Attention Deficit Hyperactivity Disorder (ADHD) is ubiquitous in pediatrics. It may be both over-diagnosed and under-diagnosed depending upon the symptom presentation. The co-occurrence of ADHD with anxiety is very common and may lead to difficulties discerning symptoms and could also make treatment decisions more complex. Even for people without primary anxiety disorders, many people with ADHD also have anxiety resulting from the fear of missing out on important details in school or work, or even in social encounters. Anxiety may be very common in this population but is underrecognized. This session will provide an overview of how to identify and manage the co-occurrence of ADHD and anxiety.