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Late(r) in Life Diagnosis of ADHD and/or Autism Actually "Gifted" Burnout?

8/8/2024

2 Comments

 
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With so much overlap in presentation and subjective experience of what we call ADHD, Autism and Giftedness (all areas of neurodivergence and common labels found in the neurocomplex), I end up spending quite a bit of time with my neurocomplex clients exploring the "what's what?" of these identifiers.  

When I finish peoples' sentences, is this the impulsivity of my recently diagnosed ADHD or speed and overexcitibilities of my giftedness?

Is my disdain for small talk due to the social reciprocity differences of my recent Autism diagnosis or under stimulation due to the complexity of my giftedness?


And so on...

I adore exploring these puzzles with people about their wiring as I do feel it can be important exploration for individuals during the integration process after a newer ADHD and/or Autism diagnosis, especially later in life when they are attempting to rewire longstanding narratives of Self.  These conversations piqued my curiosity about the Why? behind my years of observed common occurrence of later in life Autism and/or ADHD diagnoses in my clients who were identified as gifted as a child (or in a recent assessment), often after a period identified as burnout.

My current working hypothesis is this: 
Gifted (or Neurocomplex) wiring, when under-resourced and/or in a period of "burnout", takes on a similar presentation and subjective experience of Autism and ADHD.  Thus, an individual meets criteria for one or both of these diagnoses later in life after or during a period of extensive burnout that has impacted (temporarily or permanently) their nervous system functioning in areas of executive functioning, verbal capacities, sensory processing, and social abilities. 

With this hypothesis:
​...

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2 Comments
Marco
11/4/2025 12:26:18 am

I completely agree with the idea that burnout can sometimes blur the lines between giftedness, Autism, and ADHD, especially when it comes to how people experience their own traits and challenges. It’s interesting how much overlap there can be between adhd and burnout, particularly later in life when people finally start understanding their own neurodivergent patterns. Subtle support from services like Sureway Health and Wellbeing can really help people navigate this self-discovery. Great info here! Thanks!

Do you find that people feel more clarity or more questions after receiving a diagnosis?

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Melissa
11/15/2025 07:36:46 pm

I think there is still so much internalized ableism in the neurodivergent community that people feel a need to separate “giftedness” into its own type of neurodivergence when it’s really just Autism or a combination of Autism and ADHD (AuDHD). That’s all there is to it. My brother and I were both highly gifted as children, the tests were mostly pattern-based. He met the diagnostic criteria for both Autism and ADHD as a child and didn’t speak until the age of 5. I was late-diagnosed with ADHD at 30 and 31 with Autism. My symptoms as a child were less apparent, but they were always present and I always struggled, I just masked it very well. He excelled at piano, and I excelled in science. Burnout comes from neglecting your needs until your brain protests. The reason I burned out and my brother didn’t was because his diagnosis was validated and he was supported while I was expected to perform without support. Once burnout occurs the brain becomes profoundly aware of the underlying disabilities that were never allowed to surface. And people find that they can no longer sustain the same amount of effort or tolerate as much distress. Because in reality they were never meant to tolerate it. The only way forward is accepting and accommodating your disabilities in the ways you never did growing up. Good luck to anyone else struggling!

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