When treating ADHD with co-existing anxiety, non-stimulant medications are often considered a safer starting point. One of the most commonly prescribed options is Strattera (atomoxetine), a selective norepinephrine reuptake inhibitor (NRI). Unlike stimulant medications such as Adderall or Ritalin, Strattera doesn’t typically increase anxiety and may even reduce it in some cases.
Other medications that may be used include:
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Bupropion (Wellbutrin): An antidepressant that can improve focus and mood but should be used with caution in those prone to anxiety.
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Guanfacine (Intuniv) and Clonidine (Kapvay): Originally developed for blood pressure, these medications are sometimes prescribed off-label to manage ADHD symptoms and can have a calming effect.
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SSRIs (Selective Serotonin Reuptake Inhibitors): These aren’t ADHD treatments but may be prescribed alongside ADHD medications if anxiety is the dominant issue.
While stimulant medications like Adderall, Vyvanse, and Ritalin are highly effective for core ADHD symptoms, they can sometimes worsen anxiety in sensitive individuals. However, some people find their anxiety improves once their ADHD is managed — so this is highly individual.
💡 Always consult a licensed psychiatrist or mental health provider. They’ll tailor your treatment based on your symptoms, medical history, and how you respond to different medications.