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ADHD vs. Anxiety:

How to Tell the Difference (And Why It Matters for Your Mental Health)

(And How Therapy Can Help You Recover)

  • You forget deadlines, lose your keys, and feel restless even when you’re exhausted. Your mind races, but is it ADHD, anxiety—or both? These conditions share strikingly similar symptoms, yet they demand different treatments. Misdiagnosis is rampant, especially for women and adults:

    • 40% of adults with ADHD are initially misdiagnosed with anxiety (CHADD).

    • 1 in 3 women with ADHD go undiagnosed until their 30s or 40s (ADDitude Magazine).

    In this guide, we’ll untangle the overlap, explain why accurate diagnosis matters, and help you take the next step.

ADHD vs. Anxiety: Key Symptoms Compared

(Keyword: “ADHD vs anxiety symptoms”)

Focus Issues

Distracted by external stimuli (noises, tasks)

Distracted by internal worries ("What if I fail?")

ADHD: Environment pulls focus. Anxiety: Thoughts dominate.

Restlessness

Physical hyperactivity (fidgeting, pacing)

Mental "racing thoughts" or panic attacks

ADHD: Body can't sit still. Anxiety: Mind won't slow down.

Procrastination

Avoids tasks due to overwhelm + boredom

Avoids tasks due to fear of judgment/failure

ADHD: "This is boring." Anxiety: "I'll mess up."

Forgetfulness

Forgets daily tasks (e.g., appointments)

Forgets due to preoccupation with stressors

ADHD: Memory lapses. Anxiety: Overthinking blocks recall.

Emotional Response

Frustration at unfinished tasks

Dread about potential outcomes

ADHD: "I messed up again." Anxiety: "I might mess up."

Sleep Problems

Trouble falling asleep (mind seeks stimulation)

Nighttime rumination/insomnia

ADHD: Brain won't "turn off." Anxiety: Brain anticipates threats.

Social Behavior

Interrupts conversations (impulsivity)

Overanalyzes interactions afterward

ADHD: Acts without thinking. Anxiety: Overthinks after acting.


Why ADHD is Often Misdiagnosed as Anxiety

Shared Symptoms

  • Both cause poor concentration, irritability, and sleep issues.

  • Example: A woman with ADHD might seek help for “constant worry,” masking her core focus struggles.

Gender Bias

  • Girls with ADHD often present as “daydreamers,” not hyperactive, leading to anxiety misdiagnosis.

  • Adults mask ADHD with coping mechanisms (overworking, lists) until burnout hits.

Overlap in Adults

  • 50% of adults with ADHD also have an anxiety disorder (ADAA).

  • Anxiety can develop from untreated ADHD (e.g., chronic lateness causing social stress).

Do I Have ADHD or Anxiety?

 5 Questions to Ask


When did symptoms start?

ADHD: Present since childhood (even if undiagnosed).Anxiety: Often triggered by life events (e.g., job loss, trauma).

What’s your primary struggle?

ADHD: Task initiation, organization, time blindness. Anxiety: Catastrophic thinking, avoidance, physical panic.

How do you respond to stress?

ADHD: May hyperfocus on hobbies to escape boredom. Anxiety: Avoids stressors or seeks excessive reassurance.

Does medication help?

ADHD: Stimulants (e.g., Adderall) improve focus. Anxiety: SSRIs (e.g., Zoloft) reduce panic but won’t fix ADHD.

What calms you?

ADHD: Novelty, movement, or deadlines. Anxiety: Routine, predictability, relaxation techniques.

Why Getting It Right Matters

Misdiagnosis can lead to:

  • Worsened anxiety if ADHD is untreated (e.g., missed deadlines → shame).

  • Ineffective therapy (CBT for anxiety won’t address ADHD’s executive dysfunction).

Real-Life Case:
Sarah, 28, was treated for anxiety for years. Therapy helped her worries but not her chronic lateness or messy home. After an ADHD diagnosis, she learned time-management tools—and her anxiety dropped by 70%.

CTA:

“Unsure where to start? Book a 15-minute consultation with our ADHD/anxiety specialists for clarity.”

FAQs About ADHD and Anxiety

Q: Can you have both ADHD and anxiety?
Yes! 50% of ADHDers have a co-occurring anxiety disorder. Treating ADHD often eases anxiety.

Q: Are ADHD meds bad for anxiety?
Stimulants can sometimes worsen anxiety. Non-stimulant options (e.g., Strattera) may be better.

Q: How long does diagnosis take?
Comprehensive evaluations typically require 2–3 sessions + history reviews.

Final Thought

ADHD and anxiety aren’t labels—they’re roadmaps to the right support. If you’ve spent years feeling “lazy,” “scatterbrained,” or “overly worried,” the right diagnosis could be life-changing.

ADHD vs. Anxiety counsellors

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