What Are the Best Ways to Reduce Anxiety in Children with ADHD?

February 8, 2024

In today’s complex world, mental health disorders such as ADHD (Attention Deficit Hyperactivity Disorder) and anxiety are a growing concern, particularly in children. These disorders can significantly affect a child’s behavior, emotions, and ability to function in daily life. As parents, caregivers, and educators, you may be wondering, "What are the best ways to help children cope with these mental health challenges?"

This article will guide you through understanding the linkage between ADHD and anxiety in children, their symptoms, and the most effective treatments to help them. It is crucial to remember that each child is unique, and what works for one may not work for another. However, a combined approach of medication, therapy, and behavioral changes can often make a significant difference.

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Understanding ADHD and Anxiety in Children

ADHD is a neurodevelopmental disorder that primarily affects children and often continues into adulthood. It is characterized by persistent patterns of inattention, hyperactivity, and impulsivity. On the other hand, anxiety is a feeling of fear or apprehension about what’s to come. While it is normal for children to experience anxiety occasionally, persistent and excessive fear might be a sign of an anxiety disorder.

What’s important to understand is that these two conditions often coexist. Numerous studies have shown that kids diagnosed with ADHD are more likely to experience anxiety compared to their peers. This combined diagnosis can exacerbate symptoms and make management more complex.

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Recognizing the Symptoms: When ADHD Meets Anxiety

The symptoms of ADHD and anxiety can often overlap, making it harder to diagnose and treat effectively. However, some specific signs may indicate if a child is suffering from both disorders.

Children with ADHD often struggle with maintaining attention, are easily distracted, have difficulty with time management, and may appear hyperactive or impulsive. Those with anxiety may constantly worry, have difficulty concentrating due to anxiety, experience sleep problems, and may avoid engaging in new experiences or social interactions.

In a child with both ADHD and anxiety, these symptoms may be even more intense. For instance, their inattentiveness may be due not just to ADHD, but also the constant worry characteristic of anxiety.

A Comprehensive Approach to Treatment

When it comes to treating children with ADHD and anxiety, a comprehensive approach that involves medication, therapy, and behavioral changes is often the most effective.

Medication: Both ADHD and anxiety disorders can be managed effectively using medication. For ADHD, stimulant medications, such as methylphenidate and amphetamine, are often prescribed. They work by increasing the levels of certain chemicals in the brain that help with focus and attention.

For anxiety, selective serotonin reuptake inhibitors (SSRIs) or serotonin and norepinephrine reuptake inhibitors (SNRIs) may be prescribed. These medications can help to reduce feelings of anxiety and improve mood.

It’s important to remember that the goal of medication is not to cure the disorders, but to manage the symptoms. Always consult with a healthcare professional before starting any medication regimen.

Therapy: Therapy, particularly cognitive-behavioral therapy (CBT), can be a beneficial component of a comprehensive treatment plan. CBT can help children understand their thoughts and feelings, and learn coping skills to manage their symptoms.

Behavioral Changes: As parents, implementing certain behavioral strategies at home can significantly help children manage their symptoms. Regular exercise, a healthy diet, maintaining a consistent bedtime routine, and providing a structured environment can all help a child with ADHD and anxiety.

Empowering Parents: Strategies to Help at Home

As parents, you play a crucial role in the management of your child’s ADHD and anxiety. Here are some strategies you can implement at home:

Promote Physical Activity: Regular physical activity can have numerous mental health benefits, including reducing symptoms of ADHD and anxiety. Try to incorporate a variety of activities your child enjoys, such as biking, dancing, or team sports.

Provide a Healthy, Balanced Diet: What we eat can significantly impact our mental health. Try to provide a diet rich in fruits, vegetables, lean protein, and whole grains. Limit sugary drinks and junk food, which can exacerbate ADHD symptoms.

Maintain a Consistent Routine: Children with ADHD and anxiety thrive on routine. Try to keep a regular schedule for meals, homework, and bedtime, which can help reduce feelings of anxiety and improve focus and attention.

Teach Relaxation Techniques: Techniques such as deep breathing, progressive muscle relaxation, or mindfulness can be effective in reducing symptoms of both ADHD and anxiety. Practice these techniques with your child and encourage them to use them when they’re feeling anxious or overwhelmed.

Navigating the world of ADHD and anxiety can be challenging, but remember, you’re not alone. Reach out to healthcare professionals, mental health specialists, and support groups for guidance and support.

Education and School Support Systems

Children with ADHD and anxiety spend a significant amount of their time in school, thus making the learning environment a critical aspect of their lives. Schools should provide a supportive environment that recognizes and supports the needs of these children.

Educational Accommodations: Children with ADHD and anxiety might benefit from individualized education plans (IEPs) or 504 plans. These plans are designed to help kids with disabilities get the appropriate accommodations they need to succeed in school. Accommodations might include extended time on tests, a quiet place to work, or frequent breaks.

School Counseling and Therapy: Many schools have counselors and therapists who can provide support to children dealing with ADHD and anxiety. These professionals can provide coping strategies, emotional support, and can help in managing social interactions with peers.

Communication with Teachers: Regular communication with teachers can provide insights into how the child is performing in school. Teachers can observe behaviors and academic performance and relay this information to parents and healthcare providers.

Remember, the more support a child with ADHD and anxiety has, the better they are likely to manage their symptoms and succeed acadically. As parents, it’s important to advocate for your child’s needs and ensure they’re getting the help they need at school.


ADHD and anxiety can present significant challenges for children, impacting their behavior, emotions, and overall ability to function. Understanding the combination of these disorders, recognizing their symptoms, and following a comprehensive treatment plan can make a significant difference in helping kids manage these conditions effectively.

Parents play a vital role in managing their children’s ADHD and anxiety symptoms by establishing a supportive home environment and advocating for their needs at school. Regular physical activity, a healthy diet, a consistent routine, and relaxation techniques can all contribute to managing these disorders.

While living with ADHD and anxiety can be challenging, it’s important to remember that with the right support and strategies, children with these conditions can lead fulfilling and successful lives. Reaching out to healthcare professionals, mental health specialists, and support groups can provide you with the guidance and support you need in your journey of raising a child with ADHD and anxiety.

Remember, every child is unique, and what works for one won’t necessarily work for another. It’s about discovering the strategies that work best for your child and implementing them consistently. With patience, understanding, and a lot of love, you can help your child navigate the world of ADHD and anxiety.