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[ADHD and addiction: a complicated liaison]
F Matthys1, S Tremmery, M Autrique
1Algemeen Ziekenhuis St-Maarten, Mechelen en Free Clinic, een Medisch Sociaal Opvang Centrum voor druggebruikers, Antwerpen, Belgium. frieda.matthys@gmail.com
Insights
Attention-Deficit/Hyperactivity Disorder (ADHD) significantly increases substance use disorder risk. Diagnosis and treatment of ADHD in addiction settings face obstacles, highlighting the need for better models.
Area of Science:
- Psychiatry and Neuroscience
- Addiction Medicine
Context:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is prevalent in substance-abusing populations, being three times higher than in the general population.
- ADHD is frequently overlooked and inadequately treated within addiction treatment centers.
Purpose:
- To identify and describe the challenges hindering the accurate diagnosis and effective treatment of ADHD in individuals with substance use disorders.
Summary:
- A historical analysis reveals parallel diagnostic evolution and societal biases toward ADHD and substance use disorders.
- Neurobiological research on impulsivity and free will informs the understanding of these co-occurring conditions.
- ADHD is increasingly acknowledged in addiction treatment, necessitating the development of explanatory frameworks.
Impact:
- Improved recognition and management of ADHD in addiction treatment settings.
- Enhanced understanding of the neurobiological underpinnings of co-occurring ADHD and substance use disorders.
- Development of evidence-based models for integrated treatment approaches.
Background:
The presence of ADHD has been linked to a 100% increase in a person's chance of developing a substance use disorder. The prevalence of childhood and adult ADHD in substance-abusing populations has been estimated to be three times higher than in the general population. In addiction centres ADHD is often unrecognized and untreated.
Aim:
To describe the obstacles to the diagnosis and treatment of ADHD in addicts.
Method:
Using a historical approach, we analysed the evolution of the diagnostic descriptions of the two disorders, giving attention to the influence of social change and scientific research.
Results:
The two disorders have developed in remarkably similar ways; people have been and still are much inclined to make moral judgments about these disorders than about other psychic disorders. Neurobiological research has added a extra dimension to the debate on topics such as impulsivity, personal responsibility and free will.
Conclusion:
It is only recently that ADHD has been recognised as having a place in addiction treatment and, as a result, there is a growing need for explanatory models.
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