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Can a person have both ADHD and an anxiety disorder? 

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Updated
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Understanding ADHD and anxiety comorbidity is crucial, as both conditions often coexist and share overlapping symptoms. This dual diagnosis can complicate diagnosis and treatment, making it essential to differentiate the two conditions to provide the most effective support. 

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Understanding ADHD and Anxiety Comorbidity 

When someone has both ADHD and anxiety, it means they experience the symptoms of both disorders simultaneously. While ADHD is typically marked by inattention, hyperactivity, and impulsivity, anxiety is characterised by persistent worry, fear, and physical symptoms like restlessness or rapid heart rate. 

How ADHD and Anxiety Overlap 

People with ADHD and anxiety may face challenges related to attention, focus, and impulse control, which can overlap with anxiety symptoms like restlessness and a heightened sense of nervousness. The anxiety may worsen the symptoms of ADHD, making it harder for individuals to manage their daily activities effectively. 

Anxiety can also increase the impulsivity seen in ADHD, making it more difficult for individuals to cope with stress or unexpected situations. Conversely, individuals with ADHD may become anxious about their struggles with attention and organisation, further exacerbating the condition. 

Identifying the Dual Diagnosis 

Investigating ADHD and anxiety comorbidity requires a comprehensive assessment. This often involves gathering information from multiple sources, such as self-reports, questionnaires, and interviews, to identify which symptoms are more dominant. Additionally, understanding how the symptoms impact daily functioning is essential for differentiating the two. 

In conclusion, ADHD and anxiety comorbidity is a real and common issue that requires careful consideration. Dual diagnosis can make treatment more complex, but with the right approach, individuals can receive tailored support to manage both conditions effectively. A combination of medication, therapy, and lifestyle adjustments can help alleviate symptoms and improve overall well-being. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Differential Diagnosis of ADHD.

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Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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. 

Dr. Rebecca Fernandez, MBBS
Reviewer

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 reviewer's privacy. 

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