▲ Anxious ADD / ADHD ▲

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》With Anxious ADD, also known as type 7, there is low activity in the prefrontal cortex while there is overactivity in the basal ganglia, which sets the body's "idle speed" and is related to anxiety. The ADD symptoms in people suffering with this type tend to be magnified by their anxiety.


Anxious ADD is characterized by a severe feeling of anxiousness and nervousness as well as inattention. These symptoms are caused by a dysregulated brain.

Approximately 80% of people with ADHD have at least one additional diagnosis, and some research shows that up to 50% of people with ADHD also have an anxiety disorder.

Symptoms include:

Inability to sustain focus
Feelings of anxiousness
Fear of disapproval or Criticism
Social anxiety
Stress related digestive symptoms,  headaches,  and/or sleeping difficulties
Pessimism

Individuals with ADHD and an anxiety disorder experience their anxiety differently than those with an anxiety disorder but not ADHD. Specifically, those with ADHD experience more severe anxiety, earlier onset of symptoms, and a higher risk for substance use disorders than those who do not have ADHD.

》An evaluation for ADHD often includes the following:

Diagnostic interview: The provider gathers a thorough history of your symptoms and life events.

Self-report scales: These measures provide norm-referenced data about your symptoms and compare them to people with ADHD and those who do not have ADHD.

Observer scales: This is information provided by someone close to you and familiar with your symptoms.

Tests of sustained attention: The evaluator may have you complete a task that measures your ability to focus and pay attention in real-time. Your performance is then compared to people who have ADHD and people who do not have ADHD.


Anxiety disorders have a genetic component, meaning that those with a family history of anxiety are more likely to display symptoms. However, environmental factors and stressors can also cause someone to develop anxiety.

Treatment options for anxious ADHD include:

ADHD Medication. Attentive, hyperactive, and impulsive symptoms related to ADHD can be treated by stimulant medication (such as Adderall) and non-stimulant medication (including Strattera).

Anxiety Medication. People with anxiety can benefit from Selective Serotonin Reuptake Inhibitors (SSRIs), a class of medication that prevents your brain from reabsorbing serotonin, the neurotransmitter connected to feelings of calm and happiness.

Psychotherapy. Treatment with a therapist can help with symptoms of both ADHD and anxiety.

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