ADHS und Symptome aus dem Autismusspektrum – Komorbidität oder Differenzialdiagnose?

Während gemäß Klassifikationskriterien in DSM IV und ICD-10 eine Kombination von ADHS und Autismusspektrum-Störungen beim gleichen Patienten ausgeschlossen ist, finden sich in der klinischen Praxis nicht selten Konstellationen, die auf eine solche Komorbidität hinweisen oder eine – teilweise nicht einfache – differenzialdiagnostische Abgrenzung erforderlich machen. Dies hat wichtige Konsequenzen für die Therapie. Folgender Artikel gibt einen Überblick über die Literatur zum Thema und stellt entsprechende Krankengeschichten von Patienten im Erwachsenenalter dar.

Whereas the classification criteria of DSM IV and ICD-10 exclude a comorbidity of ADHD and autism spectrum disorders in the same patient, in clinical practice a constellation is found not seldom, which refers to such a comorbidity or demands an – often difficult – differential diagnostic decision. This has therapeutic consequences. An overview of the literature is given and relevant case reports in adulthood are described.

Key words

ADHD - autism - comorbidity

Literatur

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