Skip to main content
Read about

Is It Anxiety, a Mood Disorder Or Undiagnosed ADHD? Here’s What Most People Get Wrong!

anxiety vs mood disorder vs ADHD
On this page
Tooltip Icon.
Written by Andrew Le, MD.
Medically reviewed by
Last updated July 14, 2025

Try our free symptom checker

Get a thorough self-assessment before your visit to the doctor.

Sometimes, it’s hard to know what’s really going on with your mental health. You may feel nervous all the time, struggle to focus, or experience sudden mood changes. Is it anxiety? Could it be depression? Or is it something else like undiagnosed ADHD?

Many people confuse these conditions because their symptoms can look so similar. Trouble concentrating, feeling overwhelmed, and emotional ups and downs are signs seen in all three. But getting the diagnosis wrong can delay the right care and make life harder than it needs to be.

According to experts , ADHD often hides behind anxiety or mood disorders, especially in adults. That’s why it’s important to understand how these conditions overlap and what makes each one unique. Knowing the difference can help you or someone you love get the right treatment—and start feeling better sooner.

The Overlap Between ADHD, Anxiety, and Mood Disorders

ADHD, anxiety, and mood disorders can look alike. This makes it easy to mix them up. You might notice signs like restlessness, focus problems, or strong mood swings. But these symptoms don’t always point to just one condition. According to research , many adults with ADHD also live with anxiety or depression.

Here are some ways their symptoms overlap:

  • Difficulty concentrating or staying on task
  • Trouble sleeping or feeling tired all day
  • Racing thoughts or inner restlessness
  • Feeling overwhelmed or out of control
  • Low motivation or feeling hopeless

Because of these shared signs, many people are misdiagnosed or not diagnosed at all. Studies point out that these overlaps can confuse even trained professionals. Understanding how these disorders connect can lead to better awareness and the right diagnosis.

Why ADHD Often Goes Undiagnosed

Many people live with ADHD for years without knowing it. That’s because ADHD symptoms can be easy to miss or blamed on something else. Often, people are told they’re lazy, emotional, or just not trying hard enough. In reality, their brain may simply work in a different way.

Experts explain that ADHD is often overlooked in adults, especially in women. Instead of hyperactivity, they may struggle quietly with focus, memory, or emotional control. These signs are sometimes mistaken for anxiety or depression.

Here are a few reasons ADHD stays hidden:

  • Symptoms are masked by anxiety or mood issues
  • Girls and women often show less obvious signs
  • Many doctors don’t screen for ADHD in adults
  • People assume it’s a childhood condition
  • Coping strategies can hide the problem until they stop working

As noted in a review , missing the ADHD diagnosis can lead to years of struggle without the right support. Understanding the true cause is the first step to getting better care.

The Neurobiology Behind the Confusion

ADHD, anxiety, and mood disorders don’t just look alike on the outside. Inside the brain, they also share common roots. This makes it harder to tell them apart, even for experts.

According to research , these conditions often involve the same brain areas, like the prefrontal cortex, which controls attention, decision-making, and emotions. When this area doesn’t work well, a person might feel scattered, anxious, or down.

Here’s what scientists have found:

  • Dopamine plays a big role in attention and motivation. Low levels are linked to ADHD and depression.
  • Serotonin helps regulate mood and worry. Changes in this system are tied to both anxiety and mood disorders.
  • Brain scans show similar patterns in people with ADHD and those with anxiety or depression.
  • Genetic studies suggest these conditions often run in the same families.

As noted by one of the published papers, overlapping brain chemistry makes it easy for symptoms to blur together. That’s why a careful diagnosis is so important.

How Misdiagnosis Affects Treatment

When ADHD is mistaken for anxiety or a mood disorder, treatment can miss the mark. You might be given medicine that helps part of the problem—but not the root of it. That’s why getting the diagnosis right is so important.

As shared in studies , adults with undiagnosed ADHD often receive antidepressants or anti-anxiety medications first. These may ease some symptoms but leave others untouched, like impulsive behavior, disorganization, or low focus. If ADHD is the main issue, treating anxiety alone won’t solve everything.

Here are some risks of misdiagnosis:

  • Stimulants might be avoided due to fear of worsening anxiety
  • Anxiety-focused therapy may overlook attention struggles
  • Mood stabilizers may dull emotions but not improve daily function
  • People may feel frustrated when treatments don’t fully work
  • Delays in proper care can lead to long-term emotional stress

According to experts , when ADHD is treated correctly, other conditions—like anxiety and depression—often improve, too. That’s because treating the core problem helps the rest fall into place.

What Clinicians Recommend

When symptoms overlap, getting the right help starts with a thorough evaluation. Doctors now know that ADHD, anxiety, and mood disorders often appear together—and that one can hide the other. That’s why a careful diagnosis matters more than ever.

According to experts like Fu et al. (2025), clinicians suggest using tools that screen for multiple conditions at once. Instead of treating just one issue, they look at the person’s full history, behavior patterns, and brain function. This helps guide better treatment decisions.

Here’s what many professionals recommend:

  • Use structured interviews and checklists to catch ADHD in adults
  • Look at both emotional and cognitive symptoms, not just mood
  • Start with personalized care—not one-size-fits-all treatment
  • Combine medication with cognitive behavioral therapy (CBT)
  • Monitor progress closely and adjust as needed

According to study , combining ADHD treatment with support for mood or anxiety problems leads to the best outcomes. When care fits the person—not just the symptoms—healing becomes possible.

Wrap Up

Getting to the root of mental health symptoms takes time, care, and the right tools. If you’ve been feeling anxious, moody, or scattered, it might not be just one issue, it could be a mix of ADHD, anxiety, or a mood disorder. These conditions often overlap and confuse even doctors.

That’s why a clear diagnosis is so important. Understanding what’s really going on can lead to better treatment and less frustration. Could your symptoms be pointing to something more? The right answer can change everything and help you finally feel more in control.

Share your story
Once your story receives approval from our editors, it will exist on Buoy as a helpful resource for others who may experience something similar.
The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
Read full bio

Was this article helpful?

Tooltip Icon.

References