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How Does Anxiety Affect ADHD Symptoms and Vice Versa? 

The interaction between ADHD and anxiety can create a complex cycle where each condition exacerbates the symptoms of the other. Symptom exacerbation can lead to a feedback loop, making both ADHD and anxiety more challenging to manage. Understanding how these disorders affect each other is crucial for effective treatment and intervention. 

Individuals with ADHD often experience difficulties with inattention, impulsivity, and hyperactivity, which can trigger anxiety, especially in situations that demand focus or organisation. Anxiety, in turn, can worsen ADHD symptoms, making it harder to focus or regulate impulses. This reciprocal relationship can complicate both diagnosis and treatment. 

How Anxiety Affects ADHD Symptoms 

Increased Inattention  

Anxiety often causes excessive worry and racing thoughts, which can further disrupt concentration in individuals with ADHD. When someone is already struggling with inattention, anxiety amplifies the difficulty, making it harder to focus on tasks. 

Heightened Restlessness  

Restlessness is a shared symptom of ADHD and anxiety. Anxiety-induced nervous energy can make ADHD hyperactivity even more pronounced, leaving individuals feeling restless and unable to calm down. 

Impaired Decision-Making  

Anxiety can worsen impulsivity in individuals with ADHD, leading to rushed, poorly thought-out decisions. The fear of making mistakes increases avoidance, which may lead to missed opportunities or delayed tasks. 

How ADHD Affects Anxiety Symptoms 

Low Self-Esteem and Worry  

Struggling with organisation and follow-through in ADHD can lead to frustration and low self-esteem, which may trigger anxiety, especially around tasks that require focus or time management. 

Social Anxiety  

ADHD can create difficulties in social settings, leading to misunderstandings or feeling out of place. This can increase anxiety about social judgement, deepening the fear of failure or embarrassment. 

Managing both conditions requires breaking these feedback loops. Therapy, like CBT, is often effective for treating both ADHD and anxiety together. 

For personalised support, visit ADHD Certify for tailored consultations. For more information on managing ADHD and anxiety, 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.