Over half of young people and adults diagnosed with Attention Deficit Hyperactivity Disorder [ADHD] also have substance use disorder [SUD]. Their use of substances may arise from an attempt to self-medicate and/or to cope with their difficulties. This manuscript reviews key research in the literature and identifies that traditional SUD psychological interventions are an effective treatment for those presenting with a dual diagnosis of ADHD and SUD. However, typically, this is only available to those presenting to specialist SUD services for treatment of harmful use and/or dependency. This misses an opportunity to intervene much earlier, before drug use escalates to these levels. The manuscript aims to provide practical guidance for healthcare practitioners, by detailing a psychological framework for earlier assessment and intervention of problematic drug use in young people and adults with ADHD. Specific techniques are outlined drawing on psychoeducation, motivational interviewing and cognitive behavioural therapy in a phased approach to address factors that motivate initial use of substances and those that maintain use.

超过一半被诊断患有注意力缺陷多动障碍 [ADHD] 的年轻人和成年人也患有物质使用障碍 [SUD]。他们对物质的使用可能源于试图自我治疗和/或应对他们的困难。这份手稿回顾了文献中的关键研究，并确定传统的 SUD 心理干预对于那些同时诊断为 ADHD 和 SUD 的人来说是一种有效的治疗方法。但是，通常情况下，这仅适用于向专业 SUD 服务提供治疗有害使用和/或依赖的人。这错过了在药物使用升级到这些水平之前更早干预的机会。该手稿旨在为医疗保健从业者提供实用指导，通过详细说明早期评估和干预患有多动症的年轻人和成年人的有问题的药物使用的心理框架。概述了利用心理教育、动机访谈和认知行为疗法以分阶段方法解决促使最初使用物质和维持使用的因素的具体技术。