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How Does Having Both ADHD and Anxiety Affect Work Performance? 

The ADHD anxiety impact on work performance can be profound, as both conditions present unique challenges in the workplace. Individuals with ADHD often struggle with focus, organisation, and time management, while anxiety can lead to excessive worry, stress, and difficulty in decision-making. When both conditions are present, these issues are compounded, affecting productivity, work relationships, and overall job performance. 

Individuals with both ADHD and anxiety often face workplace challenges that make it difficult to complete tasks efficiently, meet deadlines, or stay organised. The interaction between the two conditions can create a cycle of frustration and self-doubt, impacting confidence and work satisfaction. 

Key Impacts of ADHD and Anxiety on Work Performance 

Here’s how ADHD and anxiety can affect productivity and focus at work: 

Difficulty Maintaining Focus  

ADHD itself often makes it hard to focus on tasks for extended periods. When combined with anxiety, which can cause worry or preoccupation with potential negative outcomes, it can be even more challenging to stay on task. Employees may find themselves distracted by anxious thoughts or struggle to prioritise tasks, reducing productivity and efficiency in the workplace. 

Increased Stress and Procrastination  

Anxiety can lead to a heightened sense of stress, causing individuals to feel overwhelmed by tasks. This stress may result in procrastination, especially in situations where perfectionism or fear of failure is present. In combination with ADHD, where impulsivity and disorganisation may already hinder task completion, procrastination becomes more pronounced, leading to missed deadlines and unfinished projects. 

Emotional Regulation Challenges  

Both ADHD and anxiety affect emotional regulation. Individuals with ADHD often struggle with impulsivity, which may manifest as sudden outbursts or difficulty managing frustration. Anxiety can make these emotions even more difficult to control, particularly in high-pressure situations. This can negatively impact relationships with colleagues, work performance, and overall job satisfaction. 

Trouble With Time Management and Organisation  

Time management is often a significant challenge for individuals with ADHD, who may struggle to plan, organise, and prioritise tasks. When anxiety is added to the mix, it can lead to avoidance behaviours or difficulty completing even simple tasks due to fear of making mistakes or the feeling of being overwhelmed. As a result, both ADHD and anxiety can significantly reduce work efficiency and contribute to feelings of burnout. 

Managing ADHD and Anxiety in the Workplace 

Effective management of ADHD and anxiety in the workplace requires a combination of strategies. Employees can benefit from using tools such as task management apps, creating structured routines, and breaking down large tasks into smaller, manageable steps. Therapy, such as Cognitive Behavioural Therapy (CBT), can help manage anxiety, while medication may be necessary to address ADHD symptoms. Additionally, creating a supportive work environment that allows for flexible work strategies or reasonable accommodations can also improve performance. 

For personalised guidance on addressing the ADHD anxiety impact on work performance, visit ADHD Certify for tailored consultations. For a deeper dive into workplace strategies and treatment options, 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.