At Sparrow ADHD & Wellness, we understand that managing ADHD is a multifaceted journey, and for many individuals, ADHD doesn’t exist in isolation. It's common for ADHD to co-occur with other conditions, with anxiety being one of the most prevalent. Navigating both ADHD and anxiety can be challenging, but with the right strategies and support, it's possible to manage both conditions effectively.

In this article, we’ll explore the connection between ADHD and anxiety, how these two conditions often interact, and how integrated care can help individuals lead fulfilling, balanced lives.

Understanding the Connection Between ADHD and Anxiety

ADHD and anxiety disorders are distinct conditions, but they share some overlapping features, and the experience of having both can intensify symptoms for individuals. It’s estimated that about 25-40% of people with ADHD also experience an anxiety disorder at some point in their lives.

Why Do ADHD and Anxiety Co-occur?

There are several reasons why ADHD and anxiety are commonly found together:

  • Shared Symptoms: Both conditions can lead to difficulties with focus, restlessness, and emotional regulation. Anxiety can cause an individual to feel overly worried, which can make it even harder to stay on task or be productive—hallmarks of ADHD.
  • ADHD Symptoms Can Fuel Anxiety: The impulsivity, forgetfulness, and difficulties with time management that come with ADHD can lead to a cycle of stress, poor performance, and feelings of inadequacy, all of which can contribute to anxiety. For instance, a child with ADHD may feel anxious about upcoming school tests due to difficulties with organization and planning.
  • The Strain of ADHD: Living with ADHD can often create situations that feel overwhelming, such as struggling to meet expectations or being criticized frequently for behavior. These situations can increase feelings of worry and self-doubt, potentially leading to anxiety.

How ADHD and Anxiety Interact

When ADHD and anxiety coexist, it can be difficult to differentiate between which symptoms are related to which condition. The overlap can complicate diagnosis and treatment but understanding the ways in which these conditions interact is the first step toward effective management.

  • Attention and Focus: Both ADHD and anxiety can interfere with concentration, but for different reasons. ADHD makes it hard to maintain focus due to distractibility and impulsiveness, while anxiety makes it difficult to concentrate because the mind is preoccupied with worry. Together, they can result in heightened difficulty in school, work, or social settings.

  • Emotional Regulation: Anxiety can exacerbate the emotional regulation difficulties already present in ADHD. An individual may feel overwhelmed by emotions, and the heightened stress response can lead to impulsive reactions or emotional outbursts.

  • Sleep Disturbances: Both ADHD and anxiety can lead to sleep problems. The restlessness associated with ADHD and the constant worry stemming from anxiety can prevent individuals from getting enough rest, leading to fatigue that worsens both conditions.

Managing Both ADHD and Anxiety: Tips for Families and Individuals

While managing ADHD and anxiety simultaneously can seem overwhelming, there are numerous strategies and treatment options that can help. Here are some tips for effectively managing both conditions:

1. Get an Accurate Diagnosis

The first step in managing ADHD and anxiety is to obtain an accurate, comprehensive diagnosis. Both conditions have symptoms that overlap with other disorders, which can make them difficult to diagnose without the right expertise. At Sparrow ADHD & Wellness, our team offers virtual ADHD assessments that consider the potential for co-occurring conditions like anxiety, helping families across British Columbia navigate the diagnostic process and get the care they need.

2. Combine ADHD and Anxiety Treatments

While ADHD and anxiety are treated with different approaches, it’s important to address both conditions in an integrated way.

  • Behavioral Therapy: Cognitive-behavioral therapy (CBT) is effective in treating both ADHD and anxiety. CBT can help individuals develop coping strategies, reframe negative thoughts, and work on time management and organization skills—areas that can be particularly challenging for those with ADHD and anxiety.

  • Medication: Medications for ADHD, such as stimulants and non-stimulants, can help improve focus and impulse control. For anxiety, selective serotonin reuptake inhibitors (SSRIs) or other anxiety medications may be prescribed. In some cases, a combination of both types of medications may be needed. It’s essential to work with a healthcare provider who can carefully monitor the effects of both medications.

  • Mindfulness and Relaxation Techniques: Techniques such as deep breathing, mindfulness meditation, and progressive muscle relaxation can help reduce anxiety and improve attention. Regular practice of mindfulness can help individuals stay grounded and reduce the physical symptoms of anxiety, such as a racing heart or shortness of breath, while also fostering the focus needed for managing ADHD.

3. Create a Structured Routine

Both ADHD and anxiety thrive in chaotic or unpredictable environments. Establishing a structured, predictable routine can help individuals with ADHD and anxiety feel more in control and reduce feelings of overwhelm. For example:

  • Use Visual Schedules: Visual reminders can help individuals with ADHD stay organized and on track, reducing the stress of forgotten appointments or tasks.
  • Create Time for Relaxation: Incorporating time for rest and relaxation into the daily schedule can help manage anxiety. Activities like reading, taking a walk, or simply sitting quietly for a few minutes can calm the mind and provide a break from the demands of the day.

4. Encourage Healthy Habits

Physical health can have a significant impact on mental health, so encouraging healthy habits is crucial for managing ADHD and anxiety:

  • Exercise: Regular physical activity can help reduce anxiety and improve focus. Activities like yoga, running, swimming, or even daily walks can promote a sense of calm while also providing an outlet for excess energy.
  • Sleep: Prioritize good sleep hygiene. Aim for a consistent bedtime and create a calming pre-sleep routine. Poor sleep exacerbates both ADHD and anxiety, so adequate rest is essential for managing symptoms effectively.
  • Nutrition: A balanced diet can help support overall mental health. Foods rich in omega-3 fatty acids, protein, and complex carbohydrates can support brain function and emotional regulation.

5. Foster Open Communication

Open communication between parents, caregivers, teachers, and healthcare providers is essential for managing both ADHD and anxiety. If you notice that your child’s symptoms are worsening or if they seem to be struggling, don’t hesitate to reach out for additional support.

At Sparrow ADHD & Wellness, we take a collaborative approach to care, working with families to develop a comprehensive plan that addresses both ADHD and anxiety. Our virtual services allow us to provide consistent, accessible care to families across British Columbia.

Integrated Care at Sparrow ADHD & Wellness

Managing both ADHD and anxiety requires an individualized, holistic approach. At Sparrow ADHD & Wellness, we specialize in providing comprehensive assessments, treatment recommendations, and ongoing management for children and adults facing ADHD and anxiety. By offering virtual care, we make it easier for families to access the support they need, regardless of location.

If you or your child are struggling with both ADHD and anxiety, we encourage you to reach out. Our team is here to help you navigate the complexities of managing both conditions and to guide you through treatment options that will improve overall well-being.


With the right combination of treatment, support, and strategies, managing both ADHD and anxiety is not only possible, but it can lead to meaningful improvements in quality of life. At Sparrow ADHD & Wellness, we are committed to helping you and your family find the path to success.