Need help breaking free from addiction?
Call 24/7 for treatment options. Who Answers?

ADHD In Twins


My twins both have ADHD, however one shows more of the symptoms than the other. When I say more, he takes the symptoms to their extreme, are there other major disorders linked with ADD and ADHD?

This Disclaimer applies to the Answer Below
  • Dr. Schwartz responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.
  • Dr. Schwartz intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual(s).
  • Questions submitted to this column are not guaranteed to receive responses.
  • No correspondence takes place.
  • No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Schwartz to people submitting questions.
  • Dr. Schwartz, Mental Help Net and CenterSite, LLC make no warranties, express or implied, about the information presented in this column. Dr. Schwartz and Mental Help Net disclaim any and all merchantability or warranty of fitness for a particular purpose or liability in connection with the use or misuse of this service.
  • Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.

First, even though your children are twins and they both have ADHD does not mean that they have identical symptoms. I am assuming these are identical but, even if they are not, there is always variability about the way disorders show themselves in each individual.

Remember, even when twins or triplets are genetically identical, they do not occupy the same space at the same time. That means that they each must experience life differently.

Second, ADHD is often accompanied by other disorders. For example, depression is frequently linked to ADHD. In addition, it is always possible for children and adults to have more than one disorder at a time. I am not sure if you have any diagnostic areas in mind but it is possible for a child with AHDH to have neurological problems, dyslexia, depression, anxiety, rage disorder, conduct disorder or any other variety of problems.

Indeed, it is possible for one ADHD twin to have an additional major disorder while the other does not.

Please keep in mind that even though you have twins, they are different people. I know because I have twins.

Also keep in mind that the psychiatrists may push medications and perhaps they are necessary but the real help comes from psychotherapy, particularly behavior modification.

I hope this helps and best of luck.

More "Ask Dr. Schwartz" View Columnists

Want to get help, but not ready to talk? Find Out More