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Can Poor Sleep Mimic ADHD and Cause Overdiagnosis? 

Yes, sleep problems vs. ADHD misdiagnosis is a growing concern, especially in children. Sleep deprivation or insomnia can cause symptoms that closely resemble ADHD, such as inattention, irritability, and difficulty focusing. When children or adults experience poor sleep, their ability to concentrate and manage daily tasks is often impaired, leading to behaviours that can be misinterpreted as ADHD symptoms. 

Many children, particularly those with disrupted sleep patterns, may struggle with attention and self-regulation. However, when sleep issues are the root cause, the focus should be on improving sleep, not immediately jumping to an ADHD diagnosis. If these sleep problems are not addressed, they can easily lead to misdiagnosis and unnecessary treatment. 

How Sleep Issues Can Mimic ADHD 

Here’s how sleep problems contribute to ADHD misdiagnosis: 

Sleep deprivation  

Lack of sleep affects concentration, memory, and mood, leading to behaviours similar to those seen in ADHD. 

Insomnia  

Chronic sleep difficulties can result in daytime fatigue, hyperactivity, or irritability, which can look like paediatric ADHD assessments. 

Behavioral overlap  

Children with sleep disorders may appear inattentive, restless, or emotionally dysregulated behaviours commonly associated with ADHD. 

In conclusion, for sleep problems vs. ADHD misdiagnosis, it’s important to rule out sleep issues before jumping to conclusions about ADHD. Proper sleep hygiene and addressing underlying sleep disorders can help improve these symptoms and reduce the need for unnecessary interventions.  

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 Overdiagnosis vs. Underdiagnosis in 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.