
10 Unexpected Physical Symptoms of Anxiety
Anxiety isn’t just mental—it can trigger 10 surprising physical symptoms and weaken your immune system. Learn what to watch for.
If you’re struggling with focus or feeling more impulsive and restless, it can seem like these symptoms are coming out of the blue. Even if you never had ADHD as a child, you can still experience ADHD symptoms as an adult. But most people aren’t aware of a common hidden issue that can lead to the development of attention problems in adulthood.
What’s the underlying issue? For some people, it’s head trauma. People who have experienced a traumatic brain injury (TBI)—even a mild head injury—are at a significantly higher risk of developing focus and attention problems.
In fact, a 2020 study found that people with a history of TBI are more than twice as likely to develop ADHD symptoms compared to those without head trauma.
Research has found that people with a history of TBI are more than twice as likely to develop ADHD symptoms compared to those without head trauma.
In this blog, you’ll gain insights into post-concussion ADHD symptoms, common signs that ADHD symptoms may be from a past head injury, and brain-based strategies to improve focus and attention.
Head injuries, including mild traumatic brain injuries (mTBI) that don’t cause a concussion and don’t make you lose consciousness, can lead to the onset of attention deficit hyperactivity disorder symptoms. (ADHD was formerly more commonly known as attention deficit disorder (ADD). Today, people often use the terms interchangeably.)
Research shows that people who suffer concussions have significantly higher rates of inattention and impulsivity compared to those with no head trauma.
Unlike childhood ADHD, a neurodevelopmental condition that is present from an early age, ADHD after traumatic brain injury develops later in life as a direct result of brain damage. This distinction is crucial because treatment approaches for TBI-induced attention problems may differ from those for traditional ADHD.
If you’ve experienced head trauma in the past, you may be wondering: Does head trauma lead to attention problems? The answer is yes.
The link between brain injuries and ADHD symptoms is well-documented. Research shows that even mild head injuries can damage areas in the prefrontal cortex of the brain responsible for executive functions like attention, concentration, impulse control, and organization—leading to ADHD-like symptoms in adults.
Here are some examples of ADHD symptoms that may develop after a concussion or TBI:
A 2023 study published in Journal of Neurotrauma found that people with a history of concussions were significantly more likely to experience these executive function impairments later in life, reinforcing the connection between head trauma and ADHD symptoms.
Press Play to Learn About ADHD Symptoms Related to Head Inuries
In this video, social media entrepreneur reveals that he thought he had ADHD until he got a brain SPECT scan at Amen Clinics. Find out about his real diagnosis.
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One of the biggest challenges in addressing ADHD after traumatic brain injury is that many adults don’t connect their symptoms to a past injury. You may not think that falling off your bike, hitting your head on the steering wheel in a car accident, or repeatedly hitting soccer balls with your head could have lasting consequences. But they can.
Without knowing what to ask or share, it can be difficult for your doctor to see the connection at first. A concussion from years ago may seem unrelated to any current concentration issues, leading to misdiagnosis.
Traditional ADHD diagnostic methods rely on behavioral questionnaires. Most psychiatrists never look at the brain when making a diagnosis. This means that TBI-related ADHD symptoms are often mistaken for lifelong ADHD, anxiety, or even depression.
Another major distinction is that stimulant medications, commonly used to treat ADHD, don’t always work for those with TBI-induced attention problems. Since brain injuries affect blood flow and brain connectivity differently, treatments need to be tailored to the individual.
Related: 9 Frequently Asked Questions About ADD/ADHD
If you’re wondering if ADHD symptoms may be related to past head trauma, here are some key questions to consider:
Brain imaging, particularly SPECT scans, can be a valuable tool in differentiating traditional ADHD from brain injury-related attention problems. Unlike standard brain scans, SPECT imaging shows blood flow and activity levels in different brain regions, revealing hidden injuries that could be causing ADHD-like symptoms.
If you suspect that your focus issues stem from a past head injury, working with a brain specialist who understands the link between brain injuries and ADHD is critical for getting the right diagnosis.
Ignoring ADHD symptoms caused by head trauma can have serious consequences. Studies show that untreated post-concussion ADD is linked to:
While the effects of head trauma can be frustrating, there are ways to support brain health and restore your focus.
Implementing these strategies can help you mitigate mild head injury and focus issues. You can even use some of these to treat head trauma and ADHD symptoms in the long run.
Related: Neurofeedback: Natural ADD Treatment with Outstanding Results
If you suspect your ADHD symptoms are from a head injury, the next step is to seek a thorough brain-focused examination.
Unlike standard ADHD assessments that rely heavily on questionnaires, a comprehensive evaluation including brain SPECT imaging can help reveal hidden injuries. SPECT scans can reveal low cerebral blood flow and activity that may be contributing to other mental issues.
By taking a brain-based approach to ADHD symptoms, you can regain control of your focus, emotions, and brain health.
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Maresca G, Lo Buono V, Anselmo A, Cardile D, Formica C, Latella D, Quartarone A, Corallo F. Traumatic Brain Injury and Related Antisocial Behavioral Outcomes: A Systematic Review. Medicina (Kaunas). 2023 Jul 27;59(8):1377. doi: 10.3390/medicina59081377. PMID: 37629667; PMCID: PMC10456231.
Soule, A. C., Fish, T. J., Thomas, K. G. F., & Schrieff-Brown, L. (2025). Attention training after moderate-to-severe traumatic brain injury in adults: A systematic review. Archives of Physical Medicine and Rehabilitation, 106(3), 433-443. https://doi.org/10.1016/j.apmr.2024.07.010
Hagiescu, S. (2021) The Connection between Traumatic Brain Injury (TBI) and Attention-Deficit/Hyperactivity Disorder, Therapeutic Approaches. Psychology, 12, 1287-1305. doi: 10.4236/psych.2021.128081.
Lennon, M. J., Brooker, H., Creese, B., Thayanandan, T., Rigney, G., Aarsland, D., Hampshire, A., Ballard, C., Corbett, A., & Raymont, V. (2023, June 27). Lifetime traumatic brain injury and cognitive domain deficits in late life: The PROTECT-TBI cohort study. Neurobiology of Disease. https://www.liebertpub.com/doi/10.1089/neu.2022.0360
Amen DG, Easton M. A New Way Forward: How Brain SPECT Imaging Can Improve Outcomes and Transform Mental Health Care Into Brain Health Care. Front Psychiatry. 2021 Dec 10;12:715315. doi: 10.3389/fpsyt.2021.715315. PMID: 34955905; PMCID: PMC8702964.
Valero-Hernandez E, Tremoleda JL, Michael-Titus AT. Omega-3 Fatty Acids and Traumatic Injury in the Adult and Immature Brain. Nutrients. 2024; 16(23):4175. https://doi.org/10.3390/nu16234175
Chin LM, Keyser RE, Dsurney J, Chan L. Improved cognitive performance following aerobic exercise training in people with traumatic brain injury. Arch Phys Med Rehabil. 2015 Apr;96(4):754-9. doi: 10.1016/j.apmr.2014.11.009. Epub 2014 Nov 26. PMID: 25433219; PMCID: PMC4380661.
Newman SD, Grantz JG, Brooks K, Gutierrez A, Kawata K. Association between History of Concussion and Substance Use Is Mediated by Mood Disorders. J Neurotrauma. 2020 Jan 1;37(1):146-151. doi: 10.1089/neu.2019.6550. Epub 2019 Sep 18. PMID: 31359826; PMCID: PMC7364309.
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Iliceto A, Seiler RL, Sarkar K. Repetitive Transcranial Magnetic Stimulation for Treatment of Depression in a Patient With Severe Traumatic Brain Injury. Ochsner J. 2018 Fall;18(3):264-267. doi: 10.31486/toj.17.0075. PMID: 30275792; PMCID: PMC6162118.
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