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How do you explain to a teenager with ADHD that they may be more prone to substance abuse than other people without ADHD?

Maribel Serra
Maribel Serra Candell
Clinical psychologist. Head of the Projects and Programs Subsection.
Centre SPOTT. Diputació de Barcelona

People with attention deficit hyperactivity disorder (ADHD) experience difficulties with attention and concentration, are easily distracted, tend to procrastinate and abandon tasks, have trouble following instructions, experience emotional instability, have low self-esteem, suffer from anxiety and depression, and make decisions without considering the immediate consequences. They are also more prone to drug use.

An international study conducted by the Psychiatry, Mental Health, and Addictions team at Vall d'Hebron Hospital identified that people with ADHD were almost eight times more likely to use cannabis during their lifetime . This is a common comorbidity, and this association will exacerbate both disorders.

Individuals with ADHD may experience early drug use. Early diagnosis, assessment, and treatment of ADHD can reduce the risk of drug use; however, it is essential that parents establish prevention guidelines and recommendations as previously described. At the same time, it is important to make them aware of their increased vulnerability and cognitive impairment due to substance use and abuse. It is also important to keep in mind that the propensity of individuals with ADHD to use cannabis could be for self-medication to avoid feeling overwhelmed or as a way to alleviate distress caused by difficulties at school, with peers, or within the family.

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Maribel Serra
Maribel Serra Candell
Clinical psychologist. Head of the Projects and Programs Subsection.
Centre SPOTT. Diputació de Barcelona