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ADHD and Anxiety: Why They Show Up Together

ADHD and anxiety often occur together. How to tell them apart, why they overlap, and what treatment considerations to discuss with your doctor.

aD Written by the auDHD.co.za community Β· Educational, not medical advice

In short: Up to about half of adults with ADHD also have an anxiety disorder. The two can look alike, feed each other and need to be assessed together.

Educational content only. auDHD.co.za is written by members of the neurodivergent community, not medical professionals. We are not registered with the HPCSA. Nothing here is a diagnosis or medical advice β€” please speak to a registered psychologist, psychiatrist or doctor. Full disclaimer.

ADHD and anxiety frequently co-occur. Living with untreated ADHD β€” missed deadlines, forgotten commitments β€” can create constant worry, and anxiety can worsen concentration.

How to tell them apart

ADHDAnxiety
Concentration problemsLifelong, across settingsWorse when worried
RestlessnessNeed for stimulationNervous tension
StartedChildhoodAny age

Why they overlap

  • Shared genetic and brain-based factors
  • Chronic stress from coping with ADHD
  • Autistic people also have high rates of anxiety β€” AuDHD adds both

Treatment considerations

Treating both matters. Some people find anxiety improves once ADHD is treated; others find stimulants increase anxiety and need a different approach, such as a non-stimulant like atomoxetine or therapy (CBT). Only your doctor can advise you.

ADHD and depression

Depression is also more common in ADHD. If you feel hopeless, contact SADAG on 0800 567 567.

Sources & further reading

Last checked: 31 October 2026. If you spot something out of date, tell us.