ADHD and Addiction: Understanding the Overlap

Finding a Way Forward

When we think of ADHD (Attention-Deficit/Hyperactivity Disorder), we often think of inattention, impulsivity, and restlessness. When we think of addiction, we think of substance use, compulsion, and a loss of control. But what many people don’t realize is how closely these two conditions are connected—and how important it is to treat them together, not separately.

A Personal Perspective

Over the years of working in addiction and mental health, I’ve had the privilege of sitting with countless individuals and families navigating the storm of substance use. But it’s not just professional for me—it’s personal. My own recovery journey has taught me firsthand how powerful it is when someone feels seen, understood, and supported.

I’ve worked with many clients who spent years trying to get sober without realizing they were also living with undiagnosed ADHD. They would beat themselves up for not being able to “stay on track” in recovery. They weren’t failing—they were fighting an uphill battle without the right tools. I know what it’s like to feel that internal chaos, to crave peace, and to reach for whatever might bring relief—even if just for a moment.

That’s why this topic matters so deeply to me.


Why ADHD and Addiction Often Go Hand-in-Hand

Research shows that people with ADHD are significantly more likely to struggle with substance use disorders than those without. In fact, some studies suggest that up to 50% of adults seeking treatment for substance use also have ADHD—diagnosed or undiagnosed.

Here’s why these two often overlap:

1. Impulsivity and Risk-Taking

Acting on impulse is a common trait in ADHD. It can show up in many ways—from blurting things out to trying substances before fully understanding the risks. That impulsivity can open the door to addiction, especially when substances are used to cope.

2. Self-Medication

Many people with ADHD struggle with overwhelm, restlessness, and racing thoughts. Substances can offer a temporary escape. I’ve had clients tell me, “It was the first time I felt calm.” That relief can quickly become a dangerous cycle.

3. Emotional Intensity

Living with ADHD often means feeling everything deeply. When those emotions become too heavy, it’s natural to want relief—and unfortunately, substances are an easy, accessible option for many.

4. Dopamine and the Brain

ADHD and addiction both involve disruptions in the brain’s dopamine system. This creates a vulnerability to chasing anything that gives a quick burst of pleasure or motivation—even if the long-term consequences are harmful.


Why Many Go Undiagnosed

The symptoms of ADHD and substance use disorder often overlap, especially in adults. Distractibility, memory problems, emotional ups and downs, sleep disruptions—all of these can be mistaken for consequences of drug or alcohol use, not underlying ADHD.

That’s why so many people don’t get diagnosed until they’re well into recovery. And for some, they’ve gone through treatment multiple times, always wondering why nothing seemed to stick.


Healing Means Treating the Whole Person

When someone is living with both ADHD and addiction, both conditions must be treated. Not one first, then the other—but together.

What That Can Look Like:

  • A comprehensive assessment to explore whether ADHD is present.
  • An integrated treatment plan that includes therapy, support for sobriety, and possibly medication.
  • Education and skills-building to help manage time, regulate emotions, and reduce impulsivity.
  • A supportive environment—whether that’s family, a recovery group, or professionals who understand both conditions.

You’re Not Broken—You Just Need the Right Tools

Living with ADHD and addiction can feel like a double burden. But with the right support, it’s absolutely possible to recover, rebuild your life, and thrive. I’ve seen it happen—and I’ve lived through it.

So if you’re reading this and you see yourself in these words, or if you’re a parent or partner trying to understand someone you love, know this: You are not alone.

There is help. There is hope. And there is a path forward—one that’s rooted in understanding, compassion, and real solutions.


If you or someone you love is struggling with ADHD and addiction, don’t hesitate to reach out. I’m here to help, and I understand what you’re going through—both professionally and personally.

For More Information:

E: patti.pike@canaminterventions.com W: www.canaminterventions.com

1-800-638-1812 Toll Free Internationally 415-827-3725 Cell /Text

Take the first step.