Is your child a worrier? Ask your child if he/she has worries that will not go away regardless of what they do.To further help distinguish between ADD and anxiety, below are some baseline questions that should be asked: They may only show anxiety sometimes about a specific academic task or challenge.Ī thorough clinical history is important in helping differentiate the cause of the inattention and evaluating if it may be primarily an anxiety disorder.īelow are some important questions to ask when attempting to make a diagnosis. In contrast, an inattentive ADHD child’s mind can be quiet, but easily distracted, which results in their inattention. Their anxiety can permeate all academic assignments. In sum, children with generalized anxiety disorders will have poor focus because their minds are dominated by anxious, worrisome thoughts. The difference between ADHD and anxiety ultimately comes down to whether or not the individual is not focused because of fearful, apprehensive thoughts, or is not focused because of being easily distracted even though their mind is calm. Significant clinical impairment but does not meet full criteria of ADHD symptom.Inattentive symptoms along with hyperactivity/impulsivity.Hyperactive (fidgety and/or difficulty sitting still).Impulsive (acting without thinking of the consequences, blurting out answers, interrupting, experiencing difficulty waiting one's turn). Often forgetful such as forgetting homework or turning it inĪDHD (Hyperactive-impulsive presentation):.difficulty following a series of instructions) Difficulty finishing tasks such as homework without supervision.Lack of sustained focus on non-preferred tasks.Like anxiety, ADHD has a neurophysiological effect on afflicted individuals, causing them to experience diminished cognitive functioning. They can be in an abnormal state of heightened psychophysiological arousal that sustains their anxiety. Studies have shown that a dysregulated amygdala can negatively impact the brain’s ability to moderate the fear response system, leaving the individual in an increased state of “fight or flight”. In addition to these symptoms, a recent study from Harvard Medical School (Internal Medical News, May 1, 2016), found an association in adults between an over-activated amygdala (limbic system) and an increased risk of cardiovascular events like a heart attack or a myocardial infarction. Somatic symptoms (sweating, nausea, diarrhea).Indeed, anxiety can cause a whole host of debilitating physical and psychological symptoms, some of which are listed below: Physical Symptoms of Anxiety However, problems arise when the anxiety or fear reaction becomes excessive, irrational, or out of proportion to the activity that’s either occurring or about to occur (e.g., excessive worrying about school assignments). When discussing anxiety symptoms, it’s important to note that anxiety is a normal emotional response to difficult and uncomfortable situations. To obtain a clearer picture of the differences between ADHD and anxiety, let’s first look at the symptoms of each disorder. Waldrup presented the idea that children with anxiety disorders will usually start showing symptoms by 6 to 12 years of age, while being frequently underdiagnosed and undertreated.Ĭonfusing the picture of whether or not it is anxiety or ADHD is the fact that generalized anxiety disorder (GAD) and inattentive presentation of ADHD clinically show much the same symptoms of inattention, leading to frequent misdiagnosis (e.g., ADHD misdiagnosed as anxiety and vice versa).Īnd although both anxiety disorders and ADHD manifest similar symptoms of inattention, there are important distinctions to be made between these two disorders, especially in regards to providing effective treatment for symptoms. from Weill Cornell Medical College at a conference presented by the Nevada Psychiatric Association.ĭr. The answer to this question was addressed in an illuminating lecture for continuing medical education for physicians by John Waldrup, M.D.
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