OCD vs ADHD: Understanding the Key Differences

At Next Step Psychiatry in Lilburn, we frequently help patients who wonder whether they have OCD, ADHD, or both. These conditions can look similar on the surface but work very differently—and getting the right diagnosis is crucial for effective treatment.

How They Differ

ADHD is an externalizing disorder—it affects how you interact with your environment. You might struggle with focus, impulsivity, and hyperactivity.

OCD is an internalizing disorder—it affects how you relate to yourself. You experience intrusive thoughts that drive repetitive behaviors.

Symptom Comparison

Can You Have Both?

Yes. Research shows people who developed OCD in childhood are more likely to have ADHD as adults. When both conditions are present, treatment must address each one appropriately—and some treatments that help one condition might worsen the other.

Why Accurate Diagnosis Matters

ADHD is often treated with stimulant medications like Adderall, while OCD is typically treated with SSRIs and exposure therapy. Using the wrong treatment can be ineffective or even harmful. Our Gwinnett County team conducts thorough evaluations to ensure you receive the right diagnosis.