OCD has been mistaken as ADHD by many doctors since both diagnoses share a number of the same symptoms—anxiety, distractibility, perfectionism, impulsive behaviors and impaired executive functioning.
People with OCD tend to have obsessive thoughts, which they try to prevent by engaging in repetitive rituals, or compulsions. In contrast, a person with ADHD typically presents with excessive hyperactivity and impulsivity and difficulty focusing on one task at a time.
ADHD can result in OCD-like coping skills. A child or adult who has trouble getting organized or who are easily distracted may spend an inordinate amount of time arranging, ordering, and cleaning things. Sometimes that is procrastination, a typical ADHD trait, but it may be an ADHD coping-skill.
People struggling with Obsessive Compulsive Disorder (OCD) are often misdiagnosed as having other psychological conditions. One of the most common misdiagnoses for this population is Generalized Anxiety Disorder (GAD). This diagnostic problem arises for two reasons.
Withdrawing from family and friends because of obsessions with contamination. Avoiding physical intimacy with a partner out of fear of germs, religious impurity, or intrusive violent thoughts. Being late for social events because too much time is spent checking stoves, locks, or light switches.
An individual with OCD may avoid or become inattentive to stimuli that cause stress and anxiety, whereas a person with ADHD will hyperfocus on a stimulating task and can even lose track of time. Typical OCD manifestations such as cleaning and organizing items can actually be a coping mechanism for those with ADHD.
Intrusive thoughts can be persistent and disruptive in people with ADHD due to the underlying neurobiological differences in the brain. Individuals with ADHD often experience difficulty regulating their attention, leading to a constant stream of thoughts that are difficult to control.
They include fluvoxamine (Luvox), sertraline (Zoloft), citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), and paroxetine (Paxil). They can help by boosting serotonin levels in the brain.
However, ADHD stimulant medication can sometimes make OCD worse. Patients with ADHD and OCD sometimes find that stimulants make it difficult to focus on anything but their obsessions.
The bottom line
OCD can manifest in four main ways: contamination/washing, doubt/checking, ordering/arranging, and unacceptable/taboo thoughts. Obsessions and compulsions that revolve about contamination and germs are the most common type of OCD, but OCD can cover a wide range of topics.
The roots of hyperfocus in ADHD relationships are complex, but the end result is often clear: While some partners may feel smothered, many get swept away by the over-the-top adoration. Then, when the obsessive love fades — or, more commonly, ends abruptly — the other partner feels abandoned and keenly bereft.
It's when your thoughts get caught in a loop, and you go over and over the same thoughts without feeling better or finding a resolution. Your thinking might get stuck on day to day worries or on future events.
Stimulant meds, like Ritalin, that are prescribed for ADHD aren't effective for OCD. SSRI anti-depressant meds prescribed for OCD aren't usually helpful for ADHD symptoms although they might be prescribed if there is a co-exsisitng condition of depression.
Masking in attention deficit hyperactivity disorder (ADHD) refers to the conscious or subconscious efforts of individuals to hide or suppress their symptoms in order to conform to social expectations or avoid negative judgments and stigmatization.
Both ADHD and OCD present symptoms related to these functions: attention, impulse control, and planning functions. Although ADHD and OCD are quite different, some symptoms might be similar or could overlap. And, of course, it is possible to have both.
OCD is viewed as neurodiverse in origin because it satisfies the primary criteria of a neurodivergent disorder – people with OCD have a brain that processes and behaves differently from what is considered typical.
How is OCD diagnosed? There's no test for OCD. A healthcare provider makes the diagnosis after asking you about your symptoms and medical and mental health history. Providers use criteria explained in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) to diagnose OCD.
There is no brain imaging or blood test that can diagnose OCD. But your doctor may want to perform further tests to rule out any possible physical conditions. Initially, it can be hard to tell the difference between OCD and other mental disorders, like anxiety, because of overlapping symptoms.
Schizophrenia is a complex chronic mental health condition that can be confused with OCD. There are several symptoms that must be present for a schizophrenia diagnosis, but the three primary symptoms are: hallucinations. delusions.