Is It ADHD or Trauma Brain?

Do you struggle with focus, forgetfulness, or feeling scattered?

You might wonder if it’s ADHD—or could it be the lingering effects of trauma? Both ADHD (Attention-Deficit/Hyperactivity Disorder) and trauma can impact the brain in similar ways, making it tricky to tell them apart. Understanding the differences and overlaps can help you find the right support and strategies for your needs.

What is ADHD?
ADHD is a neurodevelopmental condition that typically begins in childhood and often continues into adulthood. It’s characterized by symptoms such as inattention, impulsivity, and hyperactivity. People with ADHD may have trouble staying organized, completing tasks, or sitting still.

What is Trauma Brain?
“Trauma brain” refers to the cognitive and emotional effects that result from experiencing trauma, especially chronic or complex trauma. Trauma can change the way the brain processes information, manages emotions, and responds to stress. Symptoms can include difficulty concentrating, memory problems, emotional outbursts, and feeling constantly on edge.

Similarities Between ADHD and Trauma Brain

  • Difficulty Focusing: Both can make it hard to pay attention or stay on task.

  • Forgetfulness: Memory lapses and losing track of things are common in both.

  • Impulsivity: Acting without thinking can be a symptom of either.

  • Emotional Regulation: Mood swings, irritability, or feeling overwhelmed can show up in both ADHD and trauma brain.

  • Restlessness: Trouble sitting still or feeling “wired” is possible with both.

Key Differences to Consider

  • Origin: ADHD is a neurodevelopmental disorder, often present from a young age. Trauma brain results from exposure to distressing or overwhelming experiences.

  • Triggers: Trauma symptoms may worsen in situations that remind you of past events, while ADHD symptoms are more consistent across different environments.

  • Emotional Patterns: Trauma brain often includes anxiety, hypervigilance, or emotional numbness related to specific memories or triggers. ADHD tends to involve more general distractibility and impulsivity.

  • Response to Structure: People with ADHD may struggle even with supportive routines, while those with trauma brain might improve when they feel safe and secure.

Why the Confusion?
The overlap in symptoms can make it hard to distinguish between ADHD and trauma brain, especially since it’s possible to have both. Misdiagnosis is common, and the right treatment depends on understanding the root cause of your challenges.

What Should You Do?
If you recognize yourself in these descriptions, consider reaching out to a mental health professional. A thorough assessment can help clarify what’s going on and guide you toward effective support—whether that’s therapy, medication, lifestyle changes, or a combination.


ADHD and trauma brain share many symptoms, but their origins and treatment approaches can be quite different. By learning about both, you can take steps toward better understanding yourself and finding the help that fits your unique needs.

Emily Arth, MSW, LCSW has answers!

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