The role of attention deficit hyperactive disorder in developing substance use disorder: a case report

Objective: Individuals with ADHD are known to have more risk of developing substance use disorder (SUD). However the underlying mechanisms behind it are not straightforward. Method: We report a case of an adult with ADHD, who has a long standing history of polysubstance use, since the age of 10....

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Bibliographic Details
Main Authors: Md Rosli, Ahmad Nabil MR, Subbiah, Rakesh, Zakaria, Hazli
Format: Article
Language:English
Published: Malaysian Psychiatry Association 2015
Subjects:
Online Access:http://irep.iium.edu.my/48029/
http://irep.iium.edu.my/48029/
http://irep.iium.edu.my/48029/1/The_Role_of_Attention_Deficit_Hyperactive_Disorder_in_Developing.pdf
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Summary:Objective: Individuals with ADHD are known to have more risk of developing substance use disorder (SUD). However the underlying mechanisms behind it are not straightforward. Method: We report a case of an adult with ADHD, who has a long standing history of polysubstance use, since the age of 10. He had multiple relapses, even after numerous efforts undertaken to keep him drug-free. Result: ADHD symptoms were not optimally treated during admission. He had preference towards opioid-based and amphetamine-type substances in order to attain euphoria. Conclusion: Taking into account the biological and psycho-social condition of this man, we discussed the role of ADHD from the perspective of dysfunctional rewards system and other possible factors in explaining his drug-craving behavior. Keywords: Attention-deficit Hyperactive Disorder (ADHD), Substance Use Disorder (SUD), Adult