Off the Couch Psychology
Off the Couch Psychology

Sep 8, 2026 · 27 min

ADHD and anxiety can mimic each other in children

Is It ADHD or Anxiety?

Distinguishing attention-regulation problems from worry-driven distraction can shape how a child is understood and evaluated.

3 key takeaways
  1. 1ADHD-like distractibility may reflect broad attention-regulation difficulties or attention captured by anxiety.
  2. 2Homework avoidance can stem from restlessness and inattention, or fear of failure, mistakes, and judgment.
  3. 3Accurate evaluation requires examining whether patterns persist across settings rather than relying on one behavior.

Don't miss

Jerry L. Cunningham distinguishes broad attention-regulation difficulties from attention captured by fear of failure or judgment.

The brief

Jerry L. Cunningham opens with a deceptively difficult question: when a child cannot focus, is attention drifting broadly or narrowing around worry?

ADHD and anxiety can produce similar outward signs, including distractibility, restlessness, homework avoidance, and trouble concentrating.

The key distinction lies beneath the behavior: anxiety may capture attention through perfectionism, fear of mistakes, or concern about judgment.

The episode argues that evaluation should look for patterns across settings, rather than treating one homework struggle or restless moment as decisive.

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