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How Does Cognitive-Behavioral Therapy (CBT)  Address Comorbid ADHD and Anxiety? 

CBT for ADHD and anxiety is a highly effective psychotherapy approach for individuals managing both conditions simultaneously. Cognitive-behavioural therapy (CBT) helps individuals identify and change negative thought patterns, develop coping skills, and improve emotional regulation. For those with ADHD and anxiety, CBT can be especially beneficial as it targets the overlapping symptoms of inattention, impulsivity, and excessive worry, helping individuals manage their behaviour and emotions more effectively. 

Unlike medications, which primarily address symptoms chemically, CBT focuses on behaviour change through structured, practical techniques, helping individuals gain more control over their reactions to anxiety and the challenges of ADHD. This approach empowers individuals to develop healthier thinking patterns, which can improve both their ADHD symptoms and anxiety. 

How CBT Addresses ADHD and Anxiety Symptoms 

Identifying Negative Thought Patterns  

One of the key elements of CBT for ADHD and anxiety is helping individuals identify and challenge negative thoughts. For individuals with ADHD, these might include thoughts like “I can’t do this” or “I’m always going to fail.” For those with anxiety, it might be “Something bad is going to happen” or “I’m not prepared enough.” CBT teaches individuals to reframe these thoughts, fostering a more realistic and positive mindset that can help reduce anxiety and improve focus. 

Developing Coping Skills  

CBT equips individuals with coping skills to manage both ADHD and anxiety symptoms. For anxiety, these might include relaxation techniques, mindfulness, and strategies for managing stress. For ADHD, CBT can help develop time management skills, organisation strategies, and techniques for improving focus. Learning these coping skills allows individuals to manage day-to-day challenges more effectively, reducing the impact of both conditions on their lives. 

Behaviour Change and Goal Setting  

CBT encourages behaviour change through setting achievable goals and breaking tasks into manageable steps. For those with ADHD, CBT can help individuals improve their organisational skills, reduce impulsivity, and develop strategies for maintaining focus. Simultaneously, for those with anxiety, CBT helps individuals face and manage anxiety-provoking situations step by step, allowing them to gradually gain confidence and reduce avoidance behaviours. 

Conclusion 

CBT for ADHD and anxiety is a powerful psychotherapy tool that addresses both conditions by promoting behaviour change, coping skills, and healthier thinking patterns. It helps individuals break free from the cycle of anxiety and ADHD symptoms, empowering them to improve focus, reduce worry, and enhance their emotional regulation. 

For personalised guidance on CBT for ADHD and anxiety, visit ADHD Certify for tailored consultations. For more information on psychotherapy and behaviour change, read our complete guide to Anxiety disorders.

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Author

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.