ADHD and Drug Addiction Dual Diagnosis Treatment
Many people with ADHD turn to drugs or alcohol to manage racing thoughts, impulsivity, and overwhelming emotions. At Southeast Addiction Center, we create unique and personalized treatment plans that address both conditions simultaneously. Our integrated approach provides you with the tools to manage ADHD symptoms and achieve lasting recovery in a supportive and understanding environment.
Key points
- Attention-deficit hyperactivity disorder and substance use disorder create a dangerous cycle, with people with ADHD being two to three times more likely to develop addiction problems.
- An estimated 15.5 million US adults have an ADHD diagnosis, with half receiving their diagnosis in adulthood after years of struggling with untreated symptoms.
- ADHD symptoms fall into three categories, all of which can drive individuals toward self-medication with drugs or alcohol.
- Untreated ADHD significantly increases substance abuse risk, while drug use worsens ADHD symptoms and interferes with effective treatment.
- Southeast Addiction treats both conditions simultaneously using evidence-based therapies like CBT, DBT, EMDR, holistic approaches, and motivational interviewing.
Our Services
ADHD and Addiction
Attention-deficit hyperactivity disorder (ADHD) and substance use disorder create a challenging cycle that affects millions of people with ADHD across all age groups. People with ADHD face significantly higher rates of drug abuse and alcohol dependence compared to the general population, with studies indicating that people with ADHD are two to three times more likely to develop substance abuse problems.[2] The core symptoms of ADHD — including impulsivity, inattention, and emotional dysfunction — often drive individuals toward self-medication with drugs or alcohol as a way to manage overwhelming feelings and improve focus.
This relationship between ADHD and addiction is particularly complex because untreated ADHD symptoms can increase the risk of developing substance use disorder. In contrast, drug use can worsen ADHD symptoms and interfere with effective treatment.[3] Young adults and adolescents with ADHD face an especially increased risk, as the impulsivity characteristic of attention-deficit hyperactivity disorder can lead to earlier experimentation with substances and higher rates of addiction. Recent studies and systematic reviews have demonstrated that childhood ADHD significantly predicts later substance abuse, with meta-analysis research showing strong correlations between ADHD diagnosis and subsequent drug addiction.
The prevalence of this dual diagnosis presents unique treatment challenges, as both conditions must be addressed simultaneously for successful recovery. While stimulant medications like methylphenidate (Ritalin) and amphetamine-based treatments (Adderall) are often effective for treating ADHD, they require careful management in those who are also struggling with substance use disorder.
How Common is ADHD?
Attention-deficit hyperactivity disorder affects millions of Americans, with an estimated 15.5 million US adults receiving an ADHD diagnosis as of 2023.[4] What’s particularly striking is that approximately half of these people didn’t receive their diagnosis until adulthood, meaning many people struggled with untreated ADHD symptoms for years before understanding the root cause of their challenges. This delayed recognition often leads to higher rates of self-medication with drugs or alcohol, as individuals attempt to manage symptoms of inattention, impulsivity, and hyperactivity without proper treatment.
The prevalence of adult ADHD diagnosis highlights the importance of recognizing how undiagnosed attention deficit hyperactivity disorder can contribute to substance use disorder, making dual diagnosis treatment essential for lasting recovery and improved mental health outcomes overall.
What Are the Primary Symptoms of ADHD?
Attention-deficit hyperactivity disorder presents with three main categories of symptoms that can significantly impact daily functioning and increase the risk of substance abuse:[5]
Inattention Symptoms:
- Difficulty sustaining focus on tasks, conversations, or activities for extended periods.
- Frequent careless mistakes in work, school, or other essential activities due to a lack of attention to detail.
- Appearing not to listen when spoken to directly, even without obvious distractions.
- Struggling to follow through on instructions or complete tasks, often leaving projects unfinished.
- Difficulty organizing tasks, activities, and personal belongings, leading to chronic disorganization.
- Avoiding or reluctantly engaging in tasks requiring sustained mental effort.
- Frequently losing essential items like keys, phones, paperwork, or school materials.
- Being easily distracted by external stimuli or unrelated thoughts.
- Forgetfulness in daily activities, appointments, and responsibilities.
Hyperactivity Symptoms:
- Fidgeting, tapping hands or feet, or squirming when expected to remain seated.
- Leaving a seat inappropriately in situations where remaining seated is expected.
- Feeling restless or experiencing an internal sense of being “driven by a motor”.
- Difficulty engaging in quiet activities or leisure pursuits.
- Talking excessively, often interrupting conversations, or dominating discussions.
- Physical restlessness that others can observe and that interferes with daily functioning.
Impulsivity Symptoms:
- Blurting out answers before questions are completed or interrupting others frequently.
- Difficulty waiting for turns in conversations, games, or other social situations.
- Intruding on others’ activities, conversations, or personal space without permission.
- Making hasty decisions without considering long-term consequences.
- Engaging in risky behaviors that may lead to accidents, financial problems, or legal issues.
- Difficulty controlling immediate urges, which often contributes to substance abuse and addiction, and requires treatment needs.
What Types of Treatment Are There For ADHD and Drug/Alcohol Use?
At Southeast Addiction, we understand that treating ADHD and substance use disorder together requires specialized, evidence-based approaches that address both conditions simultaneously. Our compassionate team of licensed clinicians creates personalized treatment plans that help you manage ADHD symptoms while building lasting recovery from addiction. We meet you where you are in your journey and provide the tools and support needed to achieve sobriety while effectively managing ADHD and addiction:
- Cognitive Behavioral Therapy (CBT): This approach uncovers the thought pattern that fuels both impulsive substance use and ADHD-related challenges, teaching you practical coping strategies for managing inattention, hyperactivity, and craving.
- Dialectical Behavior Therapy (DBT): You’ll learn crucial distress tolerance and emotional regulation skills that prevent turning to substances when overwhelmed, while improving your ability to focus and make thoughtful decisions.
- EMDR Therapy: By processing underlying trauma that may contribute to both ADHD symptoms and substance abuse patterns, this therapy reduces emotional triggers that lead to self-medication behavior.
- Holistic Treatment Approaches: Our comprehensive approach integrates nutrition, exercise, mindfulness, and stress management techniques that naturally support dopamine function and improve both conditions through lifestyle change.
- Motivational Interviewing: By exploring your reasons for recovery, this method addresses the unique challenges that ADHD presents in treatment while strengthening your commitment to change, despite difficulties with attention and follow-through.
Frequently Asked Questions About ADHD and Drug Abuse Treatment
What is the connection between untreated ADHD and substance abuse?
Untreated ADHD and substance abuse often develop together because individuals with undiagnosed attention deficit hyperactivity disorder frequently turn to drugs or alcohol to manage overwhelming symptoms like impulsivity, inattention, and emotional dysregulation. Without proper treatment, people may unknowingly self-medicate their ADHD symptoms, leading to a dangerous cycle where substance use temporarily masks the underlying condition but ultimately worsens both problems.
Can you treat both ADHD and drug abuse at the same time?
Yes, treating ADHD and drug abuse simultaneously is not only possible but essential for lasting recovery. At Southeast Addiction, our integrated approach addresses both conditions together using evidence-based therapies, allowing you to develop healthy coping strategies for managing ADHD symptoms while building the skills needed for sustained sobriety.
Are ADHD and alcohol abuse treated differently from other substance addictions?
While the core treatment principles remain similar, ADHD and alcohol abuse may require special consideration because alcohol can significantly worsen attention and impulse control issues. Our clinical team carefully monitors how alcohol affects your ADHD symptoms and adjusts treatment approaches accordingly, ensuring that both conditions receive appropriate attention throughout your recovery journey.
What specific therapies help with both ADHD and addiction?
Several specialized therapies prove particularly effective for dual diagnosis treatment. DBT for ADHD teaches crucial emotional regulation and distress tolerance skills, while EMDR for ADHD addresses underlying trauma that may contribute to both conditions. Additionally, group therapy for ADHD provides peer support and practical coping strategies, and family therapy for ADHD helps loved ones understand both conditions and create a supportive home environment for recovery.
How long does treatment for ADHD and addiction typically take?
Treatment duration varies based on individual needs, with an average length of stay of 47 days. However, some clients benefit from programs lasting anywhere from one month to six months. We believe each person’s recovery journey is unique, so we tailor treatment plans to address both your ADHD symptoms and addiction recovery needs, ensuring you have the time and support necessary to build lasting sobriety and effective symptom management.
Sources
[1] National Institute of Mental Health. (2024, December). Attention-Deficit/Hyperactivity Disorder (ADHD). Www.nimh.nih.gov; National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd on July 23, 2025
[2] Wilens, T. E., Martelon, M., Joshi, G., Bateman, C., Fried, R., Petty, C., & Biederman, J. (2011). Does ADHD Predict Substance-Use Disorders? A 10-Year Follow-up Study of Young Adults With ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 50(6), 543–553. https://pmc.ncbi.nlm.nih.gov/articles/PMC3104208/ on July 23, 2025
[3] Davis, C., Cohen, A., Davids, M., & Rabindranath, A. (2015). Attention-Deficit/Hyperactivity Disorder in Relation to Addictive Behaviors: A Moderated-Mediation Analysis of Personality-Risk Factors and Sex. Frontiers in Psychiatry, 6(47). https://pmc.ncbi.nlm.nih.gov/articles/PMC4403287/ on July 23, 2025
[4] Staley, B. S., Robinson, L. R., Claussen, A. H., Katz, S. M., Danielson, M. L., Summers, A. D., Farr, S. L., Blumberg, S. J., & Tinker, S. C. (2024). Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment, and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October–November 2023. MMWR. Morbidity and Mortality Weekly Report, 73(40), 890–895. https://www.cdc.gov/mmwr/volumes/73/wr/mm7340a1.htm on July 23, 2025
[5] Elmaghraby, R., & Garayalde, S. (2022, June). What is ADHD? American Psychiatric Association. https://www.psychiatry.org/patients-families/adhd/what-is-adhd on July 23, 2025
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