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78. ADHD and addiction · What helps

This page follows on from the last one. It covers practical steps that help. None of them need a diagnosis, and you don't have to call yourself an addict to use them.

1/3 Get the ADHD assessed and, if right for you, treated.

Research links ADHD treatment with a lower risk of substance problems, and many people say their cravings eased once their ADHD was treated. Tell your prescriber honestly what you use and how often, because it affects which medication is right for you. If you have misused stimulants or have a current substance problem, a non-stimulant such as atomoxetine may be a safer place to start. UK psychiatrists are used to this conversation, and being honest helps them treat you well.

2/3 Numbers to save in your phone.

Talk to Frank (0300 123 6600, talktofrank.com) is the UK's national drugs information line. It is anonymous and open 24 hours a day. Drinkaware (drinkaware.co.uk) has a short online check of your drinking. Alcoholics Anonymous (0800 9177 650, alcoholics-anonymous.org.uk) is free and confidential, with meetings online and across the UK. GamCare (0808 8020 133, gamcare.org.uk) offers the same kind of help for gambling. Your local NHS Community Drug and Alcohol Service is also free, and you can refer yourself without seeing a GP. You don't need to be sure you want to stop. Tell them you have ADHD when you call.

3/3 Replace what you are giving up.

Stopping with nothing to take its place is very hard with ADHD, because your brain still wants the boost. It helps to replace it with something else. Exercise is a good start, and a brisk walk in daylight counts. A dopamine menu from chapter 4 gives you a list of small, reliable pleasures to turn to when a craving hits. A Focusmate session at the time of day you usually slip can fill that hour. None of these is a cure, but together they help over time. It may take a year, and that is normal. Keep coming back to it.

If you are in real crisis right now. Please ring Samaritans on 116 123, free, 24/7, or NHS 111 option 2 for an urgent mental health response. If you have used substances and are worried about your physical safety, go to A&E. You will be looked after.

This page provides general information and is not medical advice. Speak to a qualified clinician or prescriber about diagnosis, treatment or medication changes. Last checked September 2026.