l
Many people with untreated ADHD try to self-medicate to
improve functioning
l
Smoking
l
ADHD adults smoke
more and have more difficulty quitting
l
Children with ADHD
start younger and smoke more
l
Substance use disorders (SUDs)
l
Fear: stimulant therapy may lead to
substance abuse
l
Fact: untreated ADHD is a significant
risk factor for substance
abuse in
adolescence and adulthood
l
A longitudinal study
found ADHD medication was associated
with an
85% reduction in risk for SUD in ADHD youth
l
Stimulants are known
to be associated with dependence and
abuse in
“at-risk” populations
Biederman et al.
Pediatrics 1999;104:e20.
Pomerleau et al. J Subst Abuse 1995;7:373.
Milberger et al.
JAACAP 1997;36:38