Nearly half of U.S. adults diagnosed with attention deficit hyperactivity disorder (ADHD) also have some form of anxiety, according to the Anxiety and Depression Association of America (ADAA). Having both conditions at the same time often adds to the struggle to function normally.

Anxiety is a mental health disorder characterized by excessive worry and fear, and ADHD makes it challenging for people to control their inattention, hyperactivity, and impulsiveness. Together, two can make life very difficult.

ADHD does not necessarily cause anxiety, but it can lead to an anxiety disorder in some people. The symptoms of both conditions often overlap, making it harder for people with ADHD to tell if they have an anxiety disorder.

Healthline shares that while it can be hard to tell the two apart, experiencing both together can result in extreme conditions of symptoms that the two share. It gives the example that a person with ADHD may find it challenging to focus on what they are doing or following through with tasks they are responsible for completing.

But can adderall cause anxiety? What is the best treatment for someone with both ADHD and anxiety? Learn more about ADHD medications and anxiety.

Taking Adderall for ADHD When You Have Anxiety

Adderall is a popular medication doctors prescribe to treat people with ADHD and narcolepsy. The stimulant, a combination of amphetamine and dextroamphetamine, is taken to elevate or enhance one’s mood. The drug’s chemical makeup is akin to methamphetamine and MDMA, more commonly known as ecstasy.

When people with ADHD take Adderall in prescribed therapeutic doses, they do so to improve their attention span and ability to concentrate for prolonged periods. People with narcolepsy take it to help them stay awake. Adderall doses can range between 5 mg (milligrams) and 30 mg and be taken once or twice a day.

Because of these effects, Adderall has attracted recreational users, particularly those in high school or college. They abuse the drug to give them more staying power to boost their sports or academic performances.

These reasons are why some refer to the addictive, habit-forming medication as a “smart drug” or “study drug.” Adderall also has appealed to people with eating disorders, who use it to curb their appetites.

Side effects of Adderall include elevated blood pressure, headache, appetite loss, weight loss, stomach pain, nervousness, agitation, dry mouth, diarrhea, nausea, and insomnia, among others.

Adderall is dangerous and deadly when it is used in ways non-medically or in ways that are inconsistent with its purpose. Chronic use can lead to a hard-to-end addiction. If addiction has developed, affected persons are advised to seek professional help at an accredited facility that specializes in treating substance use disorders (SUDs).

Living with ADHD and Panic Disorder

People with ADHD may struggle with panic disorder, one type of anxiety disorder. It is characterized by:

  • Dizziness
  • Trouble breathing
  • Sped-up heart rate, heart palpitations, a pounding heartbeat
  • Sweating
  • Chest pain
  • Nausea and vomiting
  • Chills
  • Trembling or shaking
  • Feelings of choking or smothering
  • Feeling a shortness of breath (hyperventilation)
  • Feeling a sense of impending doom
  • Feeling like you are out of control

Generally, the symptoms of a panic attack usually peak within 10 minutes after they start. While the event does not last long, it is the fear it leaves behind that does. Feeling unprepared to deal with panic attacks can leave people upset and disrupt their lives. This can be a stressful state to live in, and anxiety can overwhelm a person, leaving them too tired to deal with much else.

For the person with ADHD, who already has trouble with concentration and focus, this can make their condition worse.

Panic attacks are common in people who have panic disorder, which can overwhelm the brain if they are left untreated. It is best to seek professional help to manage them. A person with ADHD must take their condition into consideration if seeking panic disorder treatment.

Anxiety Can Be a Side Effect of Taking Adderall

adderall and anxiety

The ADAA notes that research shows that stimulant drugs like Adderall and non-stimulant medications can help people with ADHD improve their ability to concentrate, pay attention, and control their impulsiveness.

However, because medications affect people differently, it is possible that a person taking Adderall can feel increased anxiety when they take the drug to treat their ADHD symptoms. If a person feels more anxiety, this could increase their forgetfulness or hurt their ability to focus. It could also impair their willingness to try new things, as clinical psychologist Ari Tuckman tells PsychCentral.

“People who are anxious are less likely to try new things for fear of them not working out—this includes new strategies to help them get on top of their ADHD,” Tuckman said.

As WebMD explains, ADHD drugs speed up the brain and alter how its nerve cells send messages to each other. As a result, mood disturbances can happen, including anxiety. This is especially the case if a person takes Adderall in high doses.

This means some Adderall users may feel more stress or fatigue or worry about things more. People who are anxious also feel uptight or on edge and have trouble falling or staying asleep. Other symptoms of anxiety include irritability, muscle tension, and struggling to control feelings of worry.

Can You Mix Adderall and Anxiety Medications?

Can You Mix Adderall and Anxiety Medications?

If you feel anxious because you’re taking Adderall, is it safe to mix it with anxiety medications like Xanax? Mixing Adderall and Xanax isn’t as dangerous as mixing Adderall with other stimulants or mixing Xanax with other depressants. But it does come with certain risks. The main drawback of mixing Adderall and depressants is that it can cause both drugs to be less effective. Adderall is a stimulant, while Xanax is a depressant. In many ways, they are in opposing drug categories. Adderall is taken to keep you feeling alert and focused, but Xanax can make you feel sleepy and sedated. 

Likewise, people take Xanax to relax. It works with a chemical called GABA (gamma-Aminobutyric acid), a key neurotransmitter in rest, relaxation, and sleep. Adderall can counteract these relaxing qualities by increasing dopamine and norepinephrine levels. Dopamine can make you feel excited, while norepinephrine can increase your blood pressure and heart rate. 

Taking these drugs together may feel as if you’ve only taken a small dose of either one. Some people may try to compensate for the weakened effects of the drug by increasing the doses of one or both substances. However, increasing the doses can also increase your risk of side effects. 

Adderall and Xanax can lead to chemical dependence and substance use problems. Mixing them and increasing your doses may increase your likelihood of developing a substance use disorder. 

Things to Consider When Treating ADHD, Anxiety

People with ADHD who have anxiety may know they might require medication for one or both conditions. However, this could present a health dilemma for them. Both conditions are usually treated with medicines whose effects are opposite each other.

Because of this, they may wonder if they can safely take stimulant drugs to treat their ADHD without affecting their anxiety or if treating their anxiety with an antidepressant or benzodiazepine, a central nervous system depressant, could affect treatment for their ADHD.

The best thing to do is to speak with a doctor or another medical professional for health advice that is specific to your situation. It is also important that you inform your doctor of any other drugs you are taking that could affect your treatment for ADHD or an anxiety disorder.

Drugs for ADHD Can Interact with Anti-Anxiety Medications

Adderall can interact with anti-anxiety medications, and these interactions can be life-threatening.

As Medical News Today highlights, it is highly important for people with ADHD who use Adderall with an antidepressant or anti-anxiety medication to do so under the direction of a medical professional who knows their medical history and has prescribed such treatment.

Medical News Today also advises people to avoid taking Adderall within 14 days of taking a monoamine oxidase inhibitor (MOAI) antidepressant because combining both drugs can make the effects of Adderall stronger.

If this happens, a person is at risk of having a stroke, heart attack, kidney failure, or death. Using Adderall with an antidepressant can also cause serotonin syndrome and result in health complications or death.

The medical site also advises against using Adderall if you are using an antidepressant that is a serotonergic drug. Antidepressants that are serotonergic are selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and tricyclic antidepressants.

If these types of antidepressants are used while Adderall is one’s system, it could lead to a condition called serotonin syndrome, which is characterized by anxiety, agitation, profuse sweating, disorientation, rapid heart rate, tremors, muscle stiffness, and other symptoms.

What Can You Do If Adderall Causes Anxiety?

What Can You Do If Adderall Causes Anxiety?

If you are taking Adderall and experience anxiety symptoms, how can you address them? How can you get rid of anxiety from Adderall? Many people who take Adderall for ADHD find relief from distracting symptoms, but if the drug comes with other side effects, it may cause new problems in your life. The first thing you should know is to inform your doctor as to the side effects you are experiencing while taking the drug. Some initial side effects are common when you first start taking Adderall. These include insomnia and restlessness. However, side effects that are severe, persistent, or new are noteworthy, and you should keep track of them. 

In some cases, your doctor could adjust the dosage of your medication so that it continues to offer its benefits while mitigating uncomfortable side effects. Many prescription drugs have dose-dependent side effects, which means they can cause certain side effects at or above specific doses. 

If the side effects don’t go away after your doctor helps you adjust the dose, you may be able to switch to another medication that better suits your needs. Adderall contains active ingredients in the amphetamine drug class. Some ADHD drugs contain methylphenidate instead of amphetamines, including Ritalin and Concerta. These might offer benefits with fewer side effects. 

Finding the right treatment for your needs may be a trial and error process. It’s normal for you to try several options with your doctor’s help before finding the right one for you, so don’t be discouraged. In many cases, a holistic approach is best, including medications, nutrition, good sleep hygiene, and psychotherapy.

Non-Stimulant and Non-Medical Treatment for ADHD and Anxiety

While stimulant drugs are used to treat ADHD, non-stimulant drugs that address ADHD symptoms are also an option, according to WebMD. Among these drugs are blood pressure medications, antidepressants, and non-stimulant drugs that are specifically used for ADHD.

It is best to consult with a medical professional about the use of any medication, particularly if it can lead to side effects that could worsen your condition. It should be noted that Adderall’s side effects are much like those of other stimulant drugs, and a person can experience them when taking their usual dosage of Adderall. Any side effects that are particularly concerning should be discussed with a physician or other health care professional.

It may help to keep in mind that anxiety that increases as a result of ADHD medications could be a normal reaction to the medication that may have no bearing on taking medications for both conditions at the same time.

One approach to addressing this issue is to determine which disorder is more prevalent under a medical professional’s supervision. They may be able to adjust the dosage of medications used to treat both conditions, or they may use a non-medical behavioral therapy, such as cognitive behavioral therapy (CBT), to help the person manage their anxiety.

CBT is a widely used therapy that helps people understand how their thoughts, emotions, and behavior are connected and helps them face irrational beliefs that could help them adjust their perspective so that it is more rooted in reality and not fear or another negative emotion.

It also gives them strategies to examine factors of a situation so that they can create and choose a healthy response over a negative one, which can be helpful when faced with anxiety-inducing situations.

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