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DSM-5-TR & ICD-11 Diagnostic Directory Neurodivergent-Affirming Lenses

Clinical Condition Knowledge Base

A comprehensive clinical reference and content card directory covering behavioral addictions, compulsive behaviors, somatic disorders, sexual dysfunctions, eating disorders, impulse-control, OCD, psychosis, and personality patterns — tailored with neuro-affirming overlaps and evidence-based therapeutic scaffolding.

Diagnostic Categories:
Showing 53 of 53 clinical conditions
Validated against DSM-5-TR & ICD-11 Criteria
Behavioral Addictions DSM-5 312.31 / ICD-11 6C50

Gambling Disorder

Persistent and recurrent problematic gambling behavior leading to clinically significant impairment, financial distress, and dopamine chasing.

Diagnostic Features:
• Preoccupation with gambling • Tolerance (needing larger bets) • Chasing losses +1 more
ADHD & Neurodivergent Overlap

High comorbidity with ADHD due to dopamine deficiency and impaired response inhibition.

Behavioral Addictions ICD-11 6C51 / DSM-5 Section III

Video Game & Internet Addiction Disorder

Compulsive engagement with digital gaming and online environments to the exclusion of basic self-care, work, and interpersonal relationships.

Diagnostic Features:
• Loss of control over gaming duration • Escapism from distress • Neglect of basic physiological needs +1 more
ADHD & Neurodivergent Overlap

Hyperfocus loops in ADHD individuals are heavily activated by gamification and instant reward mechanics.

Behavioral Addictions ICD-11 6C72 Compulsive Sexual Behavior

Sexual Addiction / Pornography Addiction

Inability to control intense, repetitive sexual impulses or pornography consumption despite severe emotional, relationship, or professional distress.

Diagnostic Features:
• Compulsive pornography use for emotional soothing • Escalation to extreme content • Severe shame and cognitive dissonance +1 more
ADHD & Neurodivergent Overlap

Often utilized as a rapid neurochemical self-medication strategy for under-stimulated ADHD nervous systems.

Behavioral Addictions Clinical Research Construct / Yale Food Addiction Scale

Food Addiction

Compulsive consumption of hyperpalatable foods (high sugar, fat, salt) demonstrating neurochemical addiction markers similar to substance dependence.

Diagnostic Features:
• Loss of portion control • Persistent cravings despite fullness • Eating to numbness during emotional flooding +1 more
ADHD & Neurodivergent Overlap

Under-stimulated ADHD brains frequently crave quick carbohydrates for rapid dopamine spikes.

Behavioral Addictions Behavioral Addiction Research Criteria

Exercise Addiction

Compulsive over-exercise pursued despite physical injury, illness, social isolation, and extreme chronic fatigue.

Diagnostic Features:
• Exercising through severe physical injury • Extreme anxiety or panic if a workout is missed • Rigid calorie/activity balancing +1 more
ADHD & Neurodivergent Overlap

Exercise is often used as the sole emotional regulator, leading to catastrophic collapse when injured.

Behavioral Addictions Proposed Digital Behavioral Addiction

Addiction to Social Media

Uncontrollable compulsion to check, scroll, and engage on social platforms, generating dopamine loops and social comparison anxiety.

Diagnostic Features:
• Infinite scrolling trance (time-blindness) • Phantom notification sensations • Comparison despair +1 more
ADHD & Neurodivergent Overlap

ADHD time-blindness exacerbates multi-hour lost time loops during algorithmic consumption.

Behavioral Addictions ICD-11 6C7Y / Impulse Control

Shopping Addiction (Oniomania / Compulsive Buying)

Irresistible impulse to purchase unnecessary goods for emotional regulation, followed by immediate post-purchase guilt and financial consequence.

Diagnostic Features:
• Buying high-rush items that remain unopened • Concealing packages from partners • Shopping during depressive or anxious episodes +1 more
ADHD & Neurodivergent Overlap

Online 1-click buying provides immediate dopamine with zero executive resistance.

Paraphilias & Compulsive Behaviors DSM-5 302.8 / ICD-11 6D30-6D3Z

Paraphilic Disorders & Compulsive Sexual Behaviors

Clinical diagnosis and ethical therapeutic support for atypical sexual interests causing personal distress or risk of non-consensual harm.

Diagnostic Features:
• Intense recurrent sexual arousal from atypical objects, situations, or individuals • Functional distress or impairment
ADHD & Neurodivergent Overlap

Hyper-focus loops can entrench atypical arousal patterns when paired with emotional isolation.

Paraphilias & Compulsive Behaviors DSM-5 302.82 / ICD-11 6D32

Voyeuristic Disorder

Recurrent, intense sexual arousal from observing an unsuspecting person who is naked, disrobing, or engaging in sexual activity.

Diagnostic Features:
• Compulsive urges to view unaware individuals • Significant interpersonal and legal consequences
ADHD & Neurodivergent Overlap

Impulsivity challenges may impair consequence anticipation.

Paraphilias & Compulsive Behaviors DSM-5 302.4 / ICD-11 6D30

Exhibitionistic Disorder

Recurrent sexual arousal from the exposure of genitals to an unsuspecting stranger.

Diagnostic Features:
• Urges to expose genitals to non-consenting persons • Distress or impairment
ADHD & Neurodivergent Overlap

Dopamine seeking combined with impulse inhibition deficits.

Paraphilias & Compulsive Behaviors DSM-5 302.89 / ICD-11 6D33

Frotteuristic Disorder

Recurrent sexual arousal from touching or rubbing against a non-consenting person in crowded public spaces.

Diagnostic Features:
• Fantasies and acts of touching non-consenting individuals • Subsequent distress or legal jeopardy
ADHD & Neurodivergent Overlap

Poor environmental risk assessment under acute emotional arousal.

Paraphilias & Compulsive Behaviors DSM-5 302.2 / ICD-11 6D34

Pedophilic Disorder & Prevention Intervention

Clinical diagnosis and confidential primary prevention interventions (e.g., Stop It Now) to safeguard minors and treat individuals distressed by intrusive attractions.

Diagnostic Features:
• Sexual urges toward prepubescent children • Personal distress and risk prevention
ADHD & Neurodivergent Overlap

Requires strict executive safety scaffolding and zero-access digital firewalls.

Paraphilias & Compulsive Behaviors ICD-11 6C72

Compulsive Sexual Behaviour Disorder

Persistent pattern of failure to control intense sexual impulses or urges resulting in repetitive sexual activities despite serious negative life consequences.

Diagnostic Features:
• Repeated unsuccessful efforts to control behavior • Continued engagement despite loss of job or health risks • Loss of satisfaction from sexual acts
ADHD & Neurodivergent Overlap

Strong association with executive dysfunction and dopamine dysregulation.

Paraphilias & Compulsive Behaviors Sexological Research Classification (Blanchard/Freund)

Erotic Target Location Error (ETLE)

Sexological concept describing atypical sexual orientation where the target of erotic arousal is directed internally toward oneself possessing traits of the desired partner.

Diagnostic Features:
• Autogynephilia / Autoandrophilia patterns • Identity exploration and distress
ADHD & Neurodivergent Overlap

Introspective hyperfixation and obsessive self-analysis in neurodivergent populations.

Paraphilias & Compulsive Behaviors DSM-5 302.83, 302.84 / ICD-11 6D35, 6D36

Sexual Masochism & Sexual Sadism Disorders

Arousal derived from receiving or inflicting physical or psychological suffering; diagnosed as a disorder only when non-consensual or causing severe personal impairment.

Diagnostic Features:
• Distress over pain-based erotic impulses • Risk of non-consensual escalation • Asphyxiophilia dangers
ADHD & Neurodivergent Overlap

Extreme sensory stimuli seeking in hypo-aroused nervous systems.

Paraphilias & Compulsive Behaviors DSM-5 302.81 / ICD-11 6D38

Fetishistic Disorder

Intense sexual arousal from non-living objects or specific non-genital body parts, causing clinical distress or partner relationship rupture.

Diagnostic Features:
• Inability to achieve arousal without fetish object • Obsessive purchasing of items • Social withdrawal
ADHD & Neurodivergent Overlap

Sensory processing sensitivity and tactile affinity frequently seen in neurodivergent profiles.

Paraphilias & Compulsive Behaviors DSM-5 302.3

Transvestic Disorder

Recurrent sexual arousal from cross-dressing in heterosexual males, accompanied by significant distress or guilt regarding the urges.

Diagnostic Features:
• Cross-dressing accompanied by erotic arousal • Internalized shame and purging cycles
ADHD & Neurodivergent Overlap

Rejection Sensitivity Dysphoria (RSD) amplifies shame and secretiveness.

Somatic Symptom & Related DSM-5 300.7 / ICD-11 6B23

Hypochondriasis / Cyberchondria (Illness Anxiety)

Preoccupation with having or acquiring a serious undiagnosed medical illness, accompanied by compulsive internet searching and medical reassurance-seeking.

Diagnostic Features:
• Catastrophizing benign bodily sensations • Repeated doctor visits or total medical avoidance • Compulsive symptom checking
ADHD & Neurodivergent Overlap

Health rabbit-holes triggered by hyperfocus can trigger acute panic attacks.

Somatic Symptom & Related DSM-5 300.82 / ICD-11 6C20

Somatic Symptom Disorder

One or more distressing physical symptoms accompanied by excessive, disproportionate thoughts, anxiety, and time devoted to health concerns.

Diagnostic Features:
• Persistent pain, fatigue, or gastrointestinal distress • High health-related anxiety • Disproportionate symptom focus
ADHD & Neurodivergent Overlap

Dysregulated autonomic nervous systems in ADHD heighten visceral sensory perception.

Somatic Symptom & Related DSM-5 300.11 / ICD-11 6B60

Conversion Disorder / Functional Neurological Disorder (FND)

Altered voluntary motor or sensory function that is clinically incongruent with recognized neurological pathology, representing real neurofunctional disruption.

Diagnostic Features:
• Non-epileptic seizures (NES) • Functional paralysis or limb weakness • Sensory loss or speech arrest (mutism)
ADHD & Neurodivergent Overlap

Extreme sensory overload and masking burnout can precipitate acute functional neurological episodes.

Somatic Symptom & Related DSM-5 300.19 / ICD-11 6D50-6D51

Factitious Disorder (Munchausen Syndrome)

Falsification of physical or psychological signs or induction of injury or disease in oneself or another (by proxy), associated with identified deception for medical care.

Diagnostic Features:
• Fabrication or self-infliction of symptoms • Eagerness for invasive surgeries • Deception without clear external incentives
ADHD & Neurodivergent Overlap

Complex attachment trauma and chronic invalidation history.

Somatic Symptom & Related ICD-11 MG30 / Chronic Primary Pain

Chronic Pain & Central Sensitization

Persistent neuroplastic pain lasting beyond normal tissue healing (3+ months), driven by nervous system hyper-sensitization and pain catastrophizing.

Diagnostic Features:
• Widespread fibromyalgia pain • Allodynia and hyperalgesia • Severe fatigue and brain fog
ADHD & Neurodivergent Overlap

Hyper-mobility (Ehlers-Danlos Syndrome) and central sensitization have very high co-occurrence with ADHD/Autism.

Sexual Dysfunctions DSM-5 302.72 / ICD-11 HA01.1

Erectile Dysfunction (Psychogenic)

Persistent difficulty in achieving or maintaining an erection, frequently driven by performance anxiety, sympathetic nervous system arousal, or dopamine depletion.

Diagnostic Features:
• Erectile failure during partnered intimacy • Intense performance anxiety and spectatoring • Morning erections intact
ADHD & Neurodivergent Overlap

Mind-wandering and attentional drift during intimacy disrupts sexual arousal.

Sexual Dysfunctions DSM-5 302.74, 302.75 / ICD-11 HA02

Delayed & Premature Ejaculation

Involuntary ejaculation prior to or shortly after penetration (premature), or marked delay/inability to ejaculate despite adequate stimulation (delayed).

Diagnostic Features:
• Lack of ejaculation latency control • Personal distress and partner frustration
ADHD & Neurodivergent Overlap

SSRIs and ADHD stimulant medications can cause autonomic ejaculation delays or variations.

Sexual Dysfunctions DSM-5 302.73 / ICD-11 HA03

Female Orgasmic Disorder (Anorgasmia)

Marked delay in, marked infrequency of, or absence of orgasm following a normal sexual excitement phase.

Diagnostic Features:
• Inability to reach climax with partner or solo • High frustration and reduced self-worth
ADHD & Neurodivergent Overlap

Sensory distractibility prevents staying in the erotic zone.

Sexual Dysfunctions DSM-5 302.76 / ICD-11 HA20

Genito-Pelvic Pain / Penetration Disorder (Vaginismus & Dyspareunia)

Involuntary contraction of the pelvic floor muscles preventing vaginal penetration, accompanied by severe anticipation of pain and distress.

Diagnostic Features:
• Severe pelvic spasms preventing penetrative intimacy • Burning pain upon attempted contact
ADHD & Neurodivergent Overlap

Sensory defensiveness and muscular bracing are common neurodivergent traits.

Sexual Dysfunctions DSM-5 302.71 / ICD-11 HA00

Hypoactive Sexual Desire Disorder (Male / Female)

Persistent lack of sexual fantasies, interest, or desire for sexual activity causing marked personal or relationship distress.

Diagnostic Features:
• Absence of spontaneous or receptive sexual desire • Lack of interest in partnered intimacy
ADHD & Neurodivergent Overlap

Chronic cognitive exhaustion and sensory overload drain available libido.

Sexual Dysfunctions ICD-11 HA03.Y / Pelvic Neuropathy

Persistent Genital Arousal Disorder (PGAD)

Unwanted, intrusive, and distressing genital arousal (throbbing, swelling) occurring in the complete absence of sexual desire or subjective interest.

Diagnostic Features:
• Continuous, agonizing genital sensations • Not relieved by orgasm • Pudendal nerve irritation
ADHD & Neurodivergent Overlap

Extreme distress compounded by neurodivergent sensory amplification.

Feeding and Eating Disorders DSM-5 307.1 / ICD-11 6B80

Anorexia Nervosa (Including Atypical)

Restriction of energy intake leading to significantly low body weight, accompanied by intense fear of gaining weight and distorted body image.

Diagnostic Features:
• Severe caloric restriction • Distorted perception of body weight/shape • Amenorrhea and bradycardia
ADHD & Neurodivergent Overlap

Autistic and ADHD girls have a substantially higher risk of developing restrictive eating disorders.

Feeding and Eating Disorders DSM-5 307.51 / ICD-11 6B81

Bulimia Nervosa

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors (purging, fasting, laxative misuse) to prevent weight gain.

Diagnostic Features:
• Uncontrollable food consumption in secret • Self-induced vomiting or excessive laxative use • Severe electrolyte instability
ADHD & Neurodivergent Overlap

Impulsive binge episodes fueled by dopamine cravings followed by acute panic.

Feeding and Eating Disorders DSM-5 307.51 / ICD-11 6B82

Binge Eating Disorder (BED)

Recurrent episodes of eating large quantities of food rapidly and to the point of discomfort without regular compensatory purging behaviors.

Diagnostic Features:
• Eating rapidly until uncomfortably full • Eating large amounts when not hungry • Deep shame and guilt afterward
ADHD & Neurodivergent Overlap

One of the most common co-morbidities with adult ADHD due to executive dysfunction and impulsivity.

Feeding and Eating Disorders DSM-5 307.59 / ICD-11 6B83

Avoidant / Restrictive Food Intake Disorder (ARFID)

Eating disturbance manifested by lack of interest in eating, sensory sensitivity to food textures/smells, or fear of aversive consequences (choking/vomiting).

Diagnostic Features:
• Severe limitation to safe-texture foods • Failure to meet nutritional needs • Zero body image distress driving restriction
ADHD & Neurodivergent Overlap

Extremely prevalent in Autism Spectrum Condition and ADHD populations due to sensory processing differences.

Feeding and Eating Disorders Clinical Research Criteria / ARFID Overlap

Orthorexia Nervosa

Pathological obsession with eating clean, pure, or healthy food, resulting in severe dietary restriction, malnutrition, and social isolation.

Diagnostic Features:
• Compulsive ingredient and label scrutiny • Extreme anxiety around non-organic or processed items • Social avoidance of restaurants
ADHD & Neurodivergent Overlap

Hyperfocus research into biohacking and diets can entrench rigid orthorexic patterns.

Feeding and Eating Disorders ICD-11 6B8Y / Diabetic Eating Disorder

Diabulimia (ED-DMT1)

Deliberate withholding or under-dosing of insulin by individuals with Type 1 Diabetes for the purpose of losing weight through glycosuria.

Diagnostic Features:
• Intentional omission of insulin doses • Frequent Diabetic Ketoacidosis (DKA) hospitalizations • Fear of insulin weight gain
ADHD & Neurodivergent Overlap

Insulin routine management is notoriously challenging under executive dysfunction.

Feeding and Eating Disorders DSM-5 307.52, 307.53 / ICD-11 6B84, 6B85

Pica & Rumination Syndrome

Persistent eating of non-nutritive substances (pica) or repeated effortless regurgitation and re-swallowing of food (rumination).

Diagnostic Features:
• Craving chalk, ice, clay, or dirt • Effortless regurgitation within 15 minutes of meals
ADHD & Neurodivergent Overlap

Sensory seeking chewing behaviors in neurodivergent individuals.

Disruptive & Impulse-Control DSM-5 312.34 / ICD-11 6C92

Intermittent Explosive Disorder (IED)

Recurrent behavioral outbursts representing a failure to control aggressive impulses, resulting in verbal assaults or physical destruction out of proportion to provocation.

Diagnostic Features:
• Uncontrollable rage flare-ups lasting minutes • Immediate remorse afterward • Physical trembling during anger
ADHD & Neurodivergent Overlap

Severe emotional dysregulation and rejection sensitivity in ADHD often misdiagnosed as IED.

Disruptive & Impulse-Control DSM-5 313.81 / ICD-11 6C90

Oppositional Defiant Disorder (ODD) & Demand Avoidance

Pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness. Often re-conceptualized in neurodivergent care as Pathological Demand Avoidance (PDA).

Diagnostic Features:
• Defiance against demands • Intense threat response to perceived loss of autonomy • Frequent touchiness and spitefulness
ADHD & Neurodivergent Overlap

Pathological Demand Avoidance (PDA) is a neurodivergent profile rooted in nervous system autonomic threat activation.

Disruptive & Impulse-Control DSM-5 312.32, 312.33 / Impulse Control Disorders

Pyromania, Kleptomania & Mythomania

Specific impulse control failures: deliberate fire setting (pyromania), stealing unnecessary items without monetary motivation (kleptomania), or compulsive fabrication (mythomania).

Diagnostic Features:
• Mounting internal tension followed by immediate relief upon act execution • Compulsive lying to maintain stimulation
ADHD & Neurodivergent Overlap

Impulsive dopamine stimulation seeking and executive inhibition deficits.

Obsessive-Compulsive & Related DSM-5 300.3 / ICD-11 6B20

Obsessive–Compulsive Disorder (OCD)

Presence of recurrent, intrusive obsessions (unwanted thoughts/images) and compulsions (repetitive mental or physical acts) performed to neutralize distress.

Diagnostic Features:
• Contamination fears, Harm OCD, Scrupulosity, Just-Right OCD • Checking, washing, mental counting, reassurance loops
ADHD & Neurodivergent Overlap

High co-occurrence with ADHD; neurodivergent OCD requires differentiating sensory tics/stimming from compulsive neutralization.

Obsessive-Compulsive & Related DSM-5 300.7 / ICD-11 6B21

Body Dysmorphic Disorder (BDD)

Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.

Diagnostic Features:
• Mirror checking or total mirror avoidance • Skin picking or excessive grooming • Camouflaging body parts
ADHD & Neurodivergent Overlap

Hyperfocus visual scrutiny can trigger hours of obsessive mirror examination.

Obsessive-Compulsive & Related DSM-5 300.3 / ICD-11 6B24

Hoarding Disorder

Persistent difficulty discarding or parting with possessions, regardless of actual value, resulting in accumulation that compromises active living spaces.

Diagnostic Features:
• Severe distress associated with discarding items • Living spaces rendered unusable • Safety hazards
ADHD & Neurodivergent Overlap

Extreme object attachment and "out of sight, out of mind" working memory deficits in ADHD.

Obsessive-Compulsive & Related DSM-5 312.39, 698.4 / ICD-11 6B25

Body-Focused Repetitive Behaviors (Trichotillomania & Excoriation)

Recurrent pulling out of one's own hair (trichotillomania) or skin picking (excoriation disorder) resulting in tissue damage, distress, and shame.

Diagnostic Features:
• Hair pulling (scalp, eyebrows, eyelashes) • Skin picking till bleeding • Trance-like sensory state
ADHD & Neurodivergent Overlap

Very common somatic stimming mechanism in ADHD/Autistic individuals regulating nervous system arousal.

Schizophrenia Spectrum & Psychotic DSM-5 295.90, 295.70 / ICD-11 6A20-6A21

Schizophrenia & Schizoaffective Disorder

Severe psychiatric conditions characterized by delusions, hallucinations, disorganized speech, grossly disorganized behavior, and negative symptoms (avolition, flat affect).

Diagnostic Features:
• Auditory hallucinations • Persecutory or referential delusions • Cognitive fragmentation +1 more
ADHD & Neurodivergent Overlap

Differential diagnosis required between ADHD thought-racing vs. formal thought disorder.

Schizophrenia Spectrum & Psychotic DSM-5 297.1 / ICD-11 6A24

Delusional Disorder & Shared Delusion (Folie à deux)

Presence of one or more non-bizarre or bizarre delusions (erotomanic, grandiose, jealous, persecutory, somatic) without marked cognitive or functional deterioration.

Diagnostic Features:
• Fixed, unshakable beliefs contrary to evidence • Encapsulated reality distortion • Normal social demeanor outside delusion
ADHD & Neurodivergent Overlap

Rejection sensitivity and paranoia loops under extreme sleep deprivation.

Personality Disorders DSM-5 301.0, 301.20, 301.22 / ICD-11 6D10-6D11

Cluster A: Paranoid, Schizoid & Schizotypal Personality Disorders

The "Odd/Eccentric" cluster characterized by deep distrust, emotional detachment from social relationships, and cognitive-perceptual oddities.

Diagnostic Features:
• Pervasive suspiciousness of others' motives • Preferring solitary activities without desire for intimacy • Magical thinking and social anxiety
ADHD & Neurodivergent Overlap

Autistic traits and social rejection histories frequently misdiagnosed as Schizoid or Schizotypal traits.

Personality Disorders DSM-5 301.83, 301.81, 301.50, 301.7 / ICD-11 6D10

Cluster B: Borderline (BPD), Narcissistic (NPD), Histrionic & Antisocial

The "Dramatic, Emotional & Erratic" cluster involving intense instability in emotional regulation, interpersonal relationships, identity, and impulse control.

Diagnostic Features:
• Fear of abandonment, chronic emptiness, self-harm (BPD) • Grandiosity, entitlement, lack of empathy (NPD) • Disregard for social rules (ASPD)
ADHD & Neurodivergent Overlap

Severe ADHD emotional impulsivity and RSD in women is overwhelmingly misdiagnosed as Borderline Personality Disorder.

Personality Disorders DSM-5 301.82, 301.6, 301.4 / ICD-11 6D10

Cluster C: Avoidant, Dependent & Obsessive–Compulsive (OCPD)

The "Anxious/Fearful" cluster characterized by hypersensitivity to rejection (Avoidant), submissive need to be taken care of (Dependent), and pervasive rigidity/perfectionism (OCPD).

Diagnostic Features:
• Avoidance of social contact due to fear of humiliation • Difficulty making daily decisions without excessive advice • Extreme perfectionism that impedes task completion
ADHD & Neurodivergent Overlap

Avoidant coping is a very common learned defense mechanism in adults who experienced chronic ADHD academic reprimands.

Gender & Culture DSM-5 302.85 / ICD-11 HA60

Gender Dysphoria & Gender Incongruence

Marked incongruence between one's experienced or expressed gender and assigned natal sex, causing significant distress, dysphoria, or social impairment.

Diagnostic Features:
• Strong desire to be of another gender • Severe discomfort with primary/secondary sex characteristics • Social and medical transition desires
ADHD & Neurodivergent Overlap

Statistically proven strong intersection: Autistic and ADHD individuals are significantly more likely to be gender-expansive or trans.

Motor & Neurological DSM-5 293.89 / ICD-11 6A40

Catatonia & Motoric Freezing

Complex neuropsychiatric syndrome characterized by motor abnormalities: stupor, catalepsy, waxy flexibility, mutism, negativism, and stereotypic posturing.

Diagnostic Features:
• Motoric immobility and mutism • Waxy resistance to repositioning • Extreme sensory withdrawal
ADHD & Neurodivergent Overlap

Autistic catatonia (motor breakdown under extreme burnout) represents acute nervous system sensory overload.

Gender & Culture DSM-5 Cultural Concepts of Distress

Culture-Bound Syndromes & Global Distress Patterns

Culture-specific idioms of distress and psychiatric patterns (Taijin Kyofusho, Hikikomori, Amok, Latah, Susto, Shenjing Shuairuo) reflecting unique cultural frameworks.

Diagnostic Features:
• Fear of offending others with eye contact/odor (Taijin Kyofusho) • Extreme prolonged social withdrawal (Hikikomori)
ADHD & Neurodivergent Overlap

Neurodivergent burnout and social exhaustion frequently manifest as Hikikomori in high-pressure societies.

Motor & Neurological DSM-5 G21-G25 / ICD-11 8A00-8A0Y

Medication-Induced Movement Disorders

Neurological motor symptoms induced by psychiatric medications (antipsychotics, antiemetics, stimulants): Akathisia, Tardive Dyskinesia, Acute Dystonia, and Tremors.

Diagnostic Features:
• Inner physical restlessness and inability to sit still (Akathisia) • Involuntary orofacial and tongue movements (Tardive Dyskinesia)
ADHD & Neurodivergent Overlap

Akathisia is frequently and dangerously mistaken for worsening ADHD hyperactivity.

Elimination Disorders DSM-5 307.6, 307.7 / ICD-11 6C00-6C01

Elimination Disorders (Enuresis & Encopresis)

Repeated voiding of urine into bed or clothes (enuresis) or passage of feces into inappropriate places (encopresis) in children and adults beyond expected developmental age.

Diagnostic Features:
• Nocturnal bedwetting • Fecal impaction and overflow incontinence • Sensory interoception failure
ADHD & Neurodivergent Overlap

Under-developed interoceptive awareness (not sensing internal bladder/bowel signals while hyperfocusing) is extremely common in ADHD.

Neurodevelopmental & Core Practice DSM-5 314.01, 299.00 / ICD-11 6A02, 6A05

ADHD, Autism & AuDHD (Neurodivergent Core)

Neurodevelopmental brain wiring differences involving dopamine transport, executive dysfunction, sensory processing sensitivity, and monotropic attentional focus.

Diagnostic Features:
• Time-blindness and task initiation paralysis • Sensory overstimulation or under-stimulation • Hyperfocus vs. attention drift +1 more
ADHD & Neurodivergent Overlap

The core clinical focus of Sky Maree Steele's psychological and coaching practice.

Clinical Psychoeducation Disclaimer

This directory is compiled by registered clinical psychologist Sky Maree Steele for educational, de-stigmatization, and therapeutic scaffolding purposes. It does not replace formal individualized neuropsychological assessment. For urgent medical support, please dial 000 (Australia) or Lifeline on 13 11 14.

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