying, diminished self‑esteem, and emotional problems.


Parents are encouraged to watch for early warning signs and to collaborate actively with medical and educational professionals. By developing and implementing individualized intervention plans, families can support their child’s holistic development and safeguard both learning progress and emotional well‑being.


Interview with Dr Ho Nga Lei Lily, Specialist in Psychiatry

Recapitulated version from Creating a Brighter Horizon for Children with ASD "ASD and ADHD: The Challenges of School Transition" 


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