When you hear “OCD” and “autism,” you might picture two very different things. But if you or someone you care about has an autism spectrum disorder (ASD), you may also recognize that some symptoms of obsessive-compulsive disorder (OCD) are similar.
If you’re wondering how these two conditions are connected, you’re not alone in asking some questions: Can you have OCD and autism? If so, how do you tell the difference between OCD and autism symptoms when they look so similar?
In this guide, we’ll unpack the OCD and autism overlap with empathy, clarity, and a few helpful tips along the way.
The short answer is yes. Autism and OCD co-occurrence is more common than many people realize. But first, let’s review these conditions.
Obsessive-compulsive disorder (OCD) is a mental health condition marked by a cycle of obsessions (usually translated to intrusive or unwanted thoughts) and compulsions (repetitive behaviors performed to ease anxiety). These rituals often feel necessary, but don’t bring lasting relief.
Common OCD symptoms include:
OCD symptoms vary greatly for people who live with it. They tend to interfere with daily life, resulting in significant distress to the person or their loved ones.
Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects communication, social interaction, and behavior. It presents differently in each person, which is why it’s referred to as a spectrum. Some may need significant support, while others can live independently.
Common autism symptoms include:
These behaviors are often soothing to the autistic person and aren’t always distressing, like OCD compulsions are.
Research suggests that people with autism are at a higher risk of developing OCD. In fact, it’s estimated that up to 17% of autistic individuals may also have OCD. Both conditions share a few core traits: rigid routines, repetitive behaviors, and a need for predictability.
For someone with autism, these patterns offer a sense of safety and structure. For those with OCD, they reflect an effort to prevent something “bad” from happening, usually stemming from anxiety.
In other words, behaviors related to autism are usually internally driven and harmless, even beneficial, while OCD behaviors are typically distressing and unwanted. With that said, it’s possible to experience both. This can be extremely hard to navigate for some. But with NeuroNav, you don’t have to do it alone.
Whether you’re navigating life with OCD, autism, or both, here are a few tips that may help:
Understanding the link between OCD and autism spectrum disorders can be incredibly empowering. There are also support groups, therapies, and programs to help you connect with others, allowing you to learn from and uplift one another.
Getting a professional evaluation clarifies which behaviors are most likely connected to autism, OCD, or both. An empathetic clinician will consider how symptoms impact your daily life and help you determine the most suitable support.
Therapy options, such as cognitive behavioral therapy (CBT), exposure therapy, and sensory-friendly approaches, can all be beneficial. Treatment plans need to be tailored to the individual, not just their conditions.
Autism and OCD both come with unique challenges, but they also come with strengths. Your need for structure, interests, or attention to detail isn’t a flaw. These things are part of who you are, and it’s okay to embrace and celebrate them.
At NeuroNav, we believe navigating the OCD and autism overlap shouldn’t be overwhelming. Through California’s Self-Determination Program (SDP), you can build a personalized care plan that truly reflects your strengths, challenges, and goals.
Whether you’re looking for therapy, coaching, or other forms of support, our independent facilitation services are here to help you take that next step. Schedule a consultation today and discover how NeuroNav can help you achieve your goals.