{"id":3917,"date":"2026-09-09T01:57:17","date_gmt":"2026-09-09T01:57:17","guid":{"rendered":"https:\/\/3riverstherapy.com\/?p=3917"},"modified":"2026-09-09T01:57:17","modified_gmt":"2026-09-09T01:57:17","slug":"adhd-vs-anxiety-in-children-signs-parents-should-know","status":"publish","type":"post","link":"https:\/\/3riverstherapy.com\/es\/adhd-vs-anxiety-in-children-signs-parents-should-know\/","title":{"rendered":"ADHD vs Anxiety in Children: Signs Parents Should Know"},"content":{"rendered":"<p><strong data-start=\"520\" data-end=\"596\">ADHD vs anxiety in children can be difficult for parents to distinguish.<\/strong><\/p>\n<p>Your child&#8217;s teacher may say they cannot stay focused. At home, homework takes twice as long as it should. Your child seems restless, forgetful, easily frustrated, or constantly distracted. <span data-contrast=\"auto\">Maybe they are having trouble falling asleep, waking during the night, or struggling to get moving in the morning.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">It is easy to look at those behaviors and wonder: Could this be attention deficit hyperactivity disorder?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The answer may not always be straightforward.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Attention deficit hyperactivity disorder, anxiety, and sleep problems can affect children in surprisingly similar ways. They can also occur together. Understanding what is behind a child&#8217;s symptoms often requires looking beyond the behavior itself and considering when it happens, where it happens, how long it has been happening, and what else is going on in the child&#8217;s life.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p class=\"PDq2pG_selectionAnchorContainer\" data-start=\"1337\" data-end=\"1403\"><strong data-start=\"1337\" data-end=\"1403\">ADHD vs Anxiety in Children: Why the Symptoms Can Be Confusing<\/strong><\/p>\n<p><span data-contrast=\"auto\">Difficulty concentrating is not unique to attention deficit hyperactivity disorder.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">A child who is anxious may struggle to pay attention because their mind is occupied with worries. A child who is not getting enough quality sleep may have difficulty focusing because they are tired. A child with attention deficit hyperactivity disorder may struggle because regulating attention is itself difficult.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">From the outside, all three children might simply appear distracted.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The National Institute of Mental Health notes that sleep disorders, anxiety, depression, stress, and certain physical conditions can cause symptoms similar to those of attention deficit hyperactivity disorder. For this reason, a thorough evaluation is important before determining what is causing a child&#8217;s difficulties.[1]<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">What Attention Deficit Hyperactivity Disorder Can Look Like<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Attention deficit hyperactivity disorder can involve persistent patterns of inattention, hyperactivity, impulsivity, or a combination of these symptoms.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Frequently lose or forget things<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Have difficulty completing tasks<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Become distracted easily<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">Struggle to follow instructions<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">Have trouble organizing schoolwork<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"auto\">Fidget or have difficulty sitting still<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"auto\">Interrupt others or act impulsively<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"8\" data-aria-level=\"1\"><span data-contrast=\"auto\">Have difficulty managing time<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">One important part of evaluating attention deficit hyperactivity disorder is looking at whether symptoms appear in more than one part of the child&#8217;s life.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">According to the National Institute of Mental Health, symptoms must be present in two or more settings, such as home, school, or social situations, and interfere with functioning for a diagnosis of attention deficit hyperactivity disorder.[1]<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">That is one reason providers often want information from parents, teachers, and other adults who regularly interact with the child.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">What Anxiety Can Look Like<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Anxiety in children does not always look like obvious fear or worry.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Sometimes it looks like distraction. Sometimes it looks like irritability. Sometimes it looks like a child who refuses to start their homework, avoids school, repeatedly asks for reassurance, complains of stomachaches, or cannot fall asleep at night.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The American Academy of Pediatrics notes that anxiety can cause restlessness, fatigue, difficulty concentrating, irritability, and sleep disturbance.[2] These are some of the same concerns that may lead a parent or teacher to wonder about attention deficit hyperactivity disorder.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The difference may become clearer when you look at what is happening around the behavior.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Does your child lose focus primarily when they are worried about making a mistake? Do they become distracted before tests, social situations, or unfamiliar activities? Do they avoid certain situations because of fear?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Those patterns are important information to share with a provider.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">What Sleep Problems Can Look Like During the Day<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Parents usually think of sleep problems as something that happens at night. But the effects often show up during the day.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">A child who is not getting enough quality sleep may be irritable, emotional, forgetful, restless, or unable to concentrate. Schoolwork may become more difficult, and ordinary frustrations may trigger bigger reactions.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The American Academy of Pediatrics reports that insufficient sleep can make it harder for children to regulate emotions and can contribute to difficulty paying attention, completing homework, finishing tasks, and staying interested in learning.[3]<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">That can look a lot like an attention or behavioral problem.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">When concerns about concentration or behavior appear, it is worth considering what happens after bedtime too.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Is your child actually sleeping? Do they take a long time to fall asleep? Do they wake frequently? Are they difficult to wake in the morning? Do they seem tired during the day?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Those details may be just as important as what happens in the classroom.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">More Than One Thing Can Be True<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">When considering <strong data-start=\"1696\" data-end=\"1727\">ADHD vs anxiety in children<\/strong>, it is important to remember that more than one condition can be present at the same time. Children are not always that simple.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">A child can have attention deficit hyperactivity disorder and anxiety. A child with anxiety may also struggle with sleep. A child with attention deficit hyperactivity disorder may have sleep difficulties that make their daytime symptoms harder to manage.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The National Institute of Mental Health notes that attention deficit hyperactivity disorder often occurs alongside other conditions, including anxiety and sleep problems.[4]<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This is why identifying one condition should not automatically end the conversation. A comprehensive evaluation looks at the whole child rather than trying to fit every symptom into a single diagnosis.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">Look for Patterns Instead of Trying to Diagnose the Behavior<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Parents can provide valuable information by observing patterns.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p>When trying to understand <strong data-start=\"2127\" data-end=\"2158\">ADHD vs anxiety in children<\/strong>, parents can provide valuable information by observing patterns rather than trying to diagnose the behavior themselves.<\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"auto\">When does the behavior happen?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"10\" data-aria-level=\"1\"><span data-contrast=\"auto\">Does it happen at home and school?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"11\" data-aria-level=\"1\"><span data-contrast=\"auto\">What was happening immediately beforehand?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"12\" data-aria-level=\"1\"><span data-contrast=\"auto\">Does it become worse during stressful situations?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"13\" data-aria-level=\"1\"><span data-contrast=\"auto\">How is your child sleeping?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"14\" data-aria-level=\"1\"><span data-contrast=\"auto\">Has anything recently changed at home or school?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"15\" data-aria-level=\"1\"><span data-contrast=\"auto\">How long has the problem been happening?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;singleLevel&quot;}\" data-aria-posinset=\"16\" data-aria-level=\"1\"><span data-contrast=\"auto\">Is it interfering with school, friendships, family life, or activities?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:40,&quot;335559740&quot;:269}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">You might discover that concentration problems are present everywhere. Or you may notice that they become much worse when your child is worried. You might realize that difficult school mornings almost always follow nights when your child slept poorly.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">You do not need to interpret those patterns. Bring them to the professional who is evaluating your child.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">Why a Thorough Evaluation Matters<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">There is no single test that can determine whether a child has attention deficit hyperactivity disorder.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The American Academy of Pediatrics explains that diagnosis involves gathering information from multiple sources, including parents, the child, school personnel, and other caregivers. Providers also consider medical history and other conditions that could affect a child&#8217;s behavior.[5]<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">That broader picture matters because treatment depends on understanding what is actually contributing to the symptoms.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The support that helps a child with anxiety may be different from the support needed for a primary sleep problem. A child with attention deficit hyperactivity disorder and anxiety may need a different approach than a child experiencing only one of those conditions.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The goal is not simply to find a label for the behavior. It is to understand the child well enough to determine what kind of support will help.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">When Should Parents Consider an Evaluation?<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Every child has distracted days, restless nights, worries, and difficult moments. What matters is whether the pattern persists and begins interfering with everyday life.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The <a href=\"https:\/\/www.nimh.nih.gov\/\">National Institute of Mental Health<\/a> recommends seeking professional guidance when a child&#8217;s emotions or behaviors last for weeks, cause distress, or interfere with functioning at school, at home, or with friends.[6]<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">If your child&#8217;s concentration, anxiety, sleep, behavior, or emotional regulation has become an ongoing concern, you do not need to figure out the cause on your own before asking for help.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">An evaluation is designed to help answer those questions.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Three Rivers Therapy provides psychiatric evaluation and medication management along with outpatient therapy and additional <a href=\"https:\/\/3riverstherapy.com\/services\/outpatient-counseling\/\" target=\"_blank\" rel=\"noopener\">behavioral health services<\/a> for youth and families throughout Washington.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">If you are concerned about changes in your child&#8217;s attention, anxiety, sleep, or behavior, contact Three Rivers Therapy to learn more about evaluation and treatment options.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:140,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><b><span data-contrast=\"none\">Sources<\/span><\/b><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:480,&quot;335559739&quot;:0,&quot;335559740&quot;:269}\">\u00a0<\/span><\/p>\n<ol>\n<li><span data-contrast=\"none\"> National Institute of Mental Health. Attention Deficit Hyperactivity Disorder: What You Need to Know.<\/span><\/li>\n<li><span data-contrast=\"none\"> American Academy of Pediatrics. Anxiety Disorders and ADHD.<\/span><\/li>\n<li><span data-contrast=\"none\"> American Academy of Pediatrics. Sleep and Health: Why Rest Matters for Your Child and Your Whole Family.<\/span><\/li>\n<li><span data-contrast=\"none\"> National Institute of Mental Health. Attention Deficit Hyperactivity Disorder.<\/span><\/li>\n<li><span data-contrast=\"none\"> American Academy of Pediatrics. Diagnosing ADHD in Children: Guidelines and Information for Parents.<\/span><\/li>\n<li><span data-contrast=\"none\"> National Institute of Mental Health. Children and Mental Health: Is This Just a Stage?<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>ADHD vs anxiety in children can be difficult for parents to distinguish. Your child&#8217;s teacher may say they cannot stay focused. At home, homework takes twice as long as it should. Your child seems restless, forgetful, easily frustrated, or constantly distracted. Maybe they are having trouble falling asleep, waking during the night, or struggling to [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":3918,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[67],"tags":[46,71,85],"class_list":["post-3917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-youth-mental-health","tag-adhd","tag-child-anxiety","tag-sleep-problems"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ADHD vs Anxiety in Children: Signs Parents Should Know - Three Rivers Therapy<\/title>\n<meta name=\"description\" content=\"ADHD vs anxiety in children can be hard to distinguish. 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