Attention-Deficit/Hyperactivity Disorder (ADHD) and substance use disorders often occur together, creating unique challenges that require specialized, integrated care. Individuals with ADHD may be more vulnerable to addiction due to impulsivity, difficulty with emotional regulation, and challenges with focus and stress management. When both conditions are present, treating one without addressing the other can limit long-term recovery success.
At Bayview Recovery Center in San Diego, California, we provide comprehensive ADHD and addiction treatment designed to address the whole person, not just the symptoms. Our dual-diagnosis approach combines evidence-based addiction treatment with mental health support tailored to individuals living with ADHD. Through personalized treatment planning, clinical oversight, and therapeutic care, we help men in recovery build structure, improve coping skills, and achieve lasting recovery in a supportive Southern California setting.
The condition shows up in three core ways:
- Inattention: Difficulty focusing, staying organized, and following through on tasks
- Hyperactivity: Excessive restlessness, fidgeting, and difficulty sitting still
- Impulsivity: Acting without thinking through consequences or interrupting others
Prevalence of ADHD
ADHD is significantly more prevalent among individuals with substance use disorders. Research indicates that up to 25% of adults in addiction treatment programs meet the criteria for ADHD, a rate substantially higher than in the general population. When ADHD goes undiagnosed or untreated, individuals may turn to substances as a way to cope with restlessness, mood instability, or difficulty concentrating, increasing the risk of developing addiction.
At Bayview Recovery Center in San Diego, California, we recognize how common and impactful ADHD is among those seeking addiction treatment. Identifying and addressing ADHD as part of a comprehensive treatment plan allows for more accurate diagnosis, improved engagement in therapy, and better long-term recovery outcomes.
ADHD Statistics in California
ADHD is especially common among individuals receiving behavioral health and addiction treatment services in California. Studies show that 20–30% of adults in substance use disorder treatment programs meet diagnostic criteria for ADHD. The presence of untreated ADHD has been associated with earlier onset of substance use, higher rates of polysubstance use, and increased relapse risk.
In California’s large and diverse population, including urban areas like San Diego, many adults with ADHD remain undiagnosed until they seek treatment for co-occurring mental health or substance use disorders. Integrating ADHD screening and treatment into addiction care helps improve treatment engagement, emotional regulation, and long-term recovery outcomes.
Types of ADHD
This type of ADHD is characterized by ongoing difficulties with focus, organization, and follow-through. Individuals may appear easily distracted, forgetful, or disorganized, often struggling with time management and task completion. Because symptoms are less outwardly disruptive, this type is frequently underdiagnosed, particularly in adults.
People with this type experience excessive restlessness, impulsivity, and difficulty sitting still. Symptoms may include interrupting others, acting without thinking, and difficulty managing emotions or impulses. These traits can increase vulnerability to risky behaviors, including substance use.
The combined type is the most common form of ADHD and includes symptoms of both inattention and hyperactivity-impulsivity. Individuals may struggle with focus and organization while also experiencing impulsivity, emotional dysregulation, and restlessness. This combination can significantly impact daily functioning and increase the risk of co-occurring addiction if left untreated.
At Bayview Recovery Center in San Diego, California, we assess for all types of ADHD as part of our comprehensive dual-diagnosis treatment approach. Identifying the specific presentation allows our clinical team to tailor therapy, structure, and support to each individual’s unique needs, supporting both mental health stability and long-term recovery.
Signs and Symptoms of ADHD and Addiction
- Difficulty focusing, organizing tasks, or following through
- Impulsivity and acting without considering consequences
- Restlessness, fidgeting, or feeling mentally “on edge.”
- Poor time management and chronic forgetfulness
- Emotional dysregulation, irritability, or mood swings
- Loss of control over substance use
- Using substances to cope with stress, boredom, or emotions
- Increasing tolerance or needing more to feel effects
- Withdrawal symptoms when not using
- Continued use despite negative consequences
- Impulsive decision-making and risky behaviors
- Difficulty maintaining work, school, or relationships
- Emotional instability and poor stress tolerance
- Repeated relapse or difficulty sustaining recovery
At Bayview Recovery Center in San Diego, CA, we specialize in identifying and treating co-occurring ADHD and addiction. Addressing both conditions together allows for more accurate diagnosis, improved treatment engagement, and stronger long-term recovery outcomes.
Causes and Risk Factors of ADHD
ADHD often runs in families and is linked to differences in dopamine regulation, which affects attention, motivation, and impulse control.
Impulsivity and self-medication increase addiction risk. Substances may temporarily reduce restlessness or racing thoughts, reinforcing substance use over time.
Late diagnosis and chronic stress can contribute to substance use as a coping strategy. Many adults with ADHD remain undiagnosed until adulthood, increasing long-term risk.
Differences in brain activity and neurotransmitters such as dopamine and norepinephrine affect focus and emotional regulation, increasing vulnerability to substance misuse.
Prenatal substance exposure, premature birth, and early developmental complications are associated with higher rates of ADHD.
ADHD frequently co-occurs with anxiety and depression. When untreated, these conditions can intensify impulsivity and raise addiction risk.
At Bayview Recovery Center in San Diego, California, we consider all contributing factors when evaluating ADHD and substance use disorders. By addressing both the underlying causes and associated risk factors, our integrated treatment approach supports improved focus, emotional stability, and long-term recovery.
The Relationship Between ADHD and Addiction
Impulsivity, emotional dysregulation, and difficulty managing stress can increase the risk of substance use. Many individuals self-medicate with alcohol, nicotine, marijuana, cocaine, or prescription stimulants to ease restlessness, poor focus, or racing thoughts, which can lead to dependence over time.
Untreated ADHD makes maintaining sobriety more difficult, as challenges with structure, follow-through, and emotional regulation increase relapse risk. Research from the National Institute on Drug Abuse (NIDA) shows that about 25% of adults in addiction treatment also have ADHD, highlighting the need for integrated care.
At Bayview Recovery Center in San Diego, California, we provide dual diagnosis treatment to help clients manage ADHD symptoms, reduce relapse risk, and achieve lasting recovery.
Effects of ADHD and Addiction
Short-Term Effects
- Impulsivity and poor decision-making
- Restlessness, irritability, and mood swings
- Difficulty focusing at work, school, or home
- Increased risk of accidents or risky behaviors
- Early signs of substance dependence
Long-Term Effects
- Chronic substance use and addiction
- Strained personal and professional relationships
- Mental health issues such as anxiety and depression
- Reduced academic or career achievement
- Higher risk of relapse without integrated treatment
ADHD and Addiction Treatment
- Outpatient treatment: Well-suited for individuals who have professional, familial, or other commitments and must balance their recovery with significant daily responsibilities.
- Medication management: Medications to manage ADHD symptoms safely, while addressing substance use concerns.
- Behavioral therapies: Behavioral therapy helps clients recognize impulsive patterns, develop coping skills, and reduce relapse risk. They blend mindfulness practices with emotion regulation skills.
At Bayview Recovery Center, our integrated program is designed to treat both ADHD and substance use disorders, helping clients achieve lasting recovery and improved quality of life.
Dual diagnosis treatment tackles ADHD and substance use disorders at the same time through coordinated care. This approach recognizes that ADHD symptoms often drive people to self-medicate with substances. Studies show integrated treatment has a 60-70% success rate for maintaining sobriety while reducing ADHD symptoms.
ADHD medications are safe to use during addiction recovery with proper medical supervision. Non-stimulant options like atomoxetine effectively relieve ADHD symptoms without the risk of abuse. Healthcare providers carefully review each person’s substance use history before prescribing.
Individual therapy and group therapy help manage ADHD and addiction by teaching coping skills, improving focus, and providing support and accountability.
Holistic therapy, such as mindfulness, exercise, and stress-reduction techniques improve focus, emotional regulation, and overall well-being.
Cognitive behavioral therapy targets the thought patterns and behaviors that maintain both ADHD symptoms and substance use. CBT helps people identify triggers, develop better organizational strategies, and build healthier ways to cope. CBT reduces drug use and ADHD symptoms more effectively than treating substance use alone.
Dialectical behavior therapy blends mindfulness practices with emotion regulation skills. DBT teaches distress tolerance techniques that help people manage uncomfortable feelings without turning to substances. This approach works especially well for people with ADHD who struggle with emotional intensity.
Integrated ADHD and Addiction Treatment for Men in California
Bayview Recovery Center offers specialized treatment for men dealing with both ADHD and addiction in California. The center uses evidence-based approaches like cognitive behavioral therapy, dialectical behavior therapy, and medication management. The center is fully licensed by the California Department of Health Care Services.
The program creates an LGBTQ-inclusive environment where men can address the unique challenges that come up when ADHD and substance use intersect. Bayview Recovery Center knows that untreated ADHD often makes addiction worse and increases the risk of relapse. Contact us to learn more about treatment options.
Alyssa Looser-Smith (Medical Reviewer)
Alyssa is a licensed Clinical Social Worker and received her Master’s degree from San Diego State University. She has experience working with individuals in recovery of all ages for over eight years. Alyssa has also worked with at-risk homeless foster youth transitioning into independent living along with the families in the neonatal intensive care unit at UCSD.
Dual Diagnosis Treatment for Men is Available in San Diego, CA
At Bayview Recovery Center in San Diego, CA, we’ve witnessed men transform their lives by addressing both conditions together. With proper support and evidence-based treatment, breaking free from the cycle of OCD and addiction becomes not just possible but achievable. Contact us today to start your healing journey.
