Table of Contents
Print

How Do Sleep Disturbances Present in Individuals with Both ADHD and Anxiety? 

Sleep problems ADHD anxiety are prevalent in individuals with both conditions, significantly impacting daily functioning and well-being. Insomnia, restless sleep, and fatigue are common complaints. The interaction between ADHD and anxiety can create a cycle of poor sleep, where symptoms from both disorders overlap and exacerbate sleep disturbances. 

ADHD can make it difficult for individuals to relax and wind down, leading to restlessness and difficulty falling asleep. At the same time, anxiety often causes excessive worrying and racing thoughts that prevent people from calming their minds. When these two conditions are present together, the negative effects on sleep become even more pronounced. 

Key Sleep Disturbances in ADHD and Anxiety 

Here’s how sleep problems ADHD anxiety typically manifest: 

Insomnia  

Insomnia is a common issue, where individuals with both ADHD and anxiety struggle to both fall asleep and stay asleep. Restlessness from ADHD can make it difficult to settle down, while anxiety increases racing thoughts, preventing the individual from achieving restful sleep. 

Restless Sleep and Frequent Awakenings  

Even when they manage to fall asleep, individuals with ADHD often experience restless sleep, waking up frequently throughout the night. Anxiety can amplify this, as intrusive thoughts and feelings of worry disrupt sleep continuity. 

Fatigue and Daytime Sleepiness  

Chronic poor sleep leads to fatigue, which can worsen both ADHD and anxiety symptoms. Daytime sleepiness makes it harder for individuals to focus, increasing irritability and affecting performance in work or school. 

Managing Sleep Disturbances 

To address sleep problems ADHD anxiety, treatment often includes a combination of cognitive behavioural therapy (CBT) for anxiety and ADHD symptoms, sleep hygiene techniques, and careful medication management. Consistent sleep schedules, relaxation techniques, and avoiding stimulants before bedtime can improve sleep quality. 

For more advice on managing sleep disturbances, visit ADHD Certify for personalised consultations. For a deeper dive into 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.