Autism and Down Syndrome

Dual diagnosis of autism spectrum disorder and Down Syndrome: how it presents, shared and distinct features, and resources for families and professionals

Information on Dual Diagnosis - Autism and Down Syndrome

Having a diagnosis of Autism and Down syndrome is sometimes referred to as ‘dual diagnosis'. A person who has Down syndrome may have a different additional diagnoses, so dual diagnosis should not automatically mean autism, but the phrase tends to be used in this way.

In the past, some professionals considered a dual diagnosis of Autism and Down syndrome to be uncommon, if not impossible. It is now widely accepted that the two conditions can, and do, co-exist.

Research suggests variable but relatively high rates of Autism in children who have Down syndrome. We are beginning to understand that people who have a dual diagnosis may present differently to people who have a single diagnosis of either Down syndrome or Autism.

Research looking at children who have dual diagnosis suggests this group of people may:

  • Share a similar profile of communication, stereotypical behaviours & difficulties coping with changes in routine.
  • They are less affected by social difficulties & problems with eye-gaze.
  • They are more preoccupied with body movement & rituals.
  • Have strengths in adaptive functioning, relating to others & imitation.
  • Have higher levels of conduct problems & hyperactivity.
  • They are more likely to have severe to profound levels of learning disability.

Resources