ADHD medication and addiction treatment: What you need to know

“Can I attend addiction treatment if I am prescribed ADHD medication?”

It’s a question we hear often, and a very valid one. For people living with ADHD who are also struggling with substance use disorder, the decision to seek help can feel complicated. The good news though, is that recovery is possible – even when ADHD medication is part of your health care plan.

At Arrow Health, we recognise that every client’s situation is unique, and managing ADHD during treatment requires care, understanding, and a personalised approach.

“ADHD is a risk factor for the development of substance use disorders (SUDs), particularly if ADHD is untreated and, people presenting with SUDs have increased risk of having ADHD” (Groenman et al., 2013; van Emmerikvan Oortmerssen et al., 2012)(see also (Faraone et al., 2021; Ozgen et al., 2020) – aadpa

ADHD medication in a clinical rehab

In a clinical rehab environment, the use of ADHD medication is carefully assessed. While some providers have a one-size-fits-all-approach, Arrow Health looks at the individual’s full history, needs, and health profile before making treatment decisions.

This process can involve:

• Comprehensive assessment at intake, including medical, psychological, and addiction history
• Medication review to determine safety, risks, and interactions with detox or other prescribed medications
• Close monitoring throughout treatment to ensure medications support, rather than hinder any recovery progress

For some, ADHD medication can be continued safely. For others, adjustments may be made to reduce risks or alternative supports introduced.

Dual Diagnosis: Treating ADHD and addiction together

ADHD and addiction often go hand in hand. According to Drug Policy Australia, if you have ADHD – you are more than 3x as likely to be dependent on substances than the general population.

This is why dual diagnosis treatment is vital. At Arrow Health, we don’t just treat the addiction in isolation, we address both (or all) conditions together.

• Tailored therapy that is designed to support attention and focus
• Coping strategies to manage ADHD symptoms without solely relying on medication
• Family education and support to help loved ones understand the dual diagnosis journey

Dual diagnosis matters because when both conditions are treated together, recovery outcomes are stronger and more sustainable.

Detox and medication management

Detox can often feel like one of the hardest steps in recovery. For those taking ADHD medication, it can bring unique challenges, such as managing restlessness or trouble focusing alongside withdrawal symptoms.

At Arrow Health, our medical team takes these factors into account from the very beginning. Medications are carefully reviewed and monitored to make sure they’re working safely and not making symptoms worse. With round-the-clock support, adjustments can be made where needed to ease discomfort and reduce risks.

Our detox program is designed to provide a safe and supportive foundation for recovery. By creating stability in these early days, clients can move into the next stage of treatment feeling more prepared, supported, and ready to fully engage in their recovery journey.

Risks and considerations with ADHD medication

Prescribing or continuing ADHD medication during addiction treatment requires thoughtful consideration. Stimulant medications do carry risks of misuse or dependence.

Some key considerations are:

• Risk of diversion or misuse: medication may be used in ways other than prescribed
• Impact on cravings or withdrawal: some medications may intensify cravings
• Emotional stability: balancing ADHD symptom management with emotional wellbeing in early recovery

This is why we use individualised treatment planning. No two people are the same, and neither are their recovery needs.

A hopeful path forward

The idea of entering addiction treatment while on ADHD medication may feel daunting, but it shouldn’t be a barrier to recovery. With the right support, clinical oversight, and a dual diagnosis approach, healing is possible.

We see you, not just a diagnosis. We will work with you to design a program that honours your needs, manages your ADHD safely, and gives you the tools to build your brighter future.