Attention-Deficit/Hyperactivity Disorder (ADHD) and Obsessive-Compulsive Disorder (OCD) are both conditions that are known to co-occur with substance use disorder. ADHD and OCD can manifest in similar looking ways and while they may look alike on the surface, they’re actually very different in how they affect the brain, behavior, and daily life.
At Alta Mira, we understand how difficult it can be to determine which condition may be contributing to symptoms, especially when they overlap. That’s why we take the time to look at the full picture—to make sure you or your loved one gets the right care and support.
Why Alta Mira Is a Trusted Place for Mental Health and Addiction Treatment
Alta Mira Recovery is a leading residential treatment center that helps individuals heal from addiction, mental health challenges, and co-occurring disorders. Our licensed clinicians take a compassionate, whole-person approach—looking beyond just symptoms to find the root causes of distress.
We offer personalized care in a safe, private setting in Sausalito where people can focus on healing without distractions. With years of experience treating complex conditions like ADHD, OCD, anxiety, depression, and substance use, we’re proud to be a trusted partner on the path to recovery.
What Is ADHD?
ADHD stands for Attention-Deficit/Hyperactivity Disorder. It’s a neurodevelopmental condition that affects attention, self-control, and the ability to sit still or follow through on tasks. ADHD typically starts in childhood, but many people continue to experience symptoms as adults.
There are three main types of ADHD:
- Inattentive type – Trouble focusing, forgetfulness, disorganization
- Hyperactive-impulsive type – Restlessness, acting without thinking, interrupting others
- Combined type – A mix of both inattentive and hyperactive-impulsive symptoms
ADHD is a brain-based condition that affects how a person processes information and manages their behavior.
What Is OCD?
OCD stands for Obsessive-Compulsive Disorder. It’s a mental health condition that causes unwanted, distressing thoughts (obsessions) and repetitive behaviors or rituals (compulsions). These behaviors are usually meant to reduce anxiety, but they often become disruptive and time-consuming.
Common examples include:
- Repeatedly checking if doors are locked or appliances are off
- Excessive cleaning or hand washing
- Needing things to be in a certain order or “feel right”
- Constant thoughts about harm, germs, or something bad happening
OCD is not just about being neat or liking routines—it’s a serious condition that can make daily life very difficult.
Signs and Symptoms: ADHD vs. OCD
While ADHD and OCD are different, they can sometimes look alike. For example, both can involve trouble focusing, restlessness, or repeating actions. However, the reasons behind these behaviors are typically much different. Examples of these behaviors and motivations include:
| Symptom | ADHD | OCD |
| Trouble focusing | Due to distractions or boredom | Due to obsessive thoughts interfering |
| Repetitive behaviors | Often impulsive or random | Done on purpose to relieve anxiety |
| Forgetfulness | Common and unintentional | May come from distraction by obsessions |
| Emotional impact | Frustration from disorganization | Deep anxiety and fear tied to obsessions |
Understanding these differences is key to getting the right diagnosis and support.
What Causes ADHD and OCD?
There’s no single cause for either condition, but researchers believe both involve differences in brain structure and function.
ADHD may be linked to:
- Genetics (family history of ADHD)
- Brain chemistry (lower levels of dopamine)
- Environmental factors (exposure to toxins, premature birth)
OCD may be linked to:
- Genetics (family history of OCD or anxiety)
- Brain circuitry (overactivity in certain brain areas)
- Stress or trauma (can trigger or worsen symptoms)
It’s also possible for both conditions to be present at the same time, making diagnosis more complex.
Do ADHD and OCD Co-Occur with Each Other—or With Other Conditions?
Yes, it’s possible to have both ADHD and OCD at the same time, though this is less common. When they do co-occur, it can create unique challenges. For example, a person might feel both impulsive and anxious—struggling to control actions while also feeling the need to follow strict routines.
In addition to each other, ADHD and OCD are often seen alongside:
- Addiction
- Anxiety disorders
- Depression
- Learning disabilities or executive functioning challenges
Additionally, these conditions both also are known to co-occur with substance use disorder. Our team works with clients to understand underlying triggers of substance use disorder while also developing plans to treat and manage other conditions that may also be present.
This way, our clients leave with a toolkit of resources and a support network that they can turn to.
How Alta Mira Can Help
At Alta Mira, we specialize in treating co-occurring conditions. That means we don’t just treat addiction—we also work with underlying mental health concerns like ADHD, OCD, anxiety, and depression.
Our approach includes:
- Comprehensive psychological assessments to clarify diagnoses
- Individual and group therapy to build coping skills and reduce symptoms
- Medication management when appropriate
- Holistic care like mindfulness, fitness, and nutrition to support overall well-being
- A caring, non-judgmental environment where healing can begin
We recognize that no two people are the same. Our team takes the time to understand your unique experience and create a treatment plan that fits your life.
If you or someone you care about is struggling with symptoms of ADHD, OCD, or both, Alta Mira is here to help. Reach out today to learn how we can support your journey to clarity, balance, and wellness.
Licensed by the State Department of Health Care Services | Program ID Number: 210040AP | License expired 2/28/2025. A one-time extension has been granted
