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Is Anxiety Worse in AuDHD? 

The anxiety severity in AuDHD can often be higher than in individuals with just autism (ASD) or ADHD alone. When both conditions co-occur, the complexities of each, such as sensory sensitivities, impulsivity, and social challenges, can interact in ways that increase overall anxiety levels. The combination of anxiety, autism ADHD can create a cycle where anxiety triggers difficulties in social situations, work, and daily tasks, making it harder to manage or cope effectively. 

Adults with AuDHD may feel like they are constantly overwhelmed by both internal and external pressures. The mental health AuDHD experience often includes heightened anxiety because individuals struggle with tasks that others might find more manageable, leading to feelings of inadequacy, frustration, and isolation. Understanding how anxiety manifests in AuDHD can help individuals seek the right support and develop strategies to reduce anxiety triggers. 

How Anxiety Presents in AuDHD 

Here are some common ways anxiety severity is heightened in AuDHD: 

Overstimulation from Sensory Sensitivity 

For individuals with AuDHD, sensory overload from sounds, lights, or crowded spaces can heighten anxiety, making them feel trapped or unable to escape overwhelming stimuli. This can trigger panic attacks or heightened stress. Cognitive Behavioural Therapy (CBT) and sensory integration techniques can help reduce the impact of sensory overload and teach coping strategies for managing anxiety in challenging situations. 

Difficulty Managing Focus and Impulsivity  

The combination of ADHD’s impulsivity and the social struggles associated with autism can create a constant state of uncertainty. This can lead to anxiety, especially in unpredictable or new environments where the individual may struggle to focus or make decisions. Mindfulness practices, along with executive function coaching, can assist individuals in improving focus and developing strategies for managing impulsive behaviour, which in turn can reduce anxiety severity. 

If you are seeking strategies to manage anxiety as part of your AuDHD experience, consider visiting providers like ADHD Certify for personalised consultations.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Autism Spectrum Disorder.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

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, author and a reviewer for my patient advice - mypatientadvice.co.uk

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.