ADHD Experts Podcast 242- ADHD and Substance Use Disorders: How to Recognize and Manage Addiction
Aug 22, 2019
Timothy Wilens, M.D., a leading expert in the link between ADHD and substance use disorders, discusses the significant overlap between these conditions. He highlights the prevalence of ADHD in individuals with addiction issues and the importance of early intervention. The conversation dives into stimulant misuse among youths, addressing misconceptions about ADHD medications. Wilens also explores behavioral addictions and offers insights on managing conversations about addiction with adults who have ADHD, advocating for supportive communication strategies.
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High ADHD Prevalence in SUD
- Adults with substance use disorders have a 15-25% prevalence of ADHD, much higher than the general population.
- Adolescents and young adults with substance use disorders show even greater ADHD prevalence, up to 65%.
Early ADHD Treatment Reduces Risk
- Treating ADHD with medication before age nine significantly reduces later substance use risk.
- Treatment during adolescence or later is less protective against substance use and cigarette smoking.
Managing ADHD in Substance Users
- Treat ADHD in substance users cautiously; stable periods allow all meds, but active use suggests starting with non-stimulants.
- Use extended-release stimulants and cognitive behavioral therapy to manage ADHD with substance use disorder safely.