ADHD increases a patient’s risk for substance use disorder; this is well established. However, not enough providers understand both attention deficit and SUD or behavioral compulsions, thus impeding effective treatment.
more common among people with ADHD? The link is unclear, though researchers speculate that abnormalities in the limbic/reward systems in ADHD brains may account for the increased risk.
In simple terms, I believe addiction is largely caused by what I call “the itch at the core of ADHD.” What do I mean by this? Many people withfind that reality isn’t stimulating enough to hold their attention. They look for ways to pump up the volume. Some have called this “reward deficiency syndrome,” by which the individual feels compelled to create extraordinary simulation to find ordinary pleasure.
Not too long ago, the best treatment available for SUD was a 12-step rehabilitation program. However, the success rate was only 15%. Today, the success rate has climbed to 70% with the advent of medication-assisted treatments. These include buprenorphine, which can assist in withdrawal from street opiates, and Vivitrol, an injectable form of naltrexone, which blocks opiate receptors to reduce cravings.
For people prone to substance misuse, and looking to “scratch that itch,” I recommend finding safe and constructive ways to create stimulation. Some suggestions include starting a business, writing a book, growing a garden, or building a boat. SUD is one of the cruelest examples of bait-and-switch that life can offer. What begins as a taste of paradise soon turns into a land of torment and sometimes even near death. It’s important for caregivers and adolescents to talk about the dangers of addiction. AnSUD & ADHD: Next Steps
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