Are most addictions and ADHD spectrum disorders in adults on the same continuum?

Are most addictions and ADHD spectrum disorders in adults on the same continuum?

1 month ago

My clinical background as a psychiatrist started in treating addiction disorders. I was attracted to this field because it acknowledges the biological, psychological, social, and spiritual context of where the problems arise. Some of biological predispositions such as impulse control, distraction, attention problems, and attraction to novelty and high intensity circumstances (these days there’s a lot of talk on dopamine seeking) fall on the same spectrum as the core neurobiological specifics of ADHD. This has implications in the treatment as well, as we utilize various methods including medications to manage ADHD symptoms. It takes clinical experience to monitor proper use versus misuse or potential addictive use of stimulant medications. Many of the behavioral addictions also are the misdirected self managements of core ADHD symptoms. Some of my patients become frustrated with me and call me over cautious in prescribing stimulants, but my decades of experience with addictive illnesses and their treatments give rise to this caution, and I do believe it is ultimately serving my patients well.

Criticism of Psychiatry
Criticism of Psychiatry
8 months ago

Psychiatry as a sub specialty of medicine is an easy field to criticize! Despite decades of search,  we still do not know the exact molecular basis of the most psychiatric illnesses. The co...

How can Integrative Holistic Medicine help me?
How can Integrative Holistic Medicine help me?
3 years ago

When a physician claims a holistic/ integrative approach to medical care, she usually faces either admiration or incredulity and disgust. I can attest to that from personal experience and my additi...

Are most addictions and ADHD spectrum disorders in adults on the same continuum?
Are most addictions and ADHD spectrum disorders in adults on the same continuum?
1 month ago

My clinical background as a psychiatrist started in treating addiction disorders. I was attracted to this field because it acknowledges the biological, psychological, social, and spiritual contex...