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How can you tell the difference between ADHD and anxiety? 

ADHD vs anxiety is a common comparison in mental health, as both conditions share overlapping symptoms such as restlessness, difficulty concentrating, and irritability. However, the root causes of these symptoms are different, and understanding the distinctions is essential for accurate diagnosis and effective treatment. 

Understanding ADHD vs Anxiety 

While both ADHD and anxiety can result in difficulties focusing and feeling on edge, the underlying causes and manifestations of these conditions vary. 

ADHD Symptoms 

ADHD is primarily characterised by persistent patterns of inattention, hyperactivity, and impulsivity. Individuals with ADHD often struggle with tasks that require sustained attention, such as sitting still for long periods, completing assignments, or following through on instructions. They might frequently interrupt conversations or struggle to organise their thoughts and tasks. ADHD is a developmental disorder that typically appears in childhood and continues into adulthood. 

Anxiety Symptoms 

Anxiety, on the other hand, is characterised by excessive worry, fear, and nervousness. Individuals with anxiety tend to be preoccupied with potential future events, often imagining worst-case scenarios. While anxiety can also lead to difficulty focusing, it is usually driven by the fear of something going wrong or feeling overwhelmed. Unlike ADHD, anxiety is often linked to a heightened state of arousal, such as a racing heart, shallow breathing, or dizziness. 

Key Differences 

The primary symptom differences between ADHD and anxiety lie in their triggers and focus: 

  • ADHD symptoms are more related to impulsivity, lack of organisation, and trouble concentrating due to external distractions or internal thoughts. 
  • Anxiety symptoms are driven by fear or excessive worry about real or imagined situations, often leading to avoidance behaviours or physical symptoms like sweating, trembling, or headaches. 

In conclusion, distinguishing between ADHD vs anxiety can be challenging due to overlapping symptoms. However, understanding the symptom differences such as the nature of attention issues and emotional responses can help ensure the correct diagnosis and treatment approach. If you suspect either condition, it’s important to seek a professional evaluation to determine the best course of action. 

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.

Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk

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, 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.