ADHD or Anxiety? Why They Often Look Similar in Children

Many parents wonder whether their child's struggles are caused by ADHD, anxiety, or both.

The truth is that ADHD and anxiety frequently overlap and can sometimes look surprisingly similar.

Signs Often Associated with ADHD

Children with ADHD may struggle with:

  • Impulsivity

  • Emotional regulation

  • Forgetfulness

  • Organization

  • Following multi-step directions

  • Starting or completing tasks

Signs Often Associated with Anxiety

Children experiencing anxiety may:

  • Seek frequent reassurance

  • Avoid challenging situations

  • Have difficulty separating from caregivers

  • Worry excessively

  • Struggle with perfectionism

  • Become overwhelmed by uncertainty

Why It Can Be Difficult to Tell the Difference

A child who appears distracted may actually be worried.

A child who avoids homework may be struggling with executive functioning.

A child who seems defiant may be overwhelmed.

This is one reason why a thorough understanding of the child's emotional world is so important.

How Therapy Can Help

Whether challenges stem from anxiety, ADHD, or a combination of factors, therapy can help children build emotional regulation skills, confidence, problem-solving abilities, and healthier coping strategies.

Parent involvement is often an important part of helping children succeed both at home and at school.

Looking Beyond Labels

The goal is not simply identifying a diagnosis. The goal is understanding what your child is experiencing and providing support that helps them thrive.

Next Steps

If your child is struggling with procrastination, anxiety, big feelings, and overwhelm, additional support may be helpful. Play therapy can provide children with a safe space to build confidence, strengthen emotional regulation skills, and develop healthier ways of navigating challenges.

Weinman Wellness Center offers in-person play therapy in Timonium, Maryland for children and families throughout the greater Baltimore area. Schedule a free 15-minute consultation to learn whether play therapy may be a good fit for your child.

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My Child Has Big Feelings: When Is It More Than a Phase?