Written & Reviewed by
Gaston Molina
Published on
July 7, 2023

ADHD and Social Anxiety

What is ADHD?

ADHD, or Attention Deficit Hyperactivity Disorder, is a neurodevelopmental disorder that affects both children and adults. It is characterized by symptoms of inattention, hyperactivity, and impulsivity, which can have a significant impact on daily life.

Inattention symptoms include difficulty paying attention to details, making careless mistakes, forgetfulness, and difficulty following through on instructions.

Hyperactivity symptoms include fidgeting, restlessness, and excessive talking.

Impulsivity symptoms include interrupting others, blurting out answers, and difficulty waiting for one’s turn.

What is Social Anxiety Disorder?

Social anxiety disorder, also known as social phobia, is a mental health condition that causes intense fear and anxiety in social situations. It is one of the most common anxiety disorders, affecting millions of people worldwide.

People with social anxiety disorder experience intense fear of being judged, embarrassed, or humiliated in social situations. They may avoid social situations altogether or endure them with intense anxiety and discomfort.

Common symptoms of social anxiety disorder include blushing, sweating, trembling, rapid heartbeat, and difficulty speaking.

The Connection Between ADHD and Social Anxiety

Research has shown that there is a significant overlap between ADHD and social anxiety disorder. In fact, studies have found that up to 50% of people with ADHD also have social anxiety disorder.

One theory suggests that the connection between ADHD and social anxiety may be related to difficulties with executive functioning.

Executive functioning refers to the cognitive processes that allow us to plan, organize, and regulate our behavior. People with ADHD often struggle with executive functioning, which can lead to difficulties in social situations.

For example, someone with ADHD may have trouble reading social cues, regulating their emotions, and controlling impulsive behaviors. These difficulties can lead to social anxiety and avoidance.

Another theory suggests that the connection between ADHD and social anxiety may be related to self-esteem. People with ADHD often struggle with feelings of inadequacy and low self-esteem, which can contribute to social anxiety.

Additionally, the challenges of managing ADHD symptoms can lead to social isolation and difficulty forming relationships, which can exacerbate social anxiety.

Symptoms of ADHD and Social Anxiety

Symptoms of ADHD

The symptoms of ADHD can vary from person to person and can change over time. Some people may experience predominantly inattentive symptoms, while others may experience predominantly hyperactive-impulsive symptoms.

Common symptoms of ADHD include:

  • Inattention
  • Hyperactivity
  • Impulsivity
  • Difficulty organizing tasks and activities
  • Forgetfulness
  • Procrastination
  • Difficulty completing tasks
  • Fidgeting
  • Restlessness
  • Interrupting others
  • Difficulty waiting for one’s turn

Symptoms of Social Anxiety Disorder

The symptoms of social anxiety disorder can also vary from person to person and can range from mild to severe. Some people may experience anxiety only in specific situations, while others may experience anxiety in a variety of social situations.

Common symptoms of social anxiety disorder include:

  • Intense fear of social situations
  • Avoidance of social situations
  • Physical symptoms such as blushing, sweating, trembling, and rapid heartbeat
  • Difficulty speaking
  • Fear of being judged or humiliated
  • Fear of embarrassment

Diagnosis of ADHD and Social Anxiety

Diagnosing ADHD and social anxiety disorder can be challenging, as both conditions share some common symptoms. However, a thorough evaluation by a mental health professional can help determine whether someone has one or both of these conditions.

To diagnose ADHD, a mental health professional will typically conduct a comprehensive assessment that includes a clinical interview, behavioral observations, and rating scales completed by the patient and their family members or caregivers.

To diagnose a social anxiety disorder, a mental health professional will typically conduct an interview and may use rating scales to assess the severity of symptoms. They may also use diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Treatment Options for ADHD and Social Anxiety

There are a variety of treatment options available for ADHD and social anxiety disorder, including medication, therapy, and lifestyle changes.


Therapy can also be an effective treatment for both ADHD and social anxiety disorder. Cognitive Behavioral Therapy (CBT) is a type of therapy that has been shown to be particularly effective for these conditions.

CBT for ADHD can help individuals develop strategies for improving attention, organization, and impulse control. CBT for social anxiety disorder can help individuals challenge their negative thoughts and beliefs about social situations, develop coping strategies, and gradually face their fears.

Lifestyle Changes

In addition to medication and therapy, lifestyle changes can also be helpful in managing ADHD and social anxiety disorder.

Some lifestyle changes that may be beneficial include:

  • Regular exercise
  • Healthy diet
  • Adequate sleep
  • Mindfulness and meditation practices
  • Stress-reduction techniques

Coping with ADHD and Social Anxiety in Social Situations

Social situations can be particularly challenging for people with ADHD and social anxiety disorder. However, there are strategies that can help make these situations more manageable.

Some strategies that may be helpful include:

  • Planning ahead for social situations
  • Practicing relaxation techniques before and during social situations
  • Gradual exposure to social situations
  • Seeking support from friends, family, or a therapist
  • Developing social skills and communication strategies


Living with ADHD and social anxiety disorder can be challenging, but it’s important to remember that these conditions are treatable. With the right combination of medication, therapy, and lifestyle changes, individuals with ADHD and social anxiety disorder can learn to manage their symptoms and improve their quality of life.

If you think you may have ADHD or social anxiety disorder, it’s important to seek help from a mental health professional. With the right diagnosis and treatment, you can take control of your symptoms and live a fulfilling life.

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