Substance use disorders and attention deficit disorder share more than a few things in common. Unmanagability, depression, anxiety and elevated cortisol levels (a stress response), to name just a few. But, are there definitive connections between addiction and ADD? Might ADHD even make someone more susceptible to developing a substance use disorder?

In this article, The Living Room explores the hidden connection between ADD and addiction. 

The Complex Relationship Between ADD and Addiction 

ADD or ADHD was once thought to be a condition that people ‘grew out of’ as adults. Today we know that attention deficit is a form of neurodivergence that remains for a lifetime. Many people with ADD find ways to adapt and successfully manage their condition. But it’s a good idea for them and their loved ones to be aware of the potential risks of developing an addiction when you have ADD.

The relationship between ADD/ADHD and addiction is complex. Studies have found an association between ADD and ADHD and a heightened likelihood of developing a substance use disorder or other compulsive behaviors. Over the past twenty years, multiple studies have shown that individuals with ADHD tend to face an increased risk of not only internet-related and gaming addictions but also substance-related dependencies.

What experts say about connections between ADD and addiction:

• ADD can increase a person’s risk of developing addictions or compulsions.
• There are many variables involved in developing addiction, and ADHD is only one. 
• Other factors in addiction include age, gender, mental health, and environment. 
• While research suggests connections between alcohol and drug misuse and ADD, more study is needed.

Why Are People With ADD at Greater Risk of Addiction?

There are two main reasons why ADD can increase your risk of addiction. The first is that the symptoms of ADD itself make addiction a greater threat than it might be for others. The second is more circumstantial. The effects ADD can have on a person’s lifestyle and emotional health can put them at risk. For example, ADD might lead a person to drop out of college and struggle to hold a job. Those circumstances might lead to them seeking refuge in drugs or alcohol. 

1: The Symptoms and Nature of ADD Can Increase Vulnerability to Addiction

Several symptoms of ADD (Attention Deficit Disorder) can increase susceptibility to drug addiction, including:

• Impulsivity – Acting without thinking can lead to risky behaviors, including substance use.
• Difficulty with Self-Regulation – Struggles with managing emotions and behaviors can make it harder to resist addictive substances.
• Low Dopamine Levels – People with ADD often have lower dopamine activity, which can lead to seeking external stimulation through drugs or alcohol.
• Trouble with Delayed Gratification – A preference for immediate rewards can make addictive substances more appealing.
• Hyperfocus on Pleasurable Activities – Some individuals with ADD may fixate on activities that provide instant gratification, including substance use.
• Higher Stress and Anxiety Levels – Difficulty managing stress can lead to self-medicating with drugs or alcohol.
• Poor Impulse Control in Social Situations – Peer pressure may have a stronger influence on individuals with ADD, increasing the likelihood of substance use.

2: The Effects of Living with ADD May Put Addiction in Their Path

The symptoms of ADD listed above often play a part in shaping a person’s life, depending upon how well-managed their condition is. Like all of us, the lives of people with ADD are partly a product of decisions they have made.

Childhood is often difficult for people with ADHD and if they never have the opportunity to process trauma or overcome low self-esteem, these problems can follow them into adulthood. This can lead to alcohol or substance abuse as a means of self-medication or alleviating psychological pain. 

As an adult, impulsive behavior or difficulty with organization and discipline could lead to financial crises, difficulty staying employed or even a criminal record. Actions or mistakes that later limit their choices in life or make life harder could also make addiction more of a threat. 

Some of the effects of living with ADD that could make addiction more likely include:

• Unresolved Childhood Wounds: Early experiences of trauma and low self-esteem can drive individuals to self-medicate with drugs or alcohol.
• Life Instability: Persistent challenges in organization and impulse control may lead to financial crises, unstable employment, or legal issues.
• Compounding Setbacks: Repeated adverse experiences over time can limit opportunities and deepen emotional distress.
• Coping Through Escape: The cumulative impact of these struggles may encourage reliance on substances as a means to alleviate psychological pain.

Addiction Treatment and Recovery for People with ADD

While ADD may increase a person’s susceptibility to addiction, there is good news. The solutions for overcoming addiction and living a sober lifestyle are just as effective for people with ADD as anyone else. 

An important part of managing ADD is acknowledging you have it and making use of tools to help yourself. The same is true of addiction. After a person completes substance abuse treatment, their addiction is in remission. They maintain their sobriety with a recovery lifestyle..

Recovery can be a blessing in more ways than one for the person with ADD. It brings order to where before there was only chaos. It promotes healthier living. It teaches us to rely on a power greater than ourselves, rather than allowing our will to run wild. 

More than a few people who suffered from both ADD and addiction found more benefits than they bargained for when they embraced the recovery lifestyle. 

Reclaim Your Peace of Mind at The Living Room

The Living Room at Princeton is perhaps New Jersey’s most forward-thinking addiction treatment program. Our unique blend of evidence-based clinical care methods is perfectly balanced by our holistic approach to addiction care. Our mission is simple. To both heal and  empower the people entrusted to our care to manage their own personal growth for successful long-term recovery. 

Let’s talk about what The Living Room can do for you or the one you love, today.