ADHD ADHD Medication and Anxiety By Zuva Seven Zuva Seven LinkedIn Twitter Zuva Seven is a freelance writer, editor, and founder of An Injustice!. She is focused on the nuanced exploration of mental health, health, and wellness. Follow her on Twitter here. Learn about our editorial process Published on October 31, 2022 Print FG Trade / Getty Images. Table of Contents View All Table of Contents What Is ADHD? Medications for ADHD ADHD Medication and Anxiety Other Side Effects ADHD Medication and Anxiety Medication Coping With ADHD and Anxiety Attention-deficit hyperactivity disorder (ADHD) is a common neurotype that affects an estimated 4% of the world’s population. While it is usually diagnosed in childhood, ADHD is lifelong. It is characterized by patterns of inattention, hyperactivity, and impulsivity that can make it difficult for people to pay attention and control their behaviors. Various methods can be implemented to help manage day-to-day tasks and tendencies. This includes medication, therapy, social skills training, lifestyle changes, and special accommodations. ADHD and anxiety often co-exist, and they can also exacerbate the effects of each other. Additionally, stimulant-based medication can cause anxiety symptoms to worsen when initially taken; however, this usually subsides over time. This article will explore which medications can cause these symptoms as well as alternative treatment methods that can be trialed. Additionally, general coping mechanisms will be discussed to further support and help your journey. What Is ADHD? Though it is sometimes mistaken for a learning disability, ADHD is actually a neurodevelopmental disorder that affects the brain’s development and ability to function. While ADHD traits do vary from person to person, there are three major presentations with their own unique characteristics: Inattentive: This type of ADHD is characterized by symptoms of inattention, disorganization, a lack of focus, and a short attention span. This type of ADHD is sometimes referred to as attention deficit disorder (ADD); however, this term is outdated and not regularly used anymore. Impulsive/Hyperactive: This subtype is the most commonly recognized when discussing ADHD. Individuals with this type are restless, fidgety, and often act without thinking. Combined: This is the most common ADHD subtype. Individuals with this type of ADHD usually document experiencing a mixture of impulsivity, hyperactivity, and inattention symptoms. The Three ADHD Subtypes and How to Recognize Them Which Medications Are Used to Help With ADHD? Medication for ADHD comes in two groups, stimulants and non-stimulants. The type of medication suitable for a person will depend on their specific traits. Stimulants Stimulants are considered the first-line treatment for ADHD; thus, they are the most common type of medication to help with ADHD tendencies while they are active in the body. But how does this process happen? The chemicals norepinephrine and dopamine play a key role in regulating attention and executive function. These chemicals tend to be lower in those with ADHD, so stimulants work by increasing their availability in the brain. They do this by slowing down the rate of dopamine reabsorption in the neural network. Thus, the activity and communication of the parts of the brain that rely on these chemicals increase, and the symptoms of ADHD decrease. Common Stimulants The most common stimulant-based medications include the following: Adderall (amphetamine, dextroamphetamine) Concerta (methylphenidate) Vyvanse (lisdexamfetamine) ADHD Medication for Adults Non-stimulants Non-stimulants are another treatment option for ADHD. This option is usually recommended to those who don’t experience any changes on stimulants, experience severe adverse side effects from stimulants, and/or those with health conditions that make stimulants an inappropriate option. It is also important to note that there may be instances where a doctor may prescribe both. Common Non-Stimulants The most common non-stimulant-based medications include the following:Catapres (clonidine) Intuniv (guanfacine) Qelbree (viloxazine) Strattera (atomoxetine) Wellbutrin XL (bupropion hydrochloride) Non-Stimulant ADHD Medication Does ADHD Medication Cause Anxiety? Stimulant medications generally do not worsen anxiety symptoms; however, ADHD and anxiety often co-exist, and they can also exacerbate the effects of each other. For instance, around 50% of adults with ADHD also have a comorbid generalized anxiety disorder (GAD) diagnosis. Additionally, some stimulant-based ADHD medications can make anxiety symptoms worse initially, such as Adderall or Ritalin. However, these symptoms usually tend to subside after some time. “Some symptoms — like fidgeting and trouble concentrating — are hallmarks of both ADHD and anxiety. As a result, clinicians must rule out anxiety and other mental disorders when diagnosing ADHD, and vice versa," says Damaris Chukwura, Psychiatric Nurse Practitioner at Heading Health. Nevertheless, should your anxiety symptoms worsen, non-stimulant-based medication is seen to be the best alternative mode of treatment. Other Side Effects of ADHD Medication While ADHD medication is very effective at helping people manage their symptoms, as with all medication, there is the potential for side effects. It is important to note that not everyone who takes the medication will experience the same side effects to the same severity. Additionally, many of these adverse effects can subside with time. However, should this not be the case (or should you experience any that impact your daily routine), it is essential to have a discussion with your doctor. Stimulant-based medication to treat ADHD can cause the following: Weight loss Decreased appetite Insomnia Headaches Mood changes Nausea Tics Rebound effects To minimize the side effects of ADHD medication, medical practitioners can implement a range of techniques. This includes starting off with a low dose and titrating the medication to find your body’s ideal balance. In some instances switching your medication may be recommended. This can happen in two ways — switching from an amphetamine-based ADHD medication to a methylphenidate-based one or a long-acting agent to a short-acting agent (and visa-versa). There is also the option of taking “medication holidays.” Additionally, it is common for your doctor to recommend regular check-ups initially. This is so they can monitor your weight, blood pressure, heart rate, and general well-being. How Long Does It Take for ADHD Medication to Work? Can You Take ADHD Medication With Anxiety Medication? As mentioned above, individuals with ADHD are more likely to have an anxiety disorder than individuals without the condition. “Some symptoms — like fidgeting and trouble concentrating — are hallmarks of both ADHD and anxiety,” says Chukwura. Therefore, it is vital to have your clinician rule out anxiety and other mental disorders when diagnosing ADHD. Nevertheless, it is possible to take these medications together under a doctor’s supervision. That said, it is crucial to keep in mind that a combination of medicine and therapy has been found to be most beneficial for individuals with ADHD and anxiety. Additionally, for some individuals, stimulant medication can be enough to reduce the impact of anxiety. For example, a 2016 study on children with ADHD found that both atomoxetine and methylphenidate-based medication reduced the symptoms of ADHD and anxiety. How to Cope With ADHD and Anxiety While there are many techniques your medical practitioner can implement to help with your ADHD, there is a range of other methods you can carry out yourself. Here are some tips you can try: Create a schedule with breaks and make it visible: Creating a structured routine is very helpful when it comes to keeping track and being engaged with tasks. However, it is important to remember to schedule some breaks, too, so you don’t overextend yourself. “Writing in your planner, putting a calendar on your wall or digital calendars are great for reminding us to take scheduled breaks,” advises Chukwura.Implement exercise and movement into your routine: Evidence shows that exercise can lead to an immediate improvement in ADHD symptoms and cognitive functions. It doesn’t need to be anything strenuous either. “Make sure to incorporate movement every day, especially when working from home. Walking meetings are also great!” she says.Maintain healthy habits and lower your expectations: In today’s culture, it is very common for everyone to feel overwhelmed at one point or another. Therefore, it is vital to give yourself and your body the best internal environment to face daily challenges. “Exercise, sleep, eating nutritious foods while limiting caffeine and alcohol are effective in managing ADHD and anxiety,” says Chukwura. That said, it is also important not to hinge on your self-worth to always excel at these things. No one can perform at the same caliber every day, so it’s also vital to give yourself grace. Consistency doesn’t require perfection. A Word From Verywell ADHD and anxiety are difficult to live with separately, so if you have them both, it’s important to give yourself some grace. Additionally, it’s important to discuss any concerns you may have with your medical practitioner, as they’ll be able to offer you more context-specific advice. Don’t forget that treatment takes time, and it may take a few different alternatives before you find one that works for you. Nevertheless, it is possible to achieve a great quality of life over time. I Think I Have ADHD: What to Do and Where to Go 11 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Mohammadi M-R, Zarafshan H, Khaleghi A, et al. Prevalence of ADHD and its comorbidities in a population-based sample. J Atten Disord. 2021;25(8):1058–1067. Nemours Foundation. ADHD (for parents). National Institute of Mental Health (NIMH). Attention-Deficit/Hyperactivity Disorder. Kolar D, Keller A, Golfinopoulos M, Cumyn L, Syer C, Hechtman L. Treatment of adults with attention-deficit/hyperactivity disorder. Neuropsychiatr Dis Treat. 2008;4(2):389–403. doi:10.2147/ndt.s6985 Cleveland Clinic. ADHD Nonstimulant Therapy & Other ADHD Drugs. Nageye F, Cortese S. Beyond stimulants: a systematic review of randomised controlled trials assessing novel compounds for ADHD. Expert Rev Neurother. 2019;19(7):707–717. DOI:10.1080/14737175.2019.1628640 Kessler RC, Adler L, Barkley R, et al. The prevalence and correlates of adult adhd in the united states: results from the national comorbidity survey replication. AJP. 2006;163(4):716–723. Weyandt LL, White TL, Gudmundsdottir BG, et al. Neurocognitive, Autonomic, and Mood Effects of Adderall: A Pilot Study of Healthy College Students. Pharmacy (Basel). 2018;6(3):58. doi:10.3390/pharmacy6030058 Coughlin CG, Cohen SC, Mulqueen JM, Ferracioli-Oda E, Stuckelman ZD, Bloch MH. Meta-Analysis: Reduced Risk of Anxiety with Psychostimulant Treatment in Children with Attention-Deficit/Hyperactivity Disorder. J Child Adolesc Psychopharmacol. 2015;25(8):611–617. doi:10.1089/cap.2015.0075 Snircova E, Marcincakova-Husarova V, Hrtanek I, Kulhan T, Ondrejka I, Nosalova G. Anxiety reduction on atomoxetine and methylphenidate medication in children with ADHD. Pediatr Int. 2016;58(6):476–481. DOI:10.1111/ped.12847 Mehren A, Reichert M, Coghill D, Müller HHO, Braun N, Philipsen A. Physical exercise in attention deficit hyperactivity disorder — evidence and implications for the treatment of borderline personality disorder. bord personal disord emot dysregul. 2020;7(1):1. doi:10.1186/s40479–019–0115–2 By Zuva Seven Zuva Seven is a freelance writer, editor, and founder of An Injustice!. Follow her on Twitter here. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for ADHD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.