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Beyond diagnostic categories: sensory processing as a transdiagnostic mechanism in autism, ADHD, and PTSD - a neuropsychoanalytic conceptual analysis

A dispatch from PubMed — filed

The post-pandemic surge in adult ADHD presentations has intensified a question that categorical diagnosis tends to foreclose: What do autism, ADHD, and PTSD share at the level of developmental organization? This paper offers a conceptual analysis of sensory processing differences as a transdiagnostic mechanism linking these three conditions, examined through a neuropsychoanalytic lens....

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✦ The floor

Discussion

Signed responses from readers of the wire.

Clinical Takeaway

No actionable change for audiologists at this time; this is a theoretical conceptual analysis without clinical trial data, though it raises awareness that patients with autism, ADHD, or PTSD may present with overlapping auditory sensory processing differences.

Why It Matters

A transdiagnostic sensory-processing framework could eventually reshape how audiologists screen and counsel patients who present with comorbid neurodevelopmental or trauma-related conditions.

Key Points
  1. 01Proposes sensory processing dysregulation as a shared mechanism across autism, ADHD, and PTSD.
  2. 02Uses a neuropsychoanalytic conceptual (non-empirical) approach — no new clinical data presented.
  3. 03Post-pandemic rise in adult ADHD diagnoses motivated the analysis.
  4. 04Auditory hypersensitivity and filtering deficits are relevant sensory domains discussed.
  5. 05Published in Frontiers in Psychology (2026).
Claims & Evidence

Sensory processing dysfunction is a transdiagnostic mechanism shared across autism, ADHD, and PTSD.

opinionpartially supported

Post-pandemic increases in adult ADHD presentations reflect heightened sensory sensitivity.

opinionunclear
Research metadata
PMID
42539513
DOI
10.3389/fpsyg.2026.1871344.
Journal
Frontiers in Psychology
Publication type
review
Evidence level
5
Population
No empirical patient population; conceptual analysis drawing on existing literature on autism, ADHD, and PTSD
Intervention
Neuropsychoanalytic conceptual framework for sensory processing as a transdiagnostic mechanism

Primary outcomes

Theoretical model of shared sensory processing mechanisms across autism, ADHD, and PTSD

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