ADHD2025-07-10T11:57:52+00:00

ADHD Dual Diagnosis in St. Louis at Engage Wellness

Attention deficit hyperactivity disorder (ADHD) is a neurological disorder that is often diagnosed in childhood and may last into adulthood. It’s characterized by symptoms like inattentiveness, inability to stay still, and impulsivity.

Some people with ADHD may be more inclined to use drugs or alcohol as a way to self-medicate the symptoms, especially if it’s untreated. For others, prescription stimulants that are used to treat ADHD can lead to addiction. In either case, it’s much more challenging to treat either disorder individually, so dual diagnosis is necessary to address how these two conditions influence one another.

Key Points

  • Attention deficit hyperactivity disorder (ADHD) is a neurological disorder that affects children and adults with symptoms like inattentiveness and impulsivity.

  • People with ADHD may be more inclined to use drugs or alcohol to self-medicate their condition’s symptoms or may become addicted through habit-forming stimulant ADHD medications.

  • There are similar causes and effects of both ADHD and substance abuse, making it more likely for people struggling with one disorder to develop the other.

  • It can be challenging to treat an ADHD and substance use disorder dual diagnosis because of overlapping symptoms and the interplay between these disorders.

  • Dual diagnosis treatment is a comprehensive and effective way to address untreated ADHD and substance abuse.

What Is ADHD?

ADHD is a neurological disorder characterized by symptoms of inattention, hyperactivity, and impulsivity. It affects both children and adults and can present in a few different ways:[1]

  • Inattentive type: This type of ADHD presents with symptoms of inattention and distractibility. The inattentive type is often referred to as ADD.

  • Hyperactive-impulsive type: This type of ADHD often presents with symptoms of hyperactivity and impulsivity.

  • Combined type: This is the most common type of ADHD and is characterized by symptoms of inattention and distractibility in addition to hyperactivity and impulsivity.

In adults, the symptoms of ADHD may include:[2]

  • Impulsiveness

  • Disorganization and prioritization problems

  • Poor time management skills

  • Problems focusing on a task

  • Trouble multitasking

  • Excessive activity or restlessness

  • Poor planning

  • Low frustration tolerance

  • Mood swings

  • Problems following through and completing tasks

  • Temper

  • Poor stress management

While ADHD can be managed through medication, therapy, and lifestyle adjustments, many people remain undiagnosed and untreated into adulthood. When ADHD is untreated, daily tasks like organizing, prioritizing, and maintaining focus can be extremely difficult. These challenges can affect daily life and interpersonal relationships, and substances may be used as a form of self-medication.

Drug Addiction and Interaction with ADHD

ADHD can have a negative impact on academic or work performance and may impact social development. People who live with ADHD – especially without treatment – may rely on substance use to combat the symptoms. Drug or alcohol use may make up for the lack of dopamine in the brain, which tends to be lower in people who have ADHD.

Treatment of ADHD and substance abuse can be difficult because these two conditions influence each other, and some of the effective medications to treat ADHD can also be habit-forming. Stimulant medications like Adderall and Ritalin can help to manage symptoms, but they have a high potential for abuse. There are non-stimulant medication treatments, however.

Statistics for ADHD and Substance Use Disorder

Research has revealed that people with ADHD have an increased risk of substance use disorder (SUD) or another addiction comorbidity. In a long-term study, substance abuse was 6 times more likely in cases with ADHD than in the control group, and women with ADHD were at a higher risk than men with ADHD.[3]

The link is obvious from the opposite perspective. It’s estimated that up to 50% of adolescents and young adults with substance abuse disorders have a lifetime diagnosis of ADHD.[4] In addition, ADHD was much more prevalent among people with methamphetamine use disorder.[5] Research also suggests that dual diagnosis involving ADHD and substance use disorder has a more severe progression from use to abuse and a greater mental and social impairment.[6]

Causes of ADHD and Substance Use Disorder Dual Diagnosis

ADHD and addiction have overlapping risk factors, including genetics. Causes of ADHD can include:

  • Heredity is one of the most common causes of ADHD, and it also plays a role in the development of addiction.[7]
  • Another possible connection is trauma, such as an injury to the brain, a tumor, or a stroke. These can affect impulse regulation and attention span. Though uncommon, it’s possible that trauma can contribute to ADHD and impulse control issues that may develop into addiction.

  • Both ADHD and addiction have been associated with personality traits like impulsivity, reward seeking, and anxiousness.[8] Impulsivity and the desire for novelty can also drive people with ADHD to experiment with drugs or alcohol, which can lead to drug abuse and addiction.

ADHD and Addiction Treatment Centers in St. Louis

Our dual diagnosis treatment centers in St. Louis focus on the complex relationship between ADHD and addiction. Our programs are designed to treat the physical, psychological, emotional, social, and behavioral components of ADHD while also treating substance use disorders and their underlying causes.

Each treatment plan at Engage Wellness is personalized. We offer different levels of care to provide the optimal level of support and supervision, including intensive outpatient programs (IOP) for ADHD and addiction, and outpatient treatment. These settings rely on a range of therapies, including:

01

Cognitive behavioral therapy (CBT) for ADHD and addiction helps with identifying and challenging negative thought patterns that contribute to impulsivity and substance use. It’s particularly effective for ADHD.

02

Dialectical behavioral therapy (DBT) for ADHD and addiction helps with learning cognitive strategies to enhance emotional control and interpersonal effectiveness. This is important for ADHD, which often involves intense emotions and difficulty managing stress.

03

Group therapy for ADHD and addiction helps develop social skills, receive peer support, and learn from people going through similar struggles. For people with ADHD, group therapy provides structure, accountability, and a sense of belonging.

04

Family therapy for ADHD and addiction helps to address family dynamics that may affect or result from these disorders, including developing communication, support structures, and healthy boundaries for family members for long-term recovery.

05

Eye movement desensitization and reprocessing (EMDR) for ADHD and addiction to address traumatic memories that may exacerbate symptoms in a safe and structured way, and learn to cope with cravings and emotional reactivity.

06

Holistic treatment for ADHD and addiction, such as yoga, mindfulness, and nutritional counseling, complements traditional therapy and reduces stress, manages ADHD symptoms, and promotes well-being.

07

Veterans programs for ADHD and addiction can help with the unique challenges veterans face, including PTSD and stress from reintegration into civilian life.

Frequently Asked Questions About ADHD Dual Diagnosis in St. Louis

Is ADHD a Risk Factor for Substance Abuse?2025-06-24T00:00:35+00:00

Yes, ADHD can be a risk factor for substance abuse. Research suggests that people with ADHD are more likely to misuse their meds or drugs and alcohol, particularly when they’re undiagnosed. Untreated ADHD and addiction are more likely to exacerbate one another.

How Long Does Dual Diagnosis Treatment in St. Louis Take?2025-06-24T00:02:25+00:00

The duration of dual diagnosis treatment for ADHD and addiction varies based on the severity of symptoms and progress, but most people benefit from at least a few weeks of structured care with ongoing outpatient support for long-term wellness.

What Are the Best Treatments for ADHD and Substance Use Disorder?2025-06-24T00:04:46+00:00

Dual diagnosis treatment is an effective approach to treating co-occurring ADHD and substance use disorder because it addresses both simultaneously, rather than individually, and considers how the symptoms of each condition may worsen one another.

Can ADHD Symptoms Be Mistaken for Addiction-Related Behaviors?2025-06-24T00:02:37+00:00

Yes, symptoms of ADHD like restlessness, impulsivity, and disorganization can overlap, so it’s important to get a comprehensive evaluation to identify the symptoms that belong to each disorder and identify co-occurring disorders.

[1]Attention-Deficit / hyperactivity disorder (ADHD) in children. (n.d.). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/adhdadd on 2025, April 23.

[2] Mayo Foundation for Medical Education and Research. (2023, January 25). Adult attention-deficit/hyperactivity disorder (ADHD). Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/adult-adhd/symptoms-causes/syc-20350878 on 2025, April 23.

[3,4,5,6,7,8] Davis, C., Cohen, A., Davids, M., & Rabindranath, A. (2015, April 20). Attention-deficit/hyperactivity disorder in relation to addictive behaviors: A moderated-mediation analysis of personality-risk factors and sex. Frontiers in psychiatry. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4403287/ on 2025, April 23.

Go to Top