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ADHD vs Anxiety: How to Tell the Difference

Understanding the overlap and key distinctions

ADHD and anxiety can look remarkably similar on the surface. Both can cause restlessness, difficulty concentrating, and sleep problems. This overlap leads to frequent misdiagnosis—people with ADHD may be told they "just have anxiety," while anxiety is sometimes mistaken for ADHD.

~50%
of adults with ADHD have anxiety
25%
of anxiety patients also have ADHD

Quick Comparison

ADHD

  • Distraction from understimulation
  • Mind wanders to random topics
  • Restlessness from excess energy
  • Procrastination from lack of interest
  • Present since childhood
  • Consistent across situations

Anxiety

  • Distraction from worry/fear
  • Mind fixates on specific worries
  • Restlessness from nervous tension
  • Avoidance from fear of failure
  • Can develop at any age
  • Often situation-specific

Overlapping Symptoms

These symptoms appear in both conditions, making diagnosis challenging:

Difficulty concentrating
😰Restlessness
Sleep problems
📋Avoiding tasks
Irritability
Racing thoughts

Key Questions to Differentiate

"WHY can't I focus?"

ADHD: "I keep noticing other things" / "This is boring" / "I don't know where my mind went"
Anxiety: "I'm worried about X" / "What if I fail?" / "I can't stop thinking about that thing"

🌙 "WHY can't I sleep?"

ADHD: "I'm not tired yet" / "I got hyperfocused on something" / "My brain won't turn off (random thoughts)"
Anxiety: "I'm worried about tomorrow" / "I keep replaying that conversation" / "What if something goes wrong?"

📋 "WHY do I avoid tasks?"

ADHD: "It's boring" / "I'll do it later" / "I don't know where to start" / "I forgot about it"
Anxiety: "What if I do it wrong?" / "People will judge me" / "It has to be perfect" / "I'm afraid to fail"

When It's Both: ADHD + Anxiety

Having both conditions is very common. In fact, living with undiagnosed ADHD often causes anxiety:

The ADHD → Anxiety Cycle

ADHD causes mistakesFear of more mistakesAnxiety developsFocus worsensMore mistakes

Signs you might have both:

  • You had attention/hyperactivity issues as a child AND developed worry later
  • Treatment for anxiety alone hasn't fully helped
  • You experience both "random" distraction AND worry-based distraction
  • You feel anxious ABOUT your ADHD symptoms (forgetting things, being late)

Screen for Both Conditions

Our free screening tools can help you understand your symptoms better. Take both assessments to get a clearer picture.

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Written by GoNow Team

Last reviewed: 2026-02-03

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Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you suspect you have ADHD or any other mental health condition, please consult a qualified healthcare provider. Self-assessment tools are screening instruments, not diagnostic tests.

References

  1. American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR). American Psychiatric Association Publishing [View Source]
  2. (2022). International Classification of Diseases 11th Revision (ICD-11). World Health Organization [View Source]
  3. (2003). Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist. World Health Organization [View Source]
  4. Goodman DW, et al. (2017). ADHD in Adults: A Practical Guide to Evaluation and Management. CNS Spectrums [View Source]
  5. Faraone SV, et al. (2021). The World Federation of ADHD International Consensus Statement. Neuroscience & Biobehavioral Reviews [View Source]